CHAPTER 1
CHAPTER 1
ORIENTATION TO SURGICAL TECHNOLOGY | |CHAPTER 1
ORIENTATION TO SURGICAL TECHNOLOGY | | |
|HISTORY OF SURGERY |4 |HISTORY OF SURGERY |3 |
|SURGERY TODAY |4 |SURGERY TODAY |4 |
|Surgical Specialties |4 |Surgical Specialties |5 |
|HISTORY OF SURGICAL TECHNOLOGY |6 |HISTORY OF SURGICAL TECHNOLOGY |6 |
|SURGICAL TECHNOLOGY AND SURGICAL TECHNOLOGISTS |6 |FIELD OF SURGICAL TECHNOLOGY |8 |
| Field of Surgical Technology |6 |FIELD OF SURGICAL TECHNOLOGY |8 |
|Surgical Technology Education and Certification |6 |Surgical Technology Education and Certification |10 |
|Surgical Technologist-Role(s) and Competencies |7 |Roles and Competencies |11 |
|Daily Roles in the Operating Room |7 |Surgical Team Members |8 |
|Job Descriptions for the Surgical Technologist |14 |Job Descriptions for the Surgical Technologist |13 |
|HEALTH CARE FACILITIES |14 |HEALTH CARE FACILITIES |14 |
|Hospital Organization |15 |Hospital Organization |15 |
|Financial Considerations and Reimbursement |17 |Financial Considerations and Reimbursement |19 |
|Organizations Related to Hospitals, Health Care, and |18 |Organizations Related to Hospitals, Health Care, and |20 |
|Surgical Services | |Surgical Services | |
|Hospital Departments and Interdepartmental Communication|18 |Hospital Departments and Interdepartmental |17 |
| | |Communication | |
|PERSONAL AND PROFESSIONAL RELATIONS |20 |THE SURGICAL TECHNOLOGIST AS A PROFESSIONAL |11 |
|Surgical Technologist’s Lifestyle |21 |Surgical Technologist’s Lifestyle |12 |
|Surgical Technologist as a Professional |21 |Professionalism |11 |
| | |NEW Working Conditions |8 |
| | |NEW Personal Characteristics |8 |
| | |NEW Career Opportunities |13 |
|CHAPTER 2 | |CHAPTER 3 | |
|THE SURGICAL PATIENT | |THE SURGICAL PATIENT | |
| | |CHAPTER 2* | |
| | |STANDARDS OF CONDUCT | |
| | |CHAPTER 4 * | |
| | |SPECIAL POPULATION | |
| | | | |
| | |*Chapters 2 & 4 are new. They will be listed with | |
| | |entire contents separately at the end of the grid. | |
|THE STSR AND THE SURGICAL PATIENT |25 |THE STSR AND THE SURGICAL PATIENT |43 |
|PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL NEEDS OF |25 |PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL NEEDS OF|43 |
|THE SURGICAL PATIENT | |THE SURGICAL PATIENT | |
|Understanding the Surgical Patient |26 |Understanding the Surgical Patient |44 |
|Causes of Surgical Intervention |26 |Causes of Surgical Intervention |44 |
|The Surgical Patient, a Human Being |26 |The Surgical Patient, a Human Being |44 |
|Prioritizing Needs-Maslow’s Hierarchy |27 |Prioritizing Needs-Maslow’s Hierarchy |45 |
|Select Basic Concepts in Developmental and Social |27 |Life Stage Development: Select Basic Concepts |46 |
|Psychology | | | |
|Cultural and Religious Influences |32 |Cultural and Religious Influences |49 |
|PATIENT BILL OF RIGHTS: A FORMAL VIEW OF THE PATIENT AS |41 |AHA Patient’s Bill of Rights (Ch.2) |31 |
|HUMAN | | | |
|Consent for Surgery: A Basic Right |43 |Consent for Surgery: A Basic Right (Ch.2) |27 |
|Principles of Documentation |45 |Documentation (Ch.2) |45 |
|LEGAL AND ETHICAL CONSIDERATION |46 |ETHICAL AND MORAL ISSUES |30 |
