Term
| Area where the incision is made |
|
Definition
|
|
Term
| Surgical site & sterile drapes surrounding it on the table |
|
Definition
|
|
Term
| Surface covered with drapes & intended to be used as a work area to hold instrument & supplies |
|
Definition
|
|
Term
| sterile field, sterile surgery field, area of scrubbed personnel and the airspace above all of these |
|
Definition
|
|
Term
| How do sterile people pass each other? |
|
Definition
|
|
Term
| If a pack becomes damp or wet from bleeding through it is cosidered contaminated this is called: |
|
Definition
|
|
Term
| How far from the edge of anything that encloses sterile contents have to be to still be considered sterile? |
|
Definition
|
|
Term
| Non-sterile people pass a sterile area by : |
|
Definition
|
|
Term
| What are the main factors to take into consideration when having sperata are for storage of steilized items: |
|
Definition
- Dust Free
- Ventilated
- Germ Free
- Insect Free
- No temperature or humidity extremes
|
|
|
Term
| A single wrapped muslin that is stored in a cabinet is sterile for how long? |
|
Definition
|
|
Term
| A double wrapped muslin stored on open shelving is steril for how long? |
|
Definition
|
|
Term
| This wrapping has the longest sterilitiy when placed open shelving: |
|
Definition
| Single wrapped crepe paper |
|
|
Term
| A sterile single wrapped crepe paper last 8 weeks in a closed cabinet how long does a double wrapped muslin last? |
|
Definition
|
|
Term
| Heated-sealed and Plastic Pouches are good for how long on an open shelf? |
|
Definition
|
|
Term
| A sterilized pack is considered contaminated if: |
|
Definition
- It becomes wt
- Tape is broken or loosened
- Date is illegible or missing
- Pack is punctured or torn
- Pack has been dropped on the floor
|
|
|
Term
| In a case of extreme emergency and you have dirty instruements what can you do so that the intruement can be used? |
|
Definition
Disinfect as well as u can by:
- Cold soak solution for a minimum of 15 min (ideally 3 hours)
- Alcohol 70% (1 hour than allow to dry)
- Betadine/Nolvasan Solution (3 hours)
- Flash Sterilization at 270° for 3 minutes
|
|
|
Term
| What ideal characterisitics do we want when referring to wrap material? |
|
Definition
- Selective Permeability
- Resistance to damage
- Flexibility
- Memory
|
|
|
Term
| What types of wrap material are there? |
|
Definition
- Cotton textile (muslin)
- Paper
|
|
|
Term
| What should be done with insturments immediately after surgery is completed? |
|
Definition
| Instruements should be placed in soak and prepared to be washed |
|
|
Term
| When rinsing or spraying an instrument with instrument milk it should be applied for at least how long? |
|
Definition
|
|
Term
| How long is an ultrasonic cleaner used after the instruement has been hand washed? |
|
Definition
|
|
Term
| When washing surgical materials in a washer machine we want to wash them with this substance: |
|
Definition
|
|
Term
| What are four different drapes? |
|
Definition
- 4 corner drapes
- 3 corner drapes
- mayo stand drapes
- fenestrated drapes
|
|
|
Term
| How many gowns and hand towels should be placed in a pack? |
|
Definition
|
|
Term
| Which people have the direct contact with the sterile field? |
|
Definition
- Surgeon
- Sterile Scrub Nurse
|
|
|
Term
| When is an open gloving technique used? |
|
Definition
| Used when prepping the animal for surgery |
|
|
Term
| Non-sterile personnel do what? |
|
Definition
- Open packs
- Open blades
- Open suture material
- Transfer items
|
|
|
Term
| Before actual prep begins you ALWAYS verify? |
|
Definition
- Patient's identity
- Sex
- Procedure to be performed
- Confirm fasting of patient
|
|
|
Term
| What are some necessary test results? |
|
Definition
- Blood work (Look at notes for detail)
- Urinalysis
- Fecal
- X-rays
- EKG
- HWT
- FeLV/FIV
|
|
|
Term
| This begins after the patient has been anesthetized, stabilized & hooked up to I/V fluids |
|
Definition
|
|
Term
| What blade number should be used when clipping a patient? |
|
Definition
|
