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    Surgical Instrumentation

    Uploaded by

    manishpankaj123
    This document provides an overview of various surgical instruments used in different surgical procedures. It describes instruments used for cutting and dissecting tissues, grasping and holding tissues, clamping and occluding blood vessels, exposing and retracting tissues, suturing and stapling, viewing internal structures, suctioning and aspirating, dilating and probing, measuring, and using accessory and microinstruments. Powered surgical instruments and techniques for handling instruments properly are also outlined. Electrosurgery and laser surgery are briefly discussed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd

    Surgical Instrumentation

    Uploaded by

    manishpankaj123
    55 views42 pages
    This document provides an overview of various surgical instruments used in different surgical procedures. It describes instruments used for cutting and dissecting tissues, grasping and holding tissues, clamping and occluding blood vessels, exposing and retracting tissues, suturing and stapling, viewing internal structures, suctioning and aspirating, dilating and probing, measuring, and using accessory and microinstruments. Powered surgical instruments and techniques for handling instruments properly are also outlined. Electrosurgery and laser surgery are briefly discussed.

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    Surgical Instrumentation.pptx

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    This document provides an overview of various surgical instruments used in different surgical procedures. It describes instruments used for cutting and dissecting tissues, grasping and holding tissues, clamping and occluding blood vessels, exposing and retracting tissues, suturing and stapling, viewing internal structures, suctioning and aspirating, dilating and probing, measuring, and using accessory and microinstruments. Powered surgical instruments and techniques for handling instruments properly are also outlined. Electrosurgery and laser surgery are briefly discussed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    55 views42 pages

    Surgical Instrumentation

    Uploaded by

    manishpankaj123
    This document provides an overview of various surgical instruments used in different surgical procedures. It describes instruments used for cutting and dissecting tissues, grasping and holding tissues, clamping and occluding blood vessels, exposing and retracting tissues, suturing and stapling, viewing internal structures, suctioning and aspirating, dilating and probing, measuring, and using accessory and microinstruments. Powered surgical instruments and techniques for handling instruments properly are also outlined. Electrosurgery and laser surgery are briefly discussed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 42

    http://nursinglectures.blogspot.

    com

    Atraumatic Dilation Dissection Grasping Retraction Sharp Traumatic Trocar


    nursinglectures.blogspot.com

    Cutting and Dissecting Grasping and Holding Clamping and Occluding Exposing and Retracting Suturing and Stapling Viewing
    nursinglectures.blogspot.com

    Suctioning and Aspirating Dilating and Probing Measuring Accessory Instruments Microinstrumentation

    CUTTING AND DISSECTING


    nursinglectures.blogspot.com

    SCALPELS

    Insert Blade using a HEAVY HEMOSTAT of KELLY CLAMP No.


    No.

    11 Blade No. 12 Blade No. 15 Blade No. 23 Blade


    KNIVES SCISSORS BONE

    Cutters and Debulking Tools Biopsy Forceps and Punches Curettes Snares Blunt Dissectors

    CUTTING AND DISSECTING


    nursinglectures.blogspot.com

    Bone

    Curette

    CUTTING AND DISSECTING


    nursinglectures.blogspot.com

    Mayo

    Scissors Scissors

    Metzenbaum

    CUTTING AND DISSECTING


    nursinglectures.blogspot.com

    Suture

    Scissors (Blunt /Blunt)

    GRASPING & HOLDING


    nursinglectures.blogspot.com

    Tissue

    Forceps Smooth Forceps Toothed Forceps Allis Forceps Babcock Forceps Stone Forceps Tenaculums Bone Holders

    GRASPING & HOLDING


    nursinglectures.blogspot.com

    Rat-Toothed

    Tissue

    Forceps

    GRASPING & HOLDING


    nursinglectures.blogspot.com

    Allis

    Tissue Forceps

    GRASPING & HOLDING


    nursinglectures.blogspot.com

    Babcock

    Intestinal

    Forceps

    GRASPING & HOLDING


    nursinglectures.blogspot.com

    Backhaus

    Towel Clamps

    CLAMPING & OCCLUDING


    nursinglectures.blogspot.com

    Hemostatic Hemostats Crushing

    Forceps

    Clamps Noncrushing Vascular Clamps

    CLAMPING & OCCLUDING


    nursinglectures.blogspot.com

    Hemostatic Hemostats Crushing

    Forceps

    Clamps Noncrushing Vascular Clamps- used to occlude peripheral or major blood vessels