| | |Elements of Ethical Decision Making (Ch.2) |32 |
|AST Code of Ethics |48 |Professional Codes of Conduct (Ch.2) |34 |
|Specific Legal Considerations |48 |Definitions of General Legal Terms |23 |
| | |Definitions of Traditional Principles (Ch.2) |24 |
|SPECIAL POPULATIONS |51 |INTRODUCTION (Ch. 4) |57 |
|Pediatric Patients |51 |Pediatric Patients (Ch. 4) |57 |
|Geriatric Patients |51 |Geriatric Patients (Ch. 4) |69 |
|Other Special Populations: Trauma, HIV Positive, and |53 |Acquired Immunodeficiency Syndrome |68 |
|Organ Donor/Recipient | |Trauma Patients (Ch. 4) |71 |
|SURGICAL PATIENT CARE: PUTTING IT ALL TOGETHER |54 | | |
|Using the CARE Approach |54 | | |
|CHAPTER 3 | |CHAPTER 5 | |
|PHYSICAL ENVIRONMENT AND SAFETY STANDARDS | |PHYSICAL ENVIRONMENT AND SAFETY STANDARDS | |
|PHYSICAL DESIGN OF THE SURGERY DEPARTMENT |58 |PHYSICAL DESIGN OF THE SURGERY DEPARTMENT |77 |
|Areas of the OR |58 |Areas of the OR |78 |
|Physical Components of the Operative Suite |59 |Physical Components of the Operative Suite |79 |
|Substerile Area |64 |Substerile Area |83 |
|Direct Support Services |64 |Direct Support Services |83 |
|HAZARDS AND REGULATORY AGENCIES |66 |HAZARDS AND REGULATORY AGENCIES |85 |
|SAFETY CONSIDERATIONS |67 |SAFETY CONSIDERATIONS |86 |
|Air-Handling System |67 |Air-Handling System |86 |
|Surgical Lights |67 |Surgical Lights |86 |
|Noise in the Operating Room |67 |Noise in the Operating Room |86 |
|Ergonomics and Safety Considerations |67 |Ergonomics and Safety Considerations |86 |
|Fire Hazards and Safety |68 |Fire Hazards and Safety |87 |
|Electrical Hazards |69 |Electrical Hazards |88 |
|Ionizing Radiation |70 |Ionizing Radiation |89 |
|BIOLOGICAL HAZARDS AND SAFETY CONSIDERATIONS |71 |BIOLOGICAL HAZARDS AND SAFETY CONSIDERATIONS |90 |
|Universal Precautions |71 |Universal Precautions |90 |
|Standard Precautions |71 |Standard Precautions |90 |
|Laser and Electrosurgical Plume |74 |Laser and Electrosurgical Plume |93 |
|Latex Allergy |74 |Latex Allergy |94 |
|CHEMICAL HAZARDS AND SAFETY CONSIDERATIONS |75 |CHEMICAL HAZARDS AND SAFETY CONSIDERATIONS |94 |
|Waste Anesthetic Gases |75 |Waste Anesthetic Gases |94 |
|Methyl Methacrylate |75 |Methyl Methacrylate |95 |
|Formalin |75 |Formalin |95 |
|Ethylene Oxide |75 |Ethylene Oxide |95 |
|Glutaraldehyde |76 |Glutaraldehyde |95 |
|CHAPTER 4 | |CHAPTER 7 | |
|ASEPSIS | |ASEPSIS AND STERILE TECHNIQUE | |
|HISTORY OF STERILIZATION |81 |HISTORY OF STERILIZATION |130 |
|BASIC TERMINOLOGY |81 |BASIC TERMINOLOGY |131 |
|PATHOGENS AND INFECTION |82 |PATHOGENS AND INFECTION |131 |
|Infection |83 |Infection |131 |
|Pathogens Associated with Surgical Site Infection |83 |Pathogens Associated with Surgical Site Infection |132 |
|Methods of Transmission |85 |Methods of Transmission |135 |
|PRINCIPLES OF ASEPSIS AND STERILE TECHNIQUES |88 |PRINCIPLES OF ASEPSIS |138 |
|Principle 1: Sterile Field |88 |Principle 1: Sterile Field |138 |
|Principle 2: Sterile Team Member Attire |89 |Principle 2: Sterile Team Member Attire |139 |
|Principle 3: Movement in and around Sterile Field |90 |Principle 3: Movement in and around Sterile Field |140 |
|SURGICAL CONSCIENCE |91 |SURGICAL CONSCIENCE |140 |
