Shared Flashcard Set

Details

Carpal Tunnel Release
Surgical Procedure
15
Medical
Professional
04/06/2020

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Cards

Term
Carpal Tunnel Syndrome is a condition of the hand in which the ______ nerve is compressed by the transverse carpal ligament. (Which nerve is compressed?)
Definition
Median nerve
Term
Decompression of the nerve is achieved by incising ... what?
Definition
Part of the fibrous sheath of the ligament
Term
What is the name of the instrument used for retracting digits during the procedure?
Definition
Metal hand
Term
How can this procedure be accomplished? (There are 2 options).
Definition
Open or endoscopically
Term
Procedural steps: 1-Incision, 2- Cut, 3- Irrigate, 4- Dress.
1/4: Where is the incision made?
Definition
A small incision is made on the palmar surface of the hand.
Term
Procedural steps: 1-Incision, 2- Cut, 3- Irrigate, 4- Dress.
2/4: The carpal ligament is either stretched or cut to release pressure being exerted on the ______ _____.
Definition
Median nerve
Term
Procedural steps: 1-Incision, 2- Cut, 3- Irrigate, 4- Dress.
3/4: After irrigating, a simple closure is performed using what?
Definition
Suture per the Dr.'s DPC
Term
Procedural steps: 1-Incision, 2- Cut, 3- Irrigate, 4- Dress.
4/4: Which type of dressings are used? (There are 2).
Definition
Dressed on the initial contact layer and bulky dressing.
Term
Postoperative Considerations: What is used to bind the bulky dressing to create a splint?
Definition
Ace bandage
Term
Prognosis: What are two types of complications?
Definition
Median nerve damage and wound infection
Term
What is the wound classification?
Definition
Class 1: Clean
Term
What are 2 diagnostic tests and procedures available?
Definition
History and Physical or Electromyography
Term
True or False: An Esmarch bandage is needed in a Carpal Tunnel Release?
Definition
True
Term
Skin prep: The arm is prepped circumferentially with what?
Definition
Iodophor
Term
Which of the following is the correct order of draping?

A: Three-quarters sheet is placed on top of the hand table; stockinette is placed over hand (optional); arm is extended through extremity sheet; medium sheet may be needed to cover the legs.

B: A: Stockinette is placed over hand (optional); three-quarters sheet is placed on top of the hand table; arm is extended through extremity sheet; medium sheet may be needed to cover the legs.

C: Stockinette is placed over hand (optional); medium sheet may be needed to cover the legs; three-quarters sheet is placed on top of the hand table; arm is extended through extremity sheet.
Definition
A: Three-quarters sheet is placed on top of the hand table; stockinette is placed over hand (optional); arm is extended through extremity sheet; medium sheet may be needed to cover the legs.
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