Instrumentation, Equiment, and Supplies
Terms
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- Surgical Songes
-
Soft
Lint Free
Contain radiopaque strip - Mayo Sponges
- Largest sponges
- Laparotomy Sponges
-
Laps, Tapes, or Packs
Five per package - Neurosurgical sponges
-
Patties or Cottonoids
Ten per package - Tonsil Sponges
-
Cotton-filled gauzes with a string attached.
Packages of five - Kitner Dissecting Sponges
-
Small rolls of cotton tape
Used to aid the surgeon in blunt dissection of tissues.
Always loaded onto a clamp. - Baby Labs
- Appendix Tapes
- Steri Strip Tape
-
Included with Some Transparent Film Dressings to further reinforce
Subcuticular closure. - Transparent Film Dressings
- Op-site, Ensure or Bioclusive, Tegaderm
- Liquid Collodion
-
Type of liquid chemical dressing
Forms a seall over a small incision.
Flammable, eather based. - Three-layer Dressings
-
Inner layer= Telfa, nonadherent easy removal
Intermediate layer
Outer layer - Montgomery Straps
-
Looks like corset
Used for wounds that require frequent dressing changes. - Stent Dressings
-
Wounds that are difficult to dress
Face, Neck, Nose - Latex Allergies
- Use Teflon or silicone catheters instead
- Urethral Catheters
- Designed for emptying urinary bladder.
- Nonretaining Urinary Catheters
-
Robinson (single-eyed catheters)
Coude (an angled-tip catheter for maneuvering around obstructions, i.e.enlarged prostate) - Stricture
- Can't go through a lumen
- Retaining Catheter
-
Foley balloon-tipped catheter
balloon inflated with sterile water - Three-way foley
-
1 inlet for irrigation
1 inlet for balloon inflation
1 outlet for drainage of urine or irrigating fluid
30cc balloon
Maintains hemostasis after transurthral prostatectomy
Maintains pressure against removal area -
Pezzer mushroom tip
Malecot four-wing tip catheters -
Rely on shape for self-retention
Frequently used for suprapubic bladder drainage - Ureteral Catheres
-
Smaller in diameter
Longer that urethral catheters
Made of woven silk,nylon,or plastic materials - Indwelling IV Catheters
-
Used for the infusion of essential nutrients into the bloodstream.
Inserted in larger veins ( right subclavian,internal or external jugular) - Indwelling Catheters
-
Broviac
Hickman, infusion of chemotherapeutic agents, blood or blood products
Groshong -
Double lumen catheters
(Picc or Central Line) - Used for nutrient infusion, as well as pharmacological agents.
- Tenckhoff Catheters
-
Inserted into the peritoneal cavity through abdominal wall.
Chemotherpeutic agents, abdominal tumors - Swan-Ganz Catheter
- Used within pulmonary artery, to monitor pressure.
- Intravascular Catheters
- May be used to deliver special "coils" to seal cerbral aneurysms or arterivenous malformations, thwarting the need for caniotomy.
- Balloon Tipped Fogarty Catheters
- Used to remove obstructions within the lumens of arteries, veins or ducts.
- Fogarty Biliary Catheter
- Is inserted into the biliary system for the removal of gall stones.
- Fogarty Arterial Embolectomy Catheter
-
Smaller and shorter than biliary catheter, and is inserted into an artery after cutdown to remove an obstruting blood clot.
Cutdown= Surgical opening into an artery. - Cholangiogram Catheters
- Inserted into the common bile duct for injection of contrast media under X-ray so that calculi can be outlined.
- Nasogastric sump Tubes
- Inserted through the nose and placed into the stomach, for decompressing during surgery so surgical site is unobstructed.
- Endotracheal Tubes
- Maintain the airway in an unconscious patient and for the administration of anesthetic gases and maintain airway during the anesthesia period.
- Chest Tubes
- Treat pneumothorax and after thoracic surgery to evacuate fluid and air form the pleural space.
- Drains
-
Used for evacuation of air and/or fluids from a surgical wound.
Can also eliminate dead spaces between tissue layers - Passive Drains
- Allow fluids to flow from areas of high pressure to areas of low pressure, due to fluid accumulation within the wound.
- Penrose Drains
- Are passive drains made from latex. Moistened with saline before placement.
- T-tubes
- Placed within the biliary system and are used to drain bile afer procedures performed on the common bile duct.
- Jackson Pratt and Hemovac
- Nonpassive drains. Create a consistent vacuum manually.
-
Arterial or venous needle/cannula
Tooney - Needle to introduce a plastic indwelling catheter into a vessel.
- Arterial needle/cannula assemblies
- Used to obtain arterial blood gases or are attached to a line leading to transducer to monitor arterial blood pressure.
- Intravenouss cannula/needle assemblies
- (Angio Cath) are attched to IV lines for the introduction of fluids and/ or medications into the patient's system.
-
Arterial needles
(Potts-Cournand needle/cannula) - Used to introduce diagnostic or angioplasty guiding catheters over guiding wires into the arterial system.
- Dorsey cannulated needle
- For biopsy of cerebral tissue through a burr hole.
- Chiba biopsy needles
- Boipsy of lung tissue, through the chest wall.
- Flanklin-Silverman cannulated biopsy needle
- "Trap door", Tip for biopsy of the liver and other internal organs.
- Biopsy needles attached to syringes
- Used to aspirate fluid from a cyst or abscess.
- Insulin syringes
- Calculated in units
- Tuberculin syringes
- Calculated in tenths or hundreths of a cubic centimeter.
- Standard Syringes
-
Vary in size
3-60 cc's of fluid - 10cc syringe
- Most common used
- Tuberculin
- Up to 1cc of fluid.
- Asepto syringe (bulb syringe)
- Holds approximately 120cc.