|CLEANING, DISINFECTION, AND STERILIZATION |91 |CLEANING, DISINFECTION, AND STERILIZATION |141 |
|Cleaning and Disinfection |92 |Cleaning and Disinfection |142 |
|Disinfectant and Disinfectant/Sterilant Agents |96 |Disinfectant and Disinfectant/Sterilant Agents |147 |
|INSTRUMENT PREPARATION AND WRAPPING FOR STERILIZATION |100 |INSTRUMENT PREPARATION AND WRAPPING FOR STERILIZATION |151 |
|Instruments |100 |Instruments |151 |
|Specific Procedural Trays |100 |Specific Procedural Trays |151 |
|Instrument Sets |100 |Instrument Sets |151 |
|PACKAGING FOR STERILIZATION AND STORAGE |101 |PACKAGING FOR STERILIZATION AND STORAGE |152 |
|Performance Standards of Packaging Material |101 |Performance Standards of Packaging Material |152 |
|Performance Characteristics |101 |Performance Characteristics |152 |
|Types of Packaging Materials |102 |Types of Packaging Materials |153 |
|General Principles of Packaging |104 |General Principles of Packaging |155 |
|Sterilization |106 |Sterilization |158 |
|Requirements and Essential Factors |107 |Requirements and Essential FactorS |159 |
|Basic Components of a Steam Sterilizer |108 |Basic Components of a Steam Sterilizer |160 |
|GAS STERILIZATION |110 |GAS STERILIZATION |163 |
|Ethylene Oxide |111 |Ethylene Oxide |163 |
|Alternative Gas Sterilization Methods |111 |Alternative Gas Sterilization Methods |164 |
|LIQUID CHEMICAL STERILIZATION PROCESSES |112 |LIQUID CHEMICAL STERILIZATION PROCESSES |165 |
|IONIZING RADIATION |112 |IONIZING RADIATION |165 |
|METHODS OF MONITORING THE STERILIZATION PROCESS |113 |METHODS OF MONITORING THE STERILIZATION PROCESS |165 |
|Mechanical Methods of Monitoring the Sterilization |113 |Mechanical Methods of Monitoring the Sterilization |165 |
|Process | |Process | |
|Chemical Methods of Monitoring the Sterilization Process|113 |Chemical Methods of Monitoring the Sterilization |166 |
| | |Process | |
|Biological Methods of Monitoring the Sterilization |113 |Biological Methods of Monitoring the Sterilization |166 |
|Process | |Process | |
|Bowie-Dick Test |114 |Bowie-Dick Test |167 |
|EVENT-RELATED STERILITY |114 |EVENT-RELATED STERILITY |167 |
|Environmental Decontamination |115 |Environmental Decontamination |168 |
|Environmental Services |115 |Environmental Services |168 |
|Case by Case |115 |Case by Case |168 |
|Daily |115 |Daily |168 |
|CHAPTER 5 | |CHAPTER 8 | |
|GENERAL PATIENT CARE AND SAFETY | |GENERAL PATIENT CARE AND SAFETY | |
|PREOPERATIVE PATIENT ROUTINES |119 |PREOPERATIVE PATIENT ROUTINES |172 |
|Surgical Consent |119 |Surgical Consent |173 |
|Preoperative Education |120 |Preoperative Education |175 |
|Patient Possessions |120 |Patient Possessions |175 |
|Evening/Morning before Surgery |121 |Evening/Morning before Surgery |176 |
|Diet |122 |Diet |177 |
|Makeup and Dress |122 |Makeup and Dress |177 |
|Call to Operating Room |122 |Call to Operating Room |177 |
|Family Visit |122 |Family Visit |177 |
|Patient Identification |123 |Patient Identification |177 |
|Transportation |123 |Transportation |178 |
|TRANSFER AND POSITIONING |123 |TRANSFER AND POSITIONING |179 |
|BASIC POSITIONING FOR SURGERY |124 |BASIC POSITIONING FOR SURGERY |180 |