|
Term
| Who begins the sterile scrub? |
|
Definition
|
|
Term
| Why should positioning the patient be be carefule done? |
|
Definition
- Maintain airway
- Maintain IV fluid flow
|
|
|
Term
| This is the most routine position and is commonly used for abdominal surgeries and cervical disc surgery |
|
Definition
|
|
Term
| This position is also known as the frog position and is used for surgeries like lumbar disc surgery, cranial and ear surgery |
|
Definition
|
|
Term
| Hanging prep positioning is commonly used for this surgery |
|
Definition
|
|
Term
| happens outside the patient Ex: air, surgical instruements and supplies |
|
Definition
|
|
Term
| happens within the patient reaching the wound through the blood stream ex: dermatitis bacteria |
|
Definition
|
|
Term
| Who determines the degree to which principes of asepsis are followed in each case |
|
Definition
|
|
Term
| What is the principle function of the cardiovascular system? |
|
Definition
| Generate an appropriate amount of intravascular pressure to ensure tissue perfusion |
|
|
Term
| The measurement of force applied to artery walls: |
|
Definition
|
|
Term
| Indicates the driving force for tissue blood flow and refers only to arterial blood pressure: |
|
Definition
|
|
Term
| This has the strongest correlation with body fluid volume and allows us to access how well blood is returning to the heart and the ability of the heart to receive and pump blood: |
|
Definition
Central Venous Pressure (CVP)
Remember: We can measure the pressure of this within the vein |
|
|
Term
| Organ perfusion may be inadequate and is usually due to anesthesia, drugs, toxins, various forms of shock (hemorrhage). |
|
Definition
Hypotension
(Blood Pressure that falls too low) |
|
|
Term
| Organs can be over perfused or undergo barotrauma. Usually due to kidney disease, hyperthyroidism or possibly other types of metabolic changes: |
|
Definition
Hypertension
(Blood pressure that rises to high) |
|
|
Term
| Sensory nerve trauma that stimulates pressure change |
|
Definition
Barotrauma
(Note: Seen with Hypertension) |
|
|
Term
| These must also be considered when evaluating a patients blood pressure: |
|
Definition
|
|
Term
| What is a high risk BP that needs intervention by administration of necessary drugs or antihypertensive agents |
|
Definition
|
|
Term
| What is a moderate risk BP where intervemtion should be considered and there is a risk og organ injury and monitoring shoukd be done |
|
Definition
|
|
Term
| What is a BP with moderate risk with reduced organ perfussion? |
|
Definition
|
|
Term
| What is the BP that is high risk which mandates intervention and requires administration of IV fluids and or reducing anesthetic agents? |
|
Definition
70/40 mm Hg
Remember: Death will occur if action is not taken |
|
|
Term
| What is the normal systolic blood pressure for dogs and cats ? |
|
Definition
|
|
Term
| What is the normal diastolic blood pressure for dogs and cats? |
|
Definition
|
|
Term
| What is the normal Mean Arterial Pressure when a patient is awake and anesthetized? |
|
Definition
Awake: 85-120 mm Hg
Anesthetized: 70-90 mm Hg |
|
|
Term
| This is the average pressure through the cardiac cycle which is the most important during anesthesia and the best indicator of blood perfussion |
|
Definition
Mean Arterial Pressure
(MAP)
Note: Diastolic pressure + (systolic pressure- diastolic pressure)/3 |
|
|
Term
| What two ways can blood pressure be measured? |
|
Definition
|
|
Term
| What is an example of direct measurement of blood pressure? |
|
Definition
| Placement of an indwelling catheter |
|
|
Term
| What is an example of indirect measurement of blood pressure? |
|
Definition
- Auscultatory
- Ultrasonic Doppler
- Oscillometric
|
|
|
Term
| Pressure is measured with either: |
|
Definition
- Manometer
- Pressure tranducter
|
|
|
Term
| This detects blood flow as a change in frequency of reflected sound due to motion of red blood cells |
|
Definition
|
|
Term
| When using the doppler where should the probe be positioned? |
|
Definition
