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20 Cards in this Set
- Front
- Back
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What came first, Surgery or Anatomy?
And who brought them together? |
Surgery - Scary thought!
Andreas Vesalius (1514-1564) |
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Who thought up ligation (as opposed to cauterizing) blood vessels?
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Ambroise Pare (1510-1590)
French battlefield surgeon |
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Je le Pansay. Dieu le gueri.
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I treated it. God cured it.
-Ambroise Pare (I believe) |
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Who used ether anesthesia first?
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Crawford Long (Penn Grad!)
but he did not publish his work fast enough so all the credit is given to William Morton |
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Who figured out that you should WASH YOUR HANDS?
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1840's
Vienna - Semmelweiss Boston - Holmes |
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What did Sir Joseph Lister do?
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Fathered "Antiseptic Surgery"
used Carbolic Acid to prevent infection did elective patella repair - a voluntarily made incision - what!?! |
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Foreign Material + Bacteria = ???
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INFECTION
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4 Primary Sources of Infection during Surgery?
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Air
Surgeon Patient Instruments |
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AIR
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O.R. should be low traffic
Ventilation controlled - filtered laminar airflow system (top-down) |
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SURGEON
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Proper attire
Proper Scrub Technique - 5 minutes contact time |
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PATIENT
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Hair Removal - #40 Blade immediately prior to surgery
Antiseptics - Chlorhex or Betadine Drapes - extensive sterile field, cloth, paper, plastic |
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INSTRUMENTS
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can be sterilized!
Double-wrap in paper/cloth Steam autoclave Check indicator Gas Sterilization ethylene oxide for delicate materials Cold sterilization Cidex - potent disinfectant soak at least 10 minutes then rinsed with sterile water before use |
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Alcohol as an antiseptic?
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Fast, decent spectrum, no residual activity.
Not recommended. (use in combo with others) |
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Betadine as an antiseptic?
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Povidone-Iodine
Fast, Broad spectrum, minimal residual, inactivated by organic material. Good last layer once site is clean - can create a decent film |
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Chlorhexidine as an antiseptic?
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Fast, Broad spectrum, moderate residual activity
Best one out there right now |
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What is a No-Scrub antiseptic?
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Avagard
only for hands already clean and dry |
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Drape/Gown comparison
Cloth, Paper, Plastic |
Cloth - economical, comfortable
Paper - awesome! comfortable and wet resistant Plastic - wet resistant, uncomfortable |
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What are the key numbers in speaking about Steam Sterilization?
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30 minutes at 121 degrees Centigrade
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Gold Standard for proving sterilization worked?
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Kill something resistant
Bacillus stearothermophilus spores |
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Two biggest components of Aseptic Technique
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Common Sense
Attention to Detail |
