Operating Room PDF

‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ ‪ -‬ﻧﻈﺮي‬ ‫ﻣﺤﺎﺿﺮة‬ ‫‪Operating Room‬‬ ‫اﻋﺪاد ‪:‬‬ ‫رﻓﺎه ﺻﺒﺎح ﺑﺮاك‬ ‫‪Rafah Sabah Barrak‬‬...

‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ ‪ -‬ﻧﻈﺮي‬ ‫ﻣﺤﺎﺿﺮة‬ ‫‪Operating Room‬‬ ‫اﻋﺪاد ‪:‬‬ ‫رﻓﺎه ﺻﺒﺎح ﺑﺮاك‬ ‫‪Rafah Sabah Barrak‬‬ ‫‪1‬‬  ‫ ﻧﻈﺮي‬- ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ‬ Operating Room: An operating room (OR), also called surgery center, or operating theater(OT) is the unit of a hospital where surgical procedures are performed. Ideal anesthetic room: 1. It must be less than 3X2m2. 2. Multi source of Power supply UPS facilities, light source, air conditioner system. 3. Piped gas supply (piped medical gas and vacuum) with spare oxygen cylinders. 4. Moveable bed with giving set carrier. 5. Anesthetic machine. Rafah Sabah Barrak 2  ‫ ﻧﻈﺮي‬- ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ‬ 6. Suction unit. 7. Monitors. 8. Ventilator. 9. Trolley for an aesthetic drugs and tools. Ideal theater room: 1. It must be less than 4X5 m2 with corner less and antistatic flour. 2. Multi source of Power supply UPS facilities, light source, air conditioner system. 3. Piped gas supply (piped medical gas and vacuum) with spare oxygen cylinders. 4. Fixed or Moveable bed. 5.. anesthetic machine. 6. Suction unit. 7. Monitors. 8. Ventilator. 9. Trolley for anesthetic drugs and tools. 10. With giving set carrier. 11. Scavenging outlet. 12. Surgical tools and device (surgical trolley, X-ray light,..... etc). Rafah Sabah Barrak 3  ‫ ﻧﻈﺮي‬- ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ‬ Theater table (surgical bed): The bed should be able to change as it need in the operation and patient position. The support tools like: feet support or hand rest help to make this. The main advantages of the anesthetic room are: 1. The patient's anxiety may be reduced by avoiding the sights and sounds of the operating theater. This is of special importance in children. 2. The equipment which may be necessary during induction of anesthesia may be stored in a readily accessible from. 3. Time is saved by inducing anesthesia while surgery is being completed on another patient. This is useful particularly if preparation is prolonged, e.g. performance of local anesthetic blocks or establishment of invasive cardiovascular monitoring. The disadvantages: 1. anesthetic and monitoring equipment must be duplicated, or moved to the operating theatre with the patient; this usually necessitates temporary disconnection from electrical or gas supplies. 2. Hazards are involved in transferring an unconscious patient from a trolley to the operating table. 3. Construction and maintenance of anesthetic room are expensive. Rafah Sabah Barrak 4  ‫ ﻧﻈﺮي‬- ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ‬ Purpose ‣care An operating room may be designed and equipped to provide to patients with a range of conditions. ‣patients It may be designed and equipped to provide specialized care to with specific conditions. OR environment ‣ Operating rooms are sterile environments. ‣ shoe All personnel wear protective clothing called scrubs, as well as covers, masks, caps, eye shields, and other coverings to prevent the spread of germs. The operating room is brightly lit and the temperature is very cool; operating rooms are air-conditioned to help prevent infection. Rafah Sabah Barrak 5  ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ ‪ -‬ﻧﻈﺮي‬ ‫‪Surgeon and Assistants Equipment‬‬ ‫‪Rafah Sabah Barrak‬‬ ‫‪6‬‬  ‫ ﻧﻈﺮي‬- ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ‬ People in the operating room wear PPE (personal protective equipment) to help prevent bacteria from infecting the surgical incision. This PPE includes the following: ‣Similar to normal cleanrooms, germless. ‣AMasks protective cap covering their hair ‣with minimal over their lower face, covering their mouths and noses gaps to prevent inhalation of plume or airborne microbes Shades or glasses over their eyes, including specialized colored glasses for use with different lasers. a fiber-optic headlight may be attached for greater visibility. ‣ Sterile gloves; usually latex-free due to latex sensitivity which affects some health care workers and patients ‣ Protective covers on their shoes. ‣ If x-rays are expected to be used, lead aprons/neck covers are used to prevent overexposure to radiation The surgeon may also wear special glasses that help him/her to see more clearly. Rafah Sabah Barrak 7  ‫ ﻧﻈﺮي‬- ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ‬ Room Essential Equipment Checklist: Operating ✓Anesthesia Machine ✓Anesthesia Circuits ✓Anesthesia Monitor ✓Laryngeal Mask Airways ✓Surgical Table Rafah Sabah Barrak 8  ‫ ﻧﻈﺮي‬- ‫اﳌﺮﺣﻠﺔ اﻟﺜﺎﻧﻴﺔ \ ﻗﺴﻢ اﻟﺘﺨﺪﻳﺮ \ ﻣﺎدة ﺗﻘﻨﻴﺎت اﺟﻬﺰة اﻟﺘﺨﺪﻳﺮ‬ ✓ Vital Signs Monitor ✓ Surgical Lights - ceiling mounted ✓ Surgical Microscope ✓ Defibrillator ✓ Ultrasound Machines ✓ Endoscopy Tower ✓ Laryngoscopes ✓ Nerve Stimulator ✓ Blood Warmer ✓ Central Gas and Suction ✓ IV Accessories ✓ Needle Counters Rafah Sabah Barrak 9