Surgical Hemostasis, Chapter20 P128-130 Flashcards Preview

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Flashcards in Surgical Hemostasis, Chapter20 P128-130 Deck (13)
1

What motto is associated with surgical hemostasis?
P128

“All bleeding stops”

2

What is the most immediate method to obtain hemostasis?
P128

Pressure (finger)

3

What is the “Bovie”?
P129

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

4

What is the CUT mode on the Bovie?
P129

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

5

What is the COAG mode on the Bovie?
P129

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 pickup to coagulate a vessel?
P129 (picture)

Anywhere on the clamp/pick-up

7

Should you ever “blindly” place a clamp in a wound to stop bleeding?
P129

No, you may injure surrounding tissues such as nerves

8

Define the following terms:
Figure-of-eight suture
P129 (picture)

Suture ligature placed twice in the tissue prior to being tied

9

Define the following terms:
Vessel “tied in continuity”
P130 (picture)

Tie, tie, cut in between

10

Define the following terms:
Surgicel®
P130

Cellulose sheets—act as a framework for clotting factors/platelets to adhere to
(Think: SurgiCEL = CELlulose)

11

Define the following terms:
Fibrin glue
P130

Fibrinogen and thrombin sprayed simultaneously and mixed to produce a fibrin “glue”

12

Define the following terms:
Harmonic scalpel
P130

Ultrasonic scalpel that vibrates >50,000 times per second; seals vessels and cuts tissue

13

Define the following terms:
Clips
P130

Metallic clips for clipping vessels