The anesthesia was administered by Dr. Craig Hutchinson. The patient was administered general anesthesia. This form of anesthesia blocks the patient’s ability to feel pain or any sensation. The patient is also given propofol (Diprivan), a muscle relaxer which would in turn require an endo tracheal tube to be placed as the patient was in able to breath on his own. Upon arrival, the nurse applied a few monitoring devices, oximetry, blood pressure cuff, intravenous line and electrocardiogram (EKG) to evaluate the patient throughout the course of surgery. An EKG is used to monitor the patient’s heart. In order for this to take place, two leads were placed on the chest and one on the left lateral side. An oximeter was placed on the right index finger
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The patient was first shaved with disposable clippers from the chest to the abdomen and the lateral flank. The nurse shaved the patient starting from the chin and moved down to the feet. This just means the nurse went down with her strokes. After the nurse shaved the patient, the first assistant removed the excess hair from the surgical field to ensure it would not contaminate the wound. The lateral flank was then prepped with an orange Chloraprep wand. The area where the incision was intended was prepped longer than the rest of the operative site. The Chloraprep has a drying time of exactly three minutes. The prep must be completely dry before the use of cautery as the cautery and the Chloraprep can cause a fire. While the prep was drying, an ESU grounding pad was put onto the right thigh. The ESU grounding pad is used to allow the electrical current of the ESU to loop back to the ESU machine to prevent patient injury. The circulating nurse then inserted an indwelling 16-French Foley catheter to drain urine intraoperatively and postoperatively. A balloon was inflated to 10 ml and secured to the patient’s thigh and connected to a gravity drain. The levels and color of the urine were watched carefully as this surgery is a nephrectomy and it could affect the urine output. Dr. Selo then left to go
The patient was first shaved with disposable clippers from the chest to the abdomen and the lateral flank. The nurse shaved the patient starting from the chin and moved down to the feet. This just means the nurse went down with her strokes. After the nurse shaved the patient, the first assistant removed the excess hair from the surgical field to ensure it would not contaminate the wound. The lateral flank was then prepped with an orange Chloraprep wand. The area where the incision was intended was prepped longer than the rest of the operative site. The Chloraprep has a drying time of exactly three minutes. The prep must be completely dry before the use of cautery as the cautery and the Chloraprep can cause a fire. While the prep was drying, an ESU grounding pad was put onto the right thigh. The ESU grounding pad is used to allow the electrical current of the ESU to loop back to the ESU machine to prevent patient injury. The circulating nurse then inserted an indwelling 16-French Foley catheter to drain urine intraoperatively and postoperatively. A balloon was inflated to 10 ml and secured to the patient’s thigh and connected to a gravity drain. The levels and color of the urine were watched carefully as this surgery is a nephrectomy and it could affect the urine output. Dr. Selo then left to go