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VETT 134 Veterinary Anesthesia & Surgical Assisting II
Surgical Instruments Wk 2
32
Veterinary Medicine
Not Applicable
05/29/2012

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Cards

Term
what 5 steps are involved in the production of surgical instruments?
Definition
forging, milling, tempering, passivation, polishing
Term
forging
Definition
step 1 - forming or shaping of an instrument by healting and hammering
Term
milling
Definition
step 2 - cutting a forged piece to produce a final product
Term
tempering
Definition
Step 3 - hardening the instrument by slowly heating in a salt bath and then immersing in oil, or "quenching"
Term
passivation
Definition
step 4 - using a chemical bath to remove the particles created from grinding and other foreign materials, strengthen the steel, and aid in rust production
Term
polishing
Definition
step 5 - refining the surface to produce a shiny or matte finish
Term
operating scissors
Definition
to cut only inanimate objects (suture, paper drapes and sponges). can be straight or curnved and sharp or blunt tipped.
Term
mayo dissecting scissors
Definition
cutting lg muscle masses, cartilage, or any other nondelicate tissie. blades thick and approx 1/3 the instrument's length. can be straight or curved
Term
metzenbaum dissecting scissors
Definition
delicate surgical dissection. blades thin, delicate, and approx 1/4th the overall length.
Term
halstead mosquito forceps
Definition
small jaws w/ fine horizontal serrations that extend the entire length of the tip. clamp sm vessels (eg, "skin bleeders")
Term
kelly hemostatic forceps
Definition
larger than the halstead, horizontal serrations wider and only extend 1/2 the length of the jaw. best used for medium-sized vessels or small tissue masses.
Term
crile hemostatic forceps
Definition
similar to the Kelly, difference being how far the serrations extend along the jaws - the crile extends the entire length of the jaw
Term
ferguson angiotribe
Definition
although not a true hemostat, it is an extremely strong forceps that is quite traumatic, with a crushing jaw design that has one raised jaw and one recessed jaw. can be used on vessels of almost any size and on any tissue that will not need to be viable in the body (eg, uterine stump)
Term
rochester-carmalt hemostatic forceps
Definition
quite different from other forceps. both horiz and vertical serrations on the jaw near the tip.
Term
rochester-penn hemostatic forceps
Definition
lg hemostat, usually 8" in length with horizontal the entire length. to clamp lg muscle/tissue masses or lg vessels
Term
Derf needle holder
Definition
sm in length and used with sm animals, with special species, and in extraocular ophthalmic procedures (considered too lg for intraocular sx)
Term
Olsen-Hegar needle holder
Definition
diff from other needle holders in that it has scissors built into the jaws. time-saving device, allows suture to be cut w/o having to reach for another instument. main disadvantage to having scissors as part is that an inexperienced user may inadvertently cut suture material when trying to grasp the needle
Term
mayo-hegar needle holders
Definition
a commonly used instrument available in a variety of lengths, depending on surg procedure and surgeon's preference
Term
crile-wood needle holders
Definition
similar to mayo-Hegar, but has a finer, more delicate jaw
Term
Blades 10 - 19 fit on which scapel handle?
Definition
No. 3
Term
Blades 20 - 29 fit on which scapel handle?
Definition
No. 4
Term
most common blade used, used primarily for skin incisions
Definition
No 10 blade
Term
blade tapered to a fine point, generally used to create a "stab" incision
Definition
No 11
Term
blade resembles a hook, with the cutting edge on the inside curve, frequently used to declaw a cat
Definition
No 12
Term
blade with the appearance of a No 10 blade, but only half the length
Definition
No 15
Term
larger scalpel blades generally used in large animal sx
Definition
No 20 - 29
Term
Know the most appropriate needle holder to use to hold a suture and then cut it.
Definition
Olsen-Hegar
Term
Know which forceps are the most appropriate to clamp a small bleeding vessel in a small dog.
Definition
Halstead Mosquito forceps
Term
which forceps are the most appropriate to use on a cat that is undergoing delicate vascular surgery
Definition
DeBakey thoracic thumb tissue forceps
Term
which instrument is the most appropriate to use to deflect tissue and other structures away from the surgical site for complete visualization on a very large dog that is undergoing abdominal surgery
Definition
Balfour retractor
Term
which surgical instruments are the most appropriate to hand the surgeon when they want to grasp and retract a patient’s tissue on a short-term basis.
Definition
Thumb tissue forceps
Term
Which of the is NOT a crystalloid solution?
A) Lactated Ringer’s solution
B) 2.5% dextrose + 4.5% saline
C) Dextran X
D) 5% dextrose
E) Normal saline solution
Definition
Dextran
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