| Distal to the cuff on the same limb |
|
|
Term
| Dopplers are more reliable for measurements of: |
|
Definition
Systolic Blood Pressure
Remember: They may be able to obtaina diastolic even though it is uncommon unless experienced |
|
|
Term
| This instruement detects pressure fluctuations in the occluding cuff resulting from the pressure pulse |
|
Definition
|
|
Term
| What does an oscillometric measure? |
|
Definition
| Systolic, Diastolic and mean Blood pressure, as well as a pulse rate |
|
|
Term
| What are some sites that pressure measurement can be obtained? |
|
Definition
- Brachial Arteries
- Median Arteries
- Cranial Tibia Arteries
- Medial Coccygeal Arteries
|
|
|
Term
| What is the best postion to place a patient in for obtaining a blood pressure? |
|
Definition
| Which ever the patient is comfortable in |
|
|
Term
| At what level should that patient be cuffed at? |
|
Definition
|
|
Term
| What do you want to remember when placing the cuff above or below heart level? |
|
Definition
| For every 2 cm above or below + or - 1mm Hg respectively |
|
|
Term
| Ideally the cuff size should be how much limb circumference? |
|
Definition
| 40% of limb circumference |
|
|
Term
| What should be constant when measuring blood pressure? |
|
Definition
- The position
- Technique
- Vet Tech performing
- Equipment
|
|
|
Term
| How many consistent readings should be obtained before discarding the highest and lowest readings to achieve an average? |
|
Definition
|
|
Term
| How much should be added to the reading of systolic blood pressure on cats for accuracy? |
|
Definition
|
|
Term
| What are some anxiety induced artifacts? |
|
Definition
- Visit to veterinary Clinic
- Restraint
- Noises
- Odors
- Any other unusual stimuli
|
|
|
Term
| Ideally how long do you want a patient to acclimate to its surroundings before doing a blood pressure |
|
Definition
|
|
Term
| What equipment is needed when measuring blood pressure through centrous venous pressure? |
|
Definition
- Sterile Bag or Bottle of Fluids or syringe of normal saline
- Fluid administration set attached to fluids
- IV extension set
- Manometer
- Stopcock
|
|
|
Term
| When the white knob on a stopcock is pointed in a certain direction that position is considered off or on? |
|
Definition
|
|
Term
| What is the normal for CVP? |
|
Definition
|
|
Term
| Values of 8-10 cm of H2O read on a manometer during a CVP can indicate: |
|
Definition
- Increased invascular volume
- Suspected volume overload
- Fluid therapy should be slowed or stopped
|
|
|
Term
| Values greater than 10 cm of H2O are read on a manometer during a CVP what can this indicate? |
|
Definition
- Venous Congestion
- Increased Thoracic Pressure
- Volume Overload
- Fluid Therapy Should Be Stopped
|
|
|
Term
| The primary goal of the surgeon is: |
|
Definition
| The correction of disease |
|
|
Term
| The primary goal of the technician is: |
|
Definition
|
|
Term
One celled organisms creating parasitic disease
Ex: Toxoplasmosis, Coccidiosis |
|
Definition
|
|
Term
| Plants that must exist as parasites due to their inability to synthesis their own food and normally cause skin disease |
|
Definition
Fungi
Ex: Fungal pneumonia's, fungal infection of internal organs(liver,kidneys, etc...) |
|
|
Term
| A Major concern when cleaning & sterilizing, you should always educate clients on its importance of prevention: |
|
Definition
|
|
Term
| The prevention of hospital-acquired infections is the desired result of: |
|
Definition
Aseptic Technique
Note: This involves Pre & Post- surgical asepsis |
|
|
Term
| Usually occurs over a boney providence and can have added problems if urine scolding occurs, the best treatment is prevention |
|
Definition
| Decubital Ulcer "Bed Sores" |
|
|
Term
| Elimination or control of the source of disease can be accomplished if efforts are made by: |
|
Definition
- Quarantine
- Isolation
- Euthanasia
|
|
|
Term
| How can you increase the ability of the host to resist disease? |
|
Definition
- Adequate diet
- Therapeutic agents
- General Hygiene
|
|