|Supine Position |125 |Supine Position |181 |
|Trendelenburg Position |125 |Trendelenburg Position |183 |
|Reverse Trendelenburg Position |125 |Reverse Trendelenburg Position |184 |
|Fowler’s Position and Sitting Position |125 |Fowler’s Position and Sitting Position |184 |
|Lithotomy Position |125 |Lithotomy Position |185 |
|Prone Position |125 |Prone Position |186 |
|Kraske (Jackknife Position) |127 |Kraske (Jackknife Position) |188 |
|Lateral Position |127 |Lateral Position |189 |
|Lateral Kidney Position |128 |Kidney Position |190 |
| | |NEW Sim’s Position |191 |
|THERMOREGULATORY DEVICES |128 |THERMOREGULATORY DEVICES |191 |
|VITAL SIGNS |129 |VITAL SIGNS |192 |
|Temperature |129 |Temperature |192 |
|Pulse |130 |Pulse |193 |
|Respiration |131 |Respiration |194 |
|Blood Pressure |131 |Blood Pressure |196 |
|URINARY CATHETERIZATION |133 |URINARY CATHETERIZATION |199 |
|Indications |133 |Indications |200 |
|Procedure |133 |Procedure |200 |
| | |NEW Considerations |200 |
|SKIN PREPARATION |134 |SKIN PREPARATION |202 |
|Clean Areas and Contaminated Areas |136 |SKIN PREPARATION |202 |
|Skin Preparation Setup |136 |Skin Preparation Setup |203 |
|Perineal and Vaginal Preparations |138 |Perineal and Vaginal Preparations |206 |
|Skin Marking |138 |Skin Marking |206 |
|HEMOSTASIS AND BLOOD REPLACEMENT |139 |HEMOSTASIS AND BLOOD REPLACEMENT |206 |
|Factors Affecting Hemostasis |139 |Factors Affecting Hemostasis |207 |
|Control of Bleeding during Surgery |139 |Control of Bleeding during Surgery |207 |
|Mechanical Methods |140 |Mechanical Methods |207 |
|THERMAL HEMOSTASIS |141 |THERMAL HEMOSTASIS |209 |
|PHARMACOLOGICAL AGENTS |142 |PHARMACOLOGICAL AGENTS |209 |
|Blood Loss |142 |Blood Loss |210 |
|Blood Replacement |143 |Blood Replacement |210 |
|CARDIOPULMONARY RESUSCITATION |144 |CARDIOPULMONARY RESUSCITATION |211 |
|Cardiac Arrest in the Surgical Setting |144 |Cardiac Arrest in the Surgical Setting |212 |
|MALIGNANT HYPERTHERMIA |145 |MALIGNANT HYPERTHERMIA |213 |
|Prevention |145 |Prevention |213 |
|Treatment |145 |Treatment |213 |
|EMERGENCY MEDICAL SERVICES |146 |EMERGENCY MEDICAL SERVICES |213 |
|INDICATIONS OF EMERGENCY SITUATIONS |146 |INDICATIONS OF EMERGENCY SITUATIONS |214 |
|OBJECTIVES AND PRIORITIES IN ERMERGENCY SITUATIONS |146 |OBJECTIVES AND PRIORITIES IN ERMERGENCY SITUATIONS |214 |
|Syncope |147 |Syncope |214 |
|Convulsions/Seizures |147 |Convulsions/Seizures |215 |
|Management of Seizure |147 |Management of Seizure |215 |
|Anaphylactic Reactions |147 |Anaphylactic Reactions |215 |
|Clinical Manifestations of Impending Cardiac Arrest |148 |Clinical Manifestations of Impending Cardiac Arrest |216 |
|Hemolytic Transfusion Reactions |148 |Hemolytic Transfusion Reactions |211 |
|CHAPTER 6 | |CHAPTER 9 | |
|SURGICAL PHARMACOLOGY AND ANESTHESIA | |SURGICAL PHARMACOLOGY AND ANESTHESIA | |
|PHARMACOLOGY |151 |PHARMACOLOGY |219 |
|Drug Sources |151 |Drug Sources |219 |
|Drug Forms |151 |Drug Forms |220 |
|Drug Nomenclature |152 |Drug Nomenclature |220 |
|Route of Administration |152 |Route of Administration |221 |
|Drug Classifications |152 |Drug Classifications |221 |
