surgical prep

Aseptic techniques (14 rules)

1. Sterile team stays in sterile areas

2. Minimal talking

3. Only necessary people in operating room

4. Scrubbed team face each other and sterile area

5. Non-scrubbed people don’t reach over sterile areas

6. Don’t let instruments touch sides of sterile pouch

7. Sterile instruments must be sterilized

8. Non-scrubbed people don’t touch sterile items

9. Scrubbed people don’t touch non-sterile items

10. If don’t know if instrument is sterile it should be considered unsterile

11. Sterile only at table level and not below

12. Sterile field is mid-chest waist and tips of fingers to elbows

13. Sterile drapes should be most-proof

14. Sterile items with wet or contaminated wrapper should be considered unsterile

Ovariohysterectomy

Remove ovaries and uterus

Caesarean section

Deliver young by cutting abdomen and uterus

Orchiectomy

Removal of testicles

Lateral ear resection

Removes outer wall of vertical ear canal

Laparotomy

Incision into abdomen

Cystotomy

Incision into bladder

Gastronomy

Incision into bladder

Gastronomy

Incision into stomach

Gastropexy

Repair stomach and intestines when it bloats and flips

Splenectomy

Remove spleen

Thoracotomy

Incision between ribs to get into thorax

Tracheostomy

Create an opening into trachea

Enterotomy

Create an opening in intestine wall

Intestinal Resection and Anastomosis

Bad part of intestine removed and good parts left are stitched together

Urethrostomy

Create a new opening in urethra for urine

Mastectomy

Remove breast tissue

Onychectomy

Declaw

Intervertebral disk fenestration

To cut into spine to remove inner core of disk

Intramedullary bone pinning

Metal rod pinned to fractured bone

Cranial cruciate ligament repair

Stabilize knee after ligament repair

Total hip replacement

Replace hip joint with fake metal hip joint

Femoral head and neck ostectomy

Remove ball of hip joint

Instrument care

Clean within 10 minutes of use using only soap with neutral pH and distilled water. Use an instrument cleaning brush or toothbrush to clean

Normal mucous membrane (MM) range

Pink

normal respiratory rate

8-30 per minute

Normal Pulse rate

Dogs: 100-130

Cats: 110-240

Normal heart rate

Dog: 60-160

Cat: 120-200

Normal oxygenated blood (SPO2) levels

95-100

Mayo Hagar needle holders

Used for sutures but don’t cut

Olson Hagar needle holders

Used for sutures and can cut

Metzenbaum scissors

Used for finer dissection and cutting

Mayo scissors

Used to cut connective tissue, muscle, fascia

Bandage scissors

Used for cutting into bandage layers without harming tissues

Iris scissors

For ophthalmic (eye) surgery

Blunt sharp scissors

To cut suture

Blunt blunt scissors

Used to cut suture

Suture scissors

Used to unhook suture loops to remove stitches

Adson Thumb Forceps

Used to manipulate delicate tissue and wide thumb grip area

Rat tooth Forceps

Used to hold thick, dense tissue

Brown Adson Thumb Forceps

Used for general surgery

Allis tissue forceps

For lifting/grasping dense or slippery tissue

Kelly hemostatic forceps

Used to compress smaller vessels

Crile hemostatic forceps

Used to compress smaller vessels

Mosquito forceps

Used to compress smaller vessels

Rochester Pean forceps

Clamp larger vessels

Rochester Carmalt forceps

Clamp tissue and ligate pedicles

Rochester oschner forceps

Aggressively grasp medium to heavy tissue

Dental probe

Used to measure gum pockets

Extraction forceps

Used to pull teeth during dental

Dental elevator

Used to loosen tooth before extraction

Army navy retractor

Used to retract shallow incisions

Senn retractor

Retract tissue during surgery

Malleable Retractor

Used during eye surgery to retract eye fat

Snook hook/OVH Hook/Spay hook

Used to locate ovary out during spay

Weitlaner Retractor

Self-retraining to hold open shallow incisions

Gelpi retractor

Self-retaining to hold back tissues

Bard Parker Blade Handle

Attaches to #10, 11, 12, 15 blades

Backhaus towel clamp

Used to hold drapes onto patient by locking onto drape and skin