Intra-Operative Flashcards
Intra-Op
Cold and dry and UV lights and electrical safety and
Sterile Field
Only surgeon and scrubbed technicians. Circulating nurse…stays in the OR but not in the sterile field. Nurse is putting things in the sterile field.
Fire
Electrosurgery, patient needs to be properly grounded to prevent shock.
Respecting patient’s needs
Dignity, airway positioning.
Cleaning site
microorganisms on skin…scrub.
Physical trauma via
positioning…SBAR, blankets for warmth (hypothermia), ear lobe folded…positioning.
Surgical checklist
All members STOP what they are doing and Timeout together.
*National Patient Safety Goal.
Anesthesia
Why? Controls normal biologic response to stress.
General Anesthesia
Ambulatory settings
- someone who will be in an uncomfortable position
- IV or inhalation
- induces sleep quickly, short acting.
- excretes through body
Local Anesthesia
Ex. Lidocaine
- Pain relief to a very spec. area.
- used pre/intra/post
- Sutures and staples
Adjuncts
Anti-emetics, antibiotics….
-
Moderate Sedation
Colonoscopy…out of OR
MAC
Monitored Anesthesia Care…
- Start low b/c you don’t know what they’ll need.
- stroke like sx
Regional Anesthesia
Blocks!
Nerve blocks for one specific area
-spinal block
-can be used with moederate or MAC
-through catheter
-stays in for only about 72 hrs
-disadvantage: insertion site and inadvertently puts it into the vascular system instead of the nerve.
-ANS and motor block…vasodilator.
-epidural block
-patient can remain conscious or they can also get anesthesia
-Danger in how high you put it…risk for meningitis post epidural.
Perioperative Crisis
Hypoxia, hemorrhage, air embolism.
Anaphylactic Reaction
Malignant Hyperthermia
Dantrolene (Dantrium)