|Pharmacokinetics |153 |Pharmacokinetics |221 |
|Pharmacodynamics |154 |Pharmacodynamics |222 |
|DRUG-HANDLING TECHNIQUES |154 |DRUG-HANDLING TECHNIQUES |223 |
|Medication Identification |155 |Medication Identification |223 |
|Supplies for Medication Handling |156 |Supplies for Medication Handling |225 |
|Transfer of a Medication to the Sterile Field |156 |Transfer of a Medication to the Sterile Field |225 |
|Medications Commonly Used in the Operating Room |157 |Medications Commonly Used in the Operating Room |226 |
|HISTORY OF MODERN ANESTHESIA |160 |HISTORY OF MODERN ANESTHESIA |229 |
|METHODS AND TECHNIQUES OF ANESTHETIC ADMINISTRATION |161 |METHODS AND TECHNIQUES OF ANESTHETIC ADMINISTRATION |231 |
|GENERAL ANESTHESIA |162 |GENERAL ANESTHESIA |231 |
|Depth of General Anesthesia |162 |Depth of General Anesthesia |231 |
|Phases of General Anesthesia |162 |Phases of General Anesthesia |232 |
|Advantages of General Anesthesia |163 |Advantages of General Anesthesia |232 |
|Risks and Complications Associated with General |163 |Risks and Complications Associated with General |232 |
|Anesthesia | |Anesthesia | |
|Anesthetic Agents |165 |Anesthetic Agents |235 |
|Adjuncts to General Anesthesia |170 |Adjuncts to General Anesthesia |240 |
|Anesthesia Equipment |171 |Anesthesia Equipment |241 |
|NERVE CONDUCTION BLOCKADE |174 |NERVE CONDUCTION BLOCKADE |244 |
|Nerve Conduction Blocking Agents |174 |Nerve Conduction Blocking Agents |244 |
|Topical Anesthesia |175 |Topical Anesthesia |246 |
|Local Anesthesia |176 |Local Anesthesia |246 |
|Regional Anesthesia |176 |Regional Anesthesia |246 |
|Epidural Anesthesia |178 |Epidural Anesthesia |249 |
|NONTRADITIONAL ANESTHESIA OPTIONS |179 |NONTRADITIONAL ANESTHESIA OPTIONS |249 |
|TEAM MEMBER ROLES DURING ANESTHESIA ADMINISTRATION |179 |TEAM MEMBER ROLES DURING ANESTHESIA ADMINISTRATION |249 |
|Preoperative Visits |180 |Preoperative Visits |250 |
|Preoperative Routine-All Types of Anesthesia |180 |Preoperative Routine-All Types of Anesthesia |250 |
|Postanesthesia Care |184 |Postanesthesia Care |253 |
|CHAPTER 7 | |CHAPTER 10 | |
|INSTRUMENTATION, EQUIPMENT, AND SUPPLIES | |INSTRUMENTATION, EQUIPMENT, AND SUPPLIES | |
|INSTRUMENTATION |188 |INSTRUMENTATION |259 |
|Classifications |188 |Classifications |259 |
|Care and Handling |193 |Instrument Care and Handling |264 |
|Types of Instrument Sets |193 |Types of Instrument Sets |265 |
|SPECIALTY EQUIPMENT |196 |SPECIALTY EQUIPMENT |269 |
|Endoscopes |196 |Endoscopes |269 |
|Power Tools |197 |Power Tools |270 |
|Lasers |197 |Lasers |270 |
|Microscopes |200 |Microscopes |273 |
|Video Monitors, Recorders, and Cameras |200 |Video Monitors, Recorders, and Cameras |273 |
|Fiber-optic Headlights and Light Sources |201 |Fiber-optic Headlamps and Light Sources |274 |
|Irrigation/Aspiration (IA) Units |201 |Irrigation/Aspiration Units |274 |
|Cryotherapy Units |201 |Cryotherapy Units |274 |
|Insufflators |201 |Insufflators |274 |
|Nerve Stimulators |201 |Nerve Stimulators |274 |
|ACCESSORY EQUIPMENT |202 |ACCESSORY EQUIPMENT |275 |
|Suction Systems |202 |Suction Systems |275 |
|Electrosurgical Unit |202 |Electrosurgical Unit |275 |
|Lights |204 |Lights |278 |