|
Term
| Preventing transmission of microbes by: |
|
Definition
- Washing Hands
- Adequate ventilation
- Physical and chemical control
|
|
|
Term
| Name three types of physical classification: |
|
Definition
- Filtration
- Radiation
- Heat
|
|
|
Term
| The use of a filter to separate particulate matter from liquids or gases: |
|
Definition
Filtration
Note: Commonly used on pharmaceuticals |
|
|
Term
These are primarly used during production & packaging of certain surgical products:
Ex: Gloves & Some suture material |
|
Definition
Radiation
Remember: There are differnt types of radiation |
|
|
Term
| This type of radiation has a drying effect that causes mutations of the nucleic acid in microorganisms and is commonly used on surfaces and can disinfect air. |
|
Definition
|
|
Term
| Type of radiation that is rapid and continuous |
|
Definition
|
|
Term
| This radiation is commonly used to prepackage suture material, gloves, and rubber tubing |
|
Definition
|
|
Term
| The most common method of sterilization |
|
Definition
|
|
Term
| Accomplished by either boiling or steam under pressure and kills microbes by coagulating critical cellular proteins |
|
Definition
|
|
Term
| More difficult to control unlike its counterpart, longer sterilization period and kills microbes by protein oxidation |
|
Definition
|
|
Term
| Only sanitizes at 60°C(140°F) or higher and sanitizing can be increased with scrubbing and detergent use, this doesn't sterilize |
|
Definition
Hot Water
Ex: Automatic dishwashers, Clothes washers |
|
|
Term
| Rarely used because spores and viruses resist destruction at this temperature for extended periods of time, the maximum temperature is reached at 100°C(212°F) |
|
Definition
Boiling
Remember: When boiling for 10 minutes it will only destroy vegetative bacteria |
|
|
Term
| Has the same problem as boiling but is used at a large scale (steel cages) and the temperature must be at 212°F for 30 to 45 minutes to be effective |
|
Definition
|
|
Term
| When used properly it kills all forms of microbial life including spores and cysts and incorporates steam under pressure |
|
Definition
|
|
Term
| Generally an autoclave is run for 30 minutes ideally at what temperature and psi does it run at? |
|
Definition
|
|
Term
| Why is tap water contraindicated when using an autoclave? |
|
Definition
| Tap water has minerals that will deposit and clog over time which is why, it is ideal for distilled water to be used. |
|
|
Term
| When can the autoclave door be opened? |
|
Definition
| The autoclave door can be opend when there is 0 psi and the temperature has dropped to 212°F |
|
|
Term
| What is the common protocol for flash sterilization use? |
|
Definition
| 3-4 minutes unwrapped at 270°F-272°F at 15 psi |
|
|
Term
| As moisture evaporates from soiled materials this occurs |
|
Definition
Particles from the soiled material disperse by small air currents
Remember: Although drying inhibits growth of MO's-it may also increase dispersal of particles containing viable microbes if not cleaned ASAP |
|
|
Term
| Gives complete destruction of materials that are non-reuseable and have no value |
|
Definition
|
|
Term
| Refering to incineration the material must be completely reduced to ash and if any partially burned lumps remain this can occur: |
|
Definition
| Microorganisms may still be present and the partially charred piece may actually protect the microorganism |
|
|
Term
| Used at a temperature of 150°C-170°C(340°F) for 3 hours this is economical and does not corroid metals or dull sharp edges however it does take longer and is not recommended for paper, cloth, plastic, or rubber. What am I? |
|
Definition
|
|
Term
| Gluteraldehyde and Chlorhexidine (Diluted Nolvasan Solution) are the most common agents of what chemical classification category? |
|
Definition
|
|
Term
| Gases are used on items that cannot tolerate high temperatures or steam. Name two of the most common gas agents. |
|
Definition
- Ethlene Oxide
- Hydrogen Peroxide Gas Plasma (Safer than EO but cannot penetrate walls of an instruement)
