Question

case study 1

joe is a 50-yr old man who was brought to the emergency department in hemorrhagic shock due to ruptured abdominal anuerysm. the surgeon called the surgery department to alert them that he is in transit with the patient for immediate intervention.

The OR team leader,in turn has notified the surgical technologist and circulator who are assigned to the case. the surgical team springs into action

1. what suppliesn will the surgical technologist open on the sterile field first?

2.what instrument sets will be needed?

3. what instruments will be needed first?

case study 2

wayne, a 67 year old man, presented to the emergency department with following symptoms: cold extremity of the right foot and ankle,complaining of severe pain,pale right foot and ankle, and no pedal pulse of the right foot or ankle.

1. what is the prelimanary doagnosis?

2.what diagnostic examination(s) will be done?

3. will surgical intervention be necessary? if so, what procedure will be scheduled?

what precautions will be needed during the placement of an ivc filter?

Answer 1

ANSWER :

1)Supplies opened by the surgical technologist on the sterile field first :

• Large self retaining Omni retractor : for abdominal wall
• Off set potts vascular clamps : for occlusion of iliac artery
• Large right angle : to mobilise aorta
• Bifurcated knitted dacron graft
• Loaded anastomotic and closure suture material

2)Instrument sets needed :

• Number 10 blade loaded onto a number 3 knife handle
• Number 15 blade loaded onto a number 3 knife handle
• Number 11 blade loaded onto a number 7 knife handle
• Hemostats
• Metzenbaum scissors
• Mayo scissors
• Toothed tissue forceps
• Aortic vascular clamp
• Suture materials - 3-0 polypropelene, 2- 0 polyglactin 910 , 1-0 polyglactin , 1-0 polydioxanone
• Fogarty clamp

3)Instruments needed first :

• Number 10 blade loaded onto a number 3 knife handle
• Number 15 blade loaded onto a number 3 knife handle
• Hemostats , Metzennaum scissors
• Mayo scissors