|Pneumatic Tourniquets |205 |Pneumatic Tourniquets |279 |
| | |NEW Sequential Compression Devices |280 |
|SUPPLIES |206 |SUPPLIES |280 |
|Drapes |206 |Drapes |280 |
|Sterile Packs |207 |Sterile Packs |282 |
|Sponges and Dressings |207 |Sponges and Dressings |282 |
|Catheters, Tubes, and Drains |209 |Catheters, Tubes, and Drains |285 |
|Nonsuture Needles |211 |Nonsuture Needles |288 |
|Irrigators and Syringes |212 |Irrigators and Syringes |289 |
|CHAPTER 8 | |CHAPTER 11 | |
|WOUND HEALING, SUTURES, NEEDLES, AND STAPLING DEVICES | |WOUND HEALING, SUTURES, NEEDLES, AND STAPLING DEVICES | |
|INTRODUCTION |215 |INTRODUCTION |292 |
|TYPES OF WOUNDS |215 |TYPES OF WOUNDS |292 |
|Surgical Wound |215 |Surgical Wound |292 |
|Traumatic Wound |215 |Traumatic Wound |293 |
|Chronic Wound |216 |Chronic Wound |294 |
|INFLAMMATORY PROCESS |216 |INFLAMMATORY PROCESS |294 |
|TYPES OF WOUND HEALING |216 |TYPES OF WOUND HEALING |294 |
|First Intention (Primary Union) |216 |First Intention (Primary Union) |294 |
|Phases of Wound Healing by First Intention |216 |Phases of Wound Healing by First Intention |295 |
|Second Intention (Granulation) |217 |Second Intention (Granulation) |295 |
|Third Intention (Delayed Primary Closure) |217 |Third Intention (Delayed Primary Closure) |295 |
|FACTORS INFLUENCING WOUND HEALING |218 |FACTORS INFLUENCING WOUND HEALING |295 |
|COMPLICATIONS OF THE HEALING WOUND |218 |COMPLICATIONS OF THE HEALING WOUND |296 |
|Intraoperative Wound Care |219 |Intraoperative Wound Care |297 |
|Postoperative Wound Care |220 |Postoperative Wound Care |298 |
|SUTURE |221 |SUTURE |298 |
|History |221 |History |298 |
|Types of Suture Material |222 |Types of Suture Material |299 |
|Suture Sizes |222 |Suture Sizes |300 |
|General Factors Affecting Choice of Suture |222 |General Factors Affecting Choice of Suture |300 |
|Characteristics of Common Sutures |223 |Characteristics of Common Sutures |300 |
|Packaging of Suture |225 |Packaging of Suture |303 |
|Ligatures |226 |Ligatures |303 |
|Ligating Methods |226 |Ligating Methods |303 |
|Suture for the Procedure |227 |Suture for the Procedure |304 |
|Layer Closure |228 |Layer Closure |305 |
|Endoscopic Suture |229 |Endoscopic Suture |307 |
|Suturing Techniques |229 |Suturing Techniques |307 |
|Accessory Devices |231 |Accessory Devices |309 |
|STAPLING DEVICES |232 |STAPLING DEVICES |310 |
|Types of Staplers |233 |Types of Staplers |312 |
|Meshes or Fabrics |234 |Meshes or Fabrics |313 |
|NEEDLES |234 |NEEDLES |314 |
|Needle Eye |235 |Needle Eye |314 |
|Needle Point |235 |Needle Point |315 |
|Needle Bodies |236 |Needle Bodies |315 |
|CHAPTER 9 | |CHAPTER 12 | |
|THE SURGICAL TECHNOLOGIS IN THE SCRUB ROLE (CASE | |SURGICAL CASE MANAGEMENT | |
|MANAGEMENT) | | | |
|OPERATING ROOM ATTIRE |239 |Attire |323 |
|Clothing |239 |Scrub Suit |323 |
|Head Coverings |240 |Hair Cover |324 |
|Masks |240 |Mask |324 |
|Shoe Covers |240 |Shoe Covers |325 |
|Gloves |241 |Nonsterile Glove |325 |
| | |Sterile Gloves |326 |
|Surgical Gown |241 |Sterile Gown |326 |
|Protective Eyewear |242 |Protective Eyewear |325 |
|Other Protective Attire |242 |Other Protective Attire |326 |