|
|
|
Term
| Primarily used in an industry, institution and military this gas inactivates DNA preventing cell reproduction and very poisonous, explosive and flammable. |
|
Definition
Ethylene Oxide (EO Gas)
Remember: Item must air out for a minimum of 7 days |
|
|
Term
| Required with every pack these indicate whether or not the autoclave are working properly there are many types |
|
Definition
|
|
Term
| This item changes color when exposed to heat and does not indicate sterility but indicates whether or not an item has been processed |
|
Definition
|
|
Term
| Vials or paper strips impregnated with lead that is inoculated onto a growth medium to determine sterility. This process takes two days. What am I? |
|
Definition
Biological Indicators
(Bacillus Stearothermophilus) |
|
|
Term
| Water pulling through sterile material contaminating it with bacteria is called: |
|
Definition
|
|
Term
| A practice of soaking objects in disinfectant solutions mainly used for dirty or minor procedures cleaning the instruments well within a minimum 15 minutes soaking or 3 hours to be considered sterile. |
|
Definition
Cold Sterilization
Remember: Solution should be changed in a minimum of every 2 weeks or more often if it gets dirty and date labeled with name or intitals. |
|
|
Term
| The use of disinfectants are used for animal cages, counters and floors which are examples of inanimate or animate objects? |
|
Definition
|
|
Term
| The use of antiseptics are used on wounds, surgical sites, and the surgeon's hands these are examples of inanimate or animate ? |
|
Definition
|
|
Term
| What type of chemical disinfectant are used on inanmate objects? |
|
Definition
- Phenols
- Quaternary Ammonium Compounds
- Aldehydes
- Alcohols
|
|
|
Term
What type of antiseptics are used on animate objects? |
|
Definition
- Halogens
- Biguanides
- Hydrogen Peroxide
- Soaps and Detergents
|
|
|
Term
| Commonly used if an allegry to Chlorhexidine or Iodine is present, this conatins carbonic acid-Hexacholorophene. |
|
Definition
Phenols
Example: PhisoHex Hand Scrub |
|
|
Term
| Never to be mixed with bleach because it will form a toxic cloud which can cause a fatal acute asthmatic attack resulting in death. |
|
Definition
Quaternary Ammonium
Example: Roccal, Benzalkonium, Chloride
Remember:Very effective against bacteria not spores or viruses |
|
|
Term
| These are toxic and irritating and it is important to wear gloves when handling. |
|
Definition
Aldehydes
Ex: Formaldehyde & Gluteraldehyde |
|
|
Term
| This evaporates rapidly and leaves no residue and should also not be used in open wounds because it is cytotoxic/painful. |
|
Definition
Alcohol
Example: 50% or 70% Isopropyl/Ethyl and 99% Isopropyl (Not use don patients but suture material)
Remember: Bactericidial and ineffective against spores and fungus. |
|
|
Term
A common surface disinfectant which is among one of the very first agents used, that can be cytotoxic at improper dilutions.
Hint: Dilution at 1:30 kills viruses including parvo |
|
Definition
Example of Halogens: Chloride Compounds
Note: An example of Chloride Compounds is Sodium Hypochlorite (Bleach) |
|
|
Term
| Used only on intact skin and is not common in vet practices. An aqueous solution must be greatly diluted to use on living tissue. |
|
Definition
Iodines
Example: Tincture(2% Iodine/50% Ethyl Alcohol |
|
|
Term
| Iodine combined with carrier molecule more commonly used in vet practices and is available as a scrub solution. |
|
Definition
Idophors
Example: Providine-Iodine Srub/Solution |
|
|
Term
| Examples of Biguanides are: |
|
Definition
| Chlorhexidine (Nolvasan) and Nolvasan-S which is used only on inanimate objects unlike Chlorhexidine |
|
|
Term
True or False
There are ideal chemical disinfectants |
|
Definition
|
|
Term
|
Definition
Scalpel Handles
#3: Small Animal Surgical Procedures
#4: Large Animal Surgical Procedures or Necropsy |
|
|
Term
|
Definition
A: Metzenbaum- Used to cut delicate tissue (Ex:muscle and fat) REMEMBER: Never cut suture material with these.