    CLAMPING & OCCLUDING


    nursinglectures.blogspot.com

    Pean

    Intestinal forceps

    CLAMPING & OCCLUDING


    nursinglectures.blogspot.com

    Hemostatic Hemostats Crushing

    Forceps

    Clamps Noncrushing Vascular Clamps

    CLAMPING & OCCLUDING


    nursinglectures.blogspot.com

    Hemostatic Hemostats Crushing

    Forceps

    Clamps Noncrushing Vascular Clamps

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    BALFOUR ABDOMINAL

    RETRACTOR

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    ARMY

    NAVY

    FARABEUF Retractor

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    GELPI

    Perineal Retractor

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    Weitlaner

    Retractor

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    Spay

    Hook

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    Senn

    Retractors

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    Finochietto

    Retractor

    EXPOSING & RETRACTING


    nursinglectures.blogspot.com

    Ribbon

    Retractor

    SUTURING & STAPLING


    nursinglectures.blogspot.com

    Needle

    Holders Tungsten Carbide Jaws Crosshatched Serrations Smooth Jaws Staplers Clip Appliers Terminal End Staplers Internal Anastomosis Staplers End-to-End Circular Staplers

    SUTURING & STAPLING


    nursinglectures.blogspot.com

    Terminal

    End Staplers Internal Anastomosis Staplers End-to-End Circular Staplers

    VIEWING
    nursinglectures.blogspot.com

    Speculums Endoscopes Hollow

    Endoscopes Lensed Endoscopes

    SUCTIONING & ASPIRATING


    nursinglectures.blogspot.com

    Suction Poole Abdominal Frazier

    Tip

    Tip Yankeur Tip Autotransfusion Aspiration Trocar Cannula

    SUCTIONING & ASPIRATING


    nursinglectures.blogspot.com

    Suction Poole Abdominal Frazier

    Tip

    Tip Yankeur Tip Trocar Cannula

    DILATING & PROBING


    nursinglectures.blogspot.com

    MEASURING
    nursinglectures.blogspot.com

    ACCESSORY INSTRUMENTS
    nursinglectures.blogspot.com

    MICROINSTRUMENTATION
    nursinglectures.blogspot.com

    Powered Surgical Instruments


    nursinglectures.blogspot.com

    DRILL BURR BLADE REAMER ABRADER AIR-POWERED ELECTRICALLY POWERED

    HANDLING INSTRUMENTS
    nursinglectures.blogspot.com

    Standardized BASIC

    sets
    Scrub Person counts

    ALL instruments, sharp and sponges with the CIRCULATOR


    Handle Loose

    Instruments SEPARATELY
    Sort by

    CLASSIFICATION
    PROTECT Sharps

    Know the NAME and USE Handle INDIVIDUALLY Use for the INTENDED purpose

    FREE-HAND TECHNIQUE Watch the sterile field for LOOSE instruments With a MOIST, SPONGE wipe blood and organic debris from instruments using a DEMINERALIZED STERILE, DISTILLED H20

    Use of HAND SIGNALS Short INSTRUMENTS = Superficial Work LONG Instruments = DEEP PASS instruments DECISIVELY and FIRMLY
    nursinglectures.blogspot.com

    ELECTROSURGERY
    nursinglectures.blogspot.com

    INITIAL

    Incision is made by a SCALPEL


    Doubling

    the current increases the heat produced fourfold


    ARGON

    Enhanced ESU Tip is held at 60 degree angle, causing LESS Tissue Damage
    BUZZING

    the

    process of coagulating the VESSELS


    BUZZ

    should not exceed more than 3 SECONDS

    LASER SURGERY
    nursinglectures.blogspot.com

    Light

    amplification by stimulated emission of radiation (LASER)


    Types

    of LASES = ARGON, CARBON DIOXIDE, HOLMIUM, KRYPTON, NEODYMIUM, PHOSPHATE, RUBY/XENON

    Eyes and Eyelids should be adequately protected (aluminum foil, moist pads) Antiseptics must be NONFlammable
    Rectum should be packed with a MOISTENED sponge to prevent escape of METHANE gas
    nursinglectures.blogspot.com

    Anesthetic Agents should be NONCombustible


    Flexible metallic or insulated silicone endotracheal tubes Wear high filtration MASKS for CO2 laser ablation such as condylomata (Venereal warts)

    Precise CONTROL = ACCURATE incision Access to HARD to REACH areas (endoscopes, rhodium reflector mirrors) Unobstructed view of the surgical site

    Minimal TRAUMA to tissues DRY, Bloodless SURGICAL Field Minimal THERMAL effect Reduced RISK for INFECTION Prompt Healing Reduced OPERATING Time

    nursinglectures.blogspot.com

    Free Nursing Lectures http://nursinglectures.blogspot.com

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