|DAILY ROUTINES |242 |Preparing the OR |327 |
|Furniture Setup |242 |OR Setup |327 |
|ESTABLISHING THE STERILE FIELD |243 |Creating and Maintaining the Sterile Field |329 |
|Opening Sterile Supplies |243 |Opening Sterile Supplies |330 |
|The Surgical Scrub |246 |Scrubbing and Donning Sterile Attire |333 |
|Hand Drying and Donning the Surgical Gown |248 |Self-Drying and Gowning |335 |
|Closed Gloving Technique for Gowning and Gloving |251 |Closed Gloving |338 |
|Open Glove Technique When Not Gowned |251 |Open Gloving |340 |
|Gowning and Gloving Another Team Member |254 |Turning the Gown |339 |
|Turning Gown |254 |Turning the Gown |339 |
|Gown Removal |255 |Gown and Glove Removal |364 |
|BACK TABLE SETUP |255 |ORGANIZING THE BACK TABLE |341 |
|Some Basic Principles of Back Table Setup |256 |ORGANIZING THE BACK TABLE |341 |
|THE MAYO STAND |258 |Organizing the Mayo Stand |346 |
|DRAPING THE SURGICAL PATIENT |260 |Draping the Surgical Patient |346 |
|General Principles of Draping |260 |Draping the Surgical Patient |346 |
|INTRAOPERATIVE ACTIVITIES OF THE STSR |265 |INTRAOPERATIVE CASE MANAGEMENT |353 |
|Using the APOS Approach During the Intraoperative Phase |265 |General Principles |353 |
|Case Management: Principles, Techniques, Considerations|267 | | |
|Principles of Practice |267 |INTRODUCTION |318 |
|Technique of Practice: Passing Instruments |268 |Passing the Instruments (and Other Supplies) |356 |
|Counts |270 |Counting |359 |
|Medications and Solutions in the Sterile Field |270 |Medication Handling |360 |
|Dressing Application |271 |Dressing Application |361 |
|Communication |271 |Intraoperative Communication |355 |
|Postoperative Routines |272 |POSTOPERATIVE CASE MANAGEMENT |363 |
| | |NEW Applied Theory |319 |
| | |NEW Positioning of the Sterile Team Members and the |353 |
| | |Furniture | |
| | |NEW Progression of the Surgical Procedure |361 |
| | |NEW Preservation of the Sterile Field |363 |
| | |NEW Drape Removal |363 |
| | |NEW Immediate Postoperative Care |364 |
| | |NEW Patient Transfer and Transportation |364 |
| | |NEW Breakdown of the Setup |365 |
| | |NEW The Operating Room Cycle |365 |
| | |NEW The Instrument Cycle |366 |
|CHAPTER 10 | |CHAPTER 13 | |
|DIAGNOSTIC PROCEDURES | |DIAGNOSTIC PROCEDURES | |
|SOURCES OF PATIENT DATA |278 |SOURCES OF PATIENT DATA |371 |
|History and Physical Examination |278 |History and Physical Examination |371 |
|Diagnostic Imaging |278 |Diagnostic Imaging |371 |
|Laboratory Reports |285 |Laboratory Reports |378 |
|Electrodiagnostic Studies |288 |Electrodiagnostic Studies |381 |
|Pulmonary Diagnosis |289 |Pulmonary Diagnosis |382 |
|Endoscopy |289 |Endoscopy |383 |
|Plethysmography and Phleborheography |289 |Plethysmography and Phleborheography |383 |
|INDICATIONS FOR SURGERY |289 |INDICATIONS FOR SURGERY |383 |
|CHAPTER 11 | |CHAPTER 14 | |
|GENERAL SURGERY | |GENERAL SURGERY | |
|ANATOMY |292 |ANATOMY |386 |
|Abdominal Cavity: General Dimensions |292 |Abdominal Cavity: General Dimensions |386 |
|Surface Features |293 |Surface Features |386 |
|Abdominal Musculature |293 |Abdominal Musculature |387 |
|Peritoneum |293 |Peritoneum |387 |
|Retroperitoneum |293 |Retroperitoneum |388 |
