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Table of Contents
Intro
Preface
Acknowledgments
Contents
List of Videos
Contributors
Part I: Preparation Before the Operating Room
Chapter 1: The Surgeon's Preparation Before the Operating Room
Appendix 1: Patient Preoperative Timeline
Today
Two Weeks Before Surgery
Two Days Before Surgery
Day Before Surgery
Day of Surgery
Appendix 2: Aspirin and Aspirin-Like Drugs to Avoid Before Surgery
Reference
Chapter 2: The Anesthesiologist's and Nursing Team's Preparation Before the Operating Room
2.1 The Anesthesiologist
2.1.1 Patient History, Physical Exam, and Laboratory Assessment
2.1.1.1 Anesthesia-Specific History Form
2.1.1.2 Patient Physical Examination
2.1.1.3 Cardiac Risk Assessment
2.1.1.3.1 METs and Perioperative Risk
2.1.1.3.2 Examples of Activities Greater Than 4 METs
2.1.1.3.3 Examples of Activities Less Than 4 METs
2.1.2 Surgical and Cardiac Risk Assessment
2.1.2.1 Airway Assessment
2.2 Appropriate Anesthetic Materials
2.2.1 Standard Preparation
2.2.2 Emergency Equipment/Planning for Crisis/Contingency
2.2.3 Appropriate Medications
2.2.3.1 Routine
2.2.3.2 Emergency
2.3 Possible Need for Transfusion
2.4 Perioperative/Circulator Nurse
2.5 Scrub Nurse/Scrub Technologist
References
Part II: Preparation in the Operating Room-Before Anesthesia
Chapter 3: Universal Protocol
3.1 Universal Protocol
3.1.1 Conduct a Preprocedure Verification Process
3.1.2 Mark the Procedure Site
3.1.3 Perform a Time-Out
Appendix
Speak Up?
The Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery?
Guidance for Healthcare Professionals
Conduct a Preprocedure Verification Process
Mark the Procedure Site
Perform a Time-Out
Reference
Chapter 4: Sterility
4.1 The Operating Staff
4.1.1 Attire: Clothing, Headwear, Jewelry, and Footwear
4.1.2 Hand Preparation: "Scrubbing"
4.1.3 Avoiding Hand Contamination: "Scrubbed" Hand Position
4.1.4 Hand Drying
4.1.5 OR Environment
4.1.6 Instruments
4.2 Patient
4.2.1 Preoperative Preparation
4.2.2 Intraoperative Optimization
4.2.3 Prophylactic Antibiotics
References
Part III: Preparation in the Operating Room-After Anesthesia
Chapter 5: Patient Preparation
5.1 The Airway
5.2 Tracheal Tube Security and Access
5.2.1 Endotracheal Tube Security
5.2.2 Nasotracheal Tube Security
5.2.3 Tracheal Tube Access and Visualization
5.3 Eye Protection
5.4 Ear Canal
5.5 Patient Positioning
5.6 Skin Preparation
5.6.1 Debridement
5.6.2 Solutions
5.7 Draping
5.7.1 Drapes
5.8 Tubes and Cords
5.9 Monopolar Electrocautery: The Bovie and the Grounding Pad
5.10 Intermittent Pneumatic Compression (IPC) Devices (Venodyne Boots) (Fig. 5.7)
References
Part IV: Surgery
Chapter 6: Logistics and Ergonomics
6.1 Equipment
Preface
Acknowledgments
Contents
List of Videos
Contributors
Part I: Preparation Before the Operating Room
Chapter 1: The Surgeon's Preparation Before the Operating Room
Appendix 1: Patient Preoperative Timeline
Today
Two Weeks Before Surgery
Two Days Before Surgery
Day Before Surgery
Day of Surgery
Appendix 2: Aspirin and Aspirin-Like Drugs to Avoid Before Surgery
Reference
Chapter 2: The Anesthesiologist's and Nursing Team's Preparation Before the Operating Room
2.1 The Anesthesiologist
2.1.1 Patient History, Physical Exam, and Laboratory Assessment
2.1.1.1 Anesthesia-Specific History Form
2.1.1.2 Patient Physical Examination
2.1.1.3 Cardiac Risk Assessment
2.1.1.3.1 METs and Perioperative Risk
2.1.1.3.2 Examples of Activities Greater Than 4 METs
2.1.1.3.3 Examples of Activities Less Than 4 METs
2.1.2 Surgical and Cardiac Risk Assessment
2.1.2.1 Airway Assessment
2.2 Appropriate Anesthetic Materials
2.2.1 Standard Preparation
2.2.2 Emergency Equipment/Planning for Crisis/Contingency
2.2.3 Appropriate Medications
2.2.3.1 Routine
2.2.3.2 Emergency
2.3 Possible Need for Transfusion
2.4 Perioperative/Circulator Nurse
2.5 Scrub Nurse/Scrub Technologist
References
Part II: Preparation in the Operating Room-Before Anesthesia
Chapter 3: Universal Protocol
3.1 Universal Protocol
3.1.1 Conduct a Preprocedure Verification Process
3.1.2 Mark the Procedure Site
3.1.3 Perform a Time-Out
Appendix
Speak Up?
The Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery?
Guidance for Healthcare Professionals
Conduct a Preprocedure Verification Process
Mark the Procedure Site
Perform a Time-Out
Reference
Chapter 4: Sterility
4.1 The Operating Staff
4.1.1 Attire: Clothing, Headwear, Jewelry, and Footwear
4.1.2 Hand Preparation: "Scrubbing"
4.1.3 Avoiding Hand Contamination: "Scrubbed" Hand Position
4.1.4 Hand Drying
4.1.5 OR Environment
4.1.6 Instruments
4.2 Patient
4.2.1 Preoperative Preparation
4.2.2 Intraoperative Optimization
4.2.3 Prophylactic Antibiotics
References
Part III: Preparation in the Operating Room-After Anesthesia
Chapter 5: Patient Preparation
5.1 The Airway
5.2 Tracheal Tube Security and Access
5.2.1 Endotracheal Tube Security
5.2.2 Nasotracheal Tube Security
5.2.3 Tracheal Tube Access and Visualization
5.3 Eye Protection
5.4 Ear Canal
5.5 Patient Positioning
5.6 Skin Preparation
5.6.1 Debridement
5.6.2 Solutions
5.7 Draping
5.7.1 Drapes
5.8 Tubes and Cords
5.9 Monopolar Electrocautery: The Bovie and the Grounding Pad
5.10 Intermittent Pneumatic Compression (IPC) Devices (Venodyne Boots) (Fig. 5.7)
References
Part IV: Surgery
Chapter 6: Logistics and Ergonomics
6.1 Equipment