B: Mayo- Cut thick tough tissue (Ex: Skin and fascia) |
|
|
Term
|
Definition
Lister Bandage Scissors
Used for cutting off bandages these are angled with a blunt end to avoid damaging the skin |
|
|
Term
|
Definition
Wire Suture Cutting Scissor
Thicker than Lister to cut through wire suture material |
|
|
Term
|
Definition
Littauer Suture Removal
Has a hook at the end to get under suture material to cut |
|
|
Term
| This surgical scissor is used to cut various things. |
|
Definition
|
|
Term
| This scalpel blades is the most commonly used for small animal surgical procedures. |
|
Definition
#10
Note: #20 scalpel blade is most common for large animal
#22- Necropsy
#15-Eye surgeries |
|
|
Term
|
Definition
Allis Tissue Forcep
Used for grasping tissue to be removed. These are very traumatic and crush tissue. |
|
|
Term
|
Definition
Babcock Tissue Forcep
Same purpose as Allis but less traumatic |
|
|
Term
|
Definition
Backhaus Towel Clamp
Used to click tiny amounts of skin to hold drapes in place. You only want to click once. |
|
|
Term
|
Definition
Rochester Carmalt
Used to crush and occlude vessels in spays. Two curved and Two straight in a pack. Unlike pean and ochsner carmalt's have longitudinal grooves with a cross hatch pattern at the tips. |
|
|
Term
|
Definition
Rochester Pean
Used to crush and occlude vessels and large tissue bundles. Transverse grooves |
|
|
Term
|
Definition
Rochester Ochsner
Used to crush and occlude vessels in large animals. These are different than Pean because of there interdigitating teeth. |
|
|
Term
|
Definition
Kelly Hemostatic Forceps
Used to crush and occlud small to medium vessels. Transverse grooves run half way up the jaw. |
|
|
Term
|
Definition
Crile Hemostatic Forceps
Used for crushing and occluding small to medium vessels. Has transverse grooves that run up the entire jaw. |
|
|
Term
| When using mosquito hemostatic forceps you only want to use this area on when using them for skin bleeders. |
|
Definition
|
|
Term
|
Definition
Adson Tumb Forcep
Aka: Mouse tooth
These are not traumatic to tissue |
|
|
Term
|
Definition
Rat Tooth Tumb Forcep
Used for grasping skin. |
|
|
Term
|
Definition
Debakey Thumb Forcep
Created by Dr. Debakey so he could suture small vessels while performing cardiovascular surgey. |
|
|
Term
|
Definition
Russian Thumb Forcep
Used at the tips of the interdigitating teeth for pulling needle out while suturing only. |
|
|
Term
|
Definition
Army/Navy Retractor
Smooth ends on both sides |
|
|
Term
|
Definition
Senn Retractor
Sharp or blunt |
|
|
Term
|
Definition
Snook Retractor
AKa: Spay Hook
Used in surgery to reach around the body cavity and hook the uterine horn and pull it to be exposed for removal. |
|
|
Term
|
Definition
Hohman Retractor
Used in orthopedic surgery to help lever tissue out of the joint |
|
|
Term
| This retractor is bent to the doctors preference. |
|
Definition
|
|
Term
|
Definition
Mayo Hegar
Is used for needle holding. |
|
|
Term
|
Definition
Olsen Hegar
Used for needling holding and to cut suture material. the tips may or may not have replacebale tungstin carbin tips. |
|
|
Term
|
Definition
Poole Suction Tip
Used for abdominal and thoracic surgery. Has a removable outer sleeve that is removed to clean properly and if the instrument is plastic it is disposable. |
|
|
Term
|
Definition
Frazier Suction Tip
Used for orthopedic or neurological surgery. A stylette is used to clean the middle piece. |
|
|
Term
|
Definition
Yankauer Suction Tip
General Purpose |
|
|
Term
| What fingers should be placed in the rings of an instrument? |
|
Definition
|
|
Term
| What are the three most common sissors in a pack? |
|
Definition
|
|
Term
| This tissue forcep is used as an intestinal clamp and is usually autoclaved alone. |
|
Definition
|
|
Term
| The choice of the suture material is based on the preference of the ____. |
|
Definition
|
|
Term
| What are some of the ideal suture characteristics? |
|
Definition
- Relatively non-reactive in body tissue
- Easy to sterilize
- Monofilament of a uniform small size
- Possess a high tensile strength
- Completely absorbable
- Inexpensive
- Pilable
- Easily Manipulated
- Never slips when tied
|
|
|
Term
| What are the purposes of suturing? |
|
Definition
- Bring one tissue edge in contact with the other
- Hold wound edges in apposition until it can endure normal stress without support of suture
|
|
|
Term
| What are major classes of cuture material? |
|
Definition
- Absorable vs Nonabsorable
- Monofilament vs multifilament
- Synthetic vs natural
|
|
|
Term
| This class of sutures are digested and assimilated by the body during normal healing and does not requre removal and replaces healthy tissue as a result of an inflammatory reaction |
|
Definition
|
|
Term
| This absorbable suture made from hog or sheep submucosal intestinal layers can be plain or chromic and is elastic and easy to handle |
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Definition
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Term
| Plain surgical gut (catgut) is absorbed 3 to 5 days unlike chromic surgical gut (catgut) that is absorbed in ___ to ___ days. |
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Definition
10 to 15 days
Note: Its absorption time is longer than plain because it is treated with chromic acid salts. |
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Term
| Synthetic material made from hydroxyacetic acid lasts 14-21 days has excellent handling and knot holding characteristics as well as less tissue reactions than catgut |
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Definition
Polyglycolic Acid
Examples: Dexon, Kendall |
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Term
| Dexon a polyglycolic acid absorbable suture and Vicryl a polyglactin 910 absorbable suture have what cons? |
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Definition
| Degrades rapidly in an alkaline enviorment,dissolves faster in infected urine |
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Term
| This absorable suture is made from lactic and glycolic acids and lasts 14 to 21 days. It has good handling qualities and knot security. |
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Definition
Polyglactin 910
Examples: Vicryl, Ethicon |
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Term
| Multifilament absorable suture made from glycoside/ lactive copolymers that lasts 14 to 42 days and is gone by 70 days |
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Definition
Polysorb
Examples: Kendall |
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Term
| A newer synthetic polyester material that has less tissue drag during placement,possess memory, requires multiple throws for knot security and is better for slow healing wounds taking 180 days (6 months) for absorption |
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Definition
Polydioxanone/Polyglyconate
Examples: PDS, Ethicon |
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Term
| Monofilament absorbable suture used in situations where healing occurs more quickly and lasts 7 to 14 days gone by 90 to 120 days (3-4 months) |
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Definition
Poliglecaprone & Glycomer 631
Examples: Monocryl, Ethicon, Biosyn, Kendall
Note: Dr. Karner uses this for cat spays |
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Term
| This class of sutures are not absorbed or digested by body tissues and can keep its strength for at least 60 days and remain in tissues until removed by a veterinary technician. |
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Definition
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Term
| This non-absorable suture has excellent handling/knotting qualities, can induce a severe soft tissue reaction and can serve as a point of prgin for infection. Commonly used in cardiovascular surgery. |
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Definition
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Term
| A non-absorbable natural fiber that increases slightly in strength when wet and has limited use in the veterinary field. |
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Definition
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Term
| Synthetic polymerized plastic non absorbale suture material that does not cause tissue reaction in tissue, strength that last for several years, has significant memory and is somewhat stiff and slippery. |
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Definition
Polyamide
Examples: Nylon, Ethicon |
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Term
| Non-absorbable synthetic plastic similar to nylon that does not weaken over time and is excellent for permanent suture support. |
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Definition
Polyproplylene
Examples: Prolene, Ethicon, Surgipro, Kendall, Fluorofil II |
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Term
| Synthetic suture that is more elastic making it able to stretch and return to its orginal length without breaking. This is why it is ideal for repairing ligaments and structures under weighted motion. Commonly used for cruciate ligament. |
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Definition
Polybutester
Examples: Novafil, Kendall |
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Term
| Non- absorbable synthetic multi-filament that requires 5 to 6 throws for knot security and has significant tissue drag and tissue reaction. Chronic infection and draining fistulas is a common complication. |
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Definition
Polyester Fibers
Examples: Mersiline, Tevdek, Polydek, Ethicon, Ti-cron, Kendall |
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Term
| This non absorbable synthetic fiber coated with a plastic like material should not be use below skin level because it can predispose a patient to fistula's and infection. The outer sheath of suture can often break allowing underlying fibers to have bacterial migration. |
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Definition
Polmerized Caprolactum
Examples: Supramid, Braunamid, Vetcassette II |
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Term
| This non-absorbable suture is stainless steel and is available in monofilament and multifilament and does not support bacterial growth. |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Eyed needles are frequently used and are reusable with various types of suture material its counterpart however will not unthread itself has less bulk and comes with suture material already attached what is this called |