|Alimentary Canal |293 |Alimentary Canal |388 |
|Esophagus |293 |Esophagus |388 |
|Stomach |294 |Stomach |389 |
|Small Intestine |295 |Small Intestine |390 |
|Mesentery |296 |Mesentery |391 |
|Colon |297 |Colon |391 |
|Rectum |299 |Rectum |393 |
|Anus |299 |Anus |393 |
|Omenta |299 |Omenta |394 |
|Pancreas |299 |Pancreas |394 |
|Spleen |300 |Spleen |395 |
|Liver |301 |Liver |395 |
|Biliary Tract |301 |Biliary Tract |396 |
|GENERAL SURGERY INSTRUMENTATION |303 |GENERAL SURGERY INSTRUMENTATION |397 |
|General Surgery: Minor Set |303 |General Surgery: Minor Set |397 |
|Local Excision Instruments |303 |Local Excision Instruments |399 |
|Biliary Instruments |303 |Biliary Instruments |399 |
|Intestinal Instruments |303 |Intestinal Instruments |400 |
|Other General Instruments |303 |Other General Instruments |400 |
|ROOM SETUP |307 |ROOM SETUP |400 |
|POSITIONING |307 |POSITIONING |400 |
|DRAPING |307 |DRAPING |400 |
|INCISIONS |307 |INCISIONS |402 |
|SURGERY OF THE ABDOMINAL WALL |310 |SURGERY OF THE ABDOMINAL WALL: HERNIAS |404 |
|Specific Anatomic Features of the Groin Area |310 |Specific Anatomic Features of the Groin Area |404 |
|Hernias |310 |Hernias |405 |
|Hernia Repair |312 |Hernia Repair |405 |
|SURGERY OF THE ALIMENTARY CANAL |313 |SURGERY OF THE ALIMENTARY CANAL |407 |
|Surgery of the Esophagus |313 |Surgery of the Esophagus |408 |
|Gastric Surgery |318 |Gastric Surgery |408 |
|Pathological Conditions of the Stomach |318 |Pathological Conditions of the Stomach |408 |
|Procedures Related to Gastric Secretion, Ulcers, and |320 |Procedures Related to Gastric Secretion, Ulcers, and |416 |
|Neoplasm | |Neoplasm | |
|Procedures for Morbid Obesity |321 |Procedures for Morbid Obesity |416 |
|Surgery of the Small Bowel |321 |Surgery of the Small Bowel |416 |
|Appendectomy |325 |Appendectomy |420 |
|Colon Surgery |326 |Colon Surgery |425 |
|STOMAS |330 |STOMAS |427 |
|Anorectal Surgery |330 |Anorectal Surgery |427 |
|Hemorrhoid Ligation and Excision |333 |Hemorrhoid Ligation and Excision |430 |
|Surgery of the Liver and Biliary Tract |333 |Surgery of the Liver and Biliary Tract |430 |
|Common Bile Duct Exploration |342 |Common Bile Duct Exploration |439 |
|SURGERY OF THE PANCREAS AND SPLEEN |349 |SURGERY OF THE PANCREAS AND SPLEEN |447 |
|Select Pathology of the Pancreas |349 |Select Pathology of the Pancreas |447 |
|Draining Pancreatic Cysts |349 |Draining Pancreatic Cysts |448 |
|Pancreatic Resection |350 |Pancreatic Resection |448 |
|Whipple Pancreaticoduodenectomy |350 |Whipple Pancreaticoduodenectomy |448 |
|Surgery of the Spleen |353 |Surgery of the Spleen |452 |
|VASCULAR AND OTHER PROCEDURES |356 |VASCULAR AND OTHER PROCEDURES |454 |
|Treating Varicose Veins |356 |Treating Varicose Veins |454 |
|Vascular Access Procedures |356 |Vascular Access Procedures |455 |
|Muscle and Nerve Biopsies |357 |Muscle and Nerve Biopsies |456 |
|Incision and Drainage |357 |Incision and Drainage |456 |
|Excision of Lesion |358 |Excision of Lesion |456 |
|Endoscopy |358 |Endoscopy |457 |
|BREAST SURGERY |358 |BREAST SURGERY |457 |
|Breast Anatomy |358 |Breast Anatomy |457 |
|Breast and Axilla: Pathology and Diