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Flashcards in Surgical Hemostasis Deck (13):
1

What motto is associated with surgical hemostasis?

All bleeding stops

2

What is the most immediate method to obtain hemostasis?

Pressure (finger)

3

What is the Bovie?

Electrocautery (designed by Bovie with Cushing for neurosurgery in the 1920s)

4

What is the cut mode on the Bovie?

Continuous electrical current (20,000 Hz).
Cuts well with a decreased ability to coagulate.

5

What is the coagulation mode on the Bovie?

Intermittent electrical current (20,000 Hz).
Results in excellent vessel coagulation with decreased ability to cut.

6

Where should a Bovie be applied to a clamp or pick-up to coagulate a vessel?

Anywhere on the clamp/pick-up

7

Should you ever blindly place a clamp in a wound to stop bleeding?

No, you may injure surrounding tissues such as nerves

8

What is a figure-eight suture?

Suture ligature placed twice in the tissue prior to being tied

9

What is a vessel tied in continuity?

Tie, tie, cut in between

10

What is Surgicel?

Cellulose sheets:
Act as a framework for clotting factors/platelets to adhere

11

What is fibrin glue?

Fibrinogen and thrombin sprayed simultaneously and mixed to produce a fibrin "glue"

12

What is a harmonic scalpel?

Ultrasonic scalpel that vibrates > 50,000 times per second.
Seals vessels and cuts tissue.

13

What are clips?

Metallic clips for clipping vessels?