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Definition
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Term
| These are faster and easier to use then hand suturing and are named by an abbreviation of their designed function, a number may be used after the name to indicate the length of the row. |
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Definition
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Term
| This sapler placesfour rows od staples and cuts between the middle two rows. |
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Definition
| Gastrointestinal Stapler (GIA) |
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Term
| Unlike a surgical skin stapler that places only a single row of staples this stapler is used in lung resection and places double or triple rows of staples |
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Definition
| Thoracoabdominal stapler (TA) |
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Term
| Used for blood vessel ligation this stapler places two staples on a vessel, and cut between them. |
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Definition
| Ligate-and-Divide Stapler (LDS) |
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Term
| A straight neddle driven through by hand and one that resembles a regular sewing needle is called: |
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Definition
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Term
| Special needle with the eye in the point that requires a special braided tubular suture. The only purpose is to retain a prolapsed vaginia in large animals. |
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Definition
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Term
| A double curve design needle that goes thru skin without having to pivot wrist and is used exclusively for large animal |
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Definition
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Term
| Round all the way to the tip with gradual taper. Used for soft tissue, internal tissue and SQ. This type of needle is atraumatic to tissue because it pushes apart instead of cutting. |
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Definition
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Term
| Produces a "cut out' effect and should not be used when an air tight or water tight suture line is required. Has a triangular shaped point used for skin and tougher tissue. |
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Definition
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Term
| Has less of a cut out effect and does not bend or break as easily as regular cutting needles which is why they are most preferred by surgeons. |
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Definition
Reversal Cutting
Aka- (K needle) |
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Term
| There are many suture patterns but for categorization purposes they are described as continuous or interrupted. They can also be described or divided as : |
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Definition
- Simple- directly oppose each other
- Mattress- designed to withstand added tension
- Everting- turns the tissue outward away from the patient and towards the surgeon
- Inverting-turns the tissue toward the patient or toward the lumen of a hollow viscous organ
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Term
| Suture pattern mainly used in large animals and is similar to simple continuous but provides greater security if broken |
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Definition
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Term
| Is commonly used to suture skin of cattle following a rumenotomy |
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Definition
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Term
| Used for inversion of visceral stumps or securing of "ostomy" tubes. The stump is held inverted as suture is tightened. |
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Definition
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Term
| Used for manipulation or retraction of tissue. Usually 2 or more are placed. |
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Definition
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Term
| Suture material is passed through the stump to be ligated, tied around half of the stump then around the entire stump. Example used to suture the uterine stump. |
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Definition
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Term
| This is a classical suture pattern for closing gut. The needle and suture penetrate serosa and muscularis but not mucosa. This pattern can be continuous or interrupted. |
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Definition
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Term
| 6-O to 10-O are mainly used for delicate surgeries like: |
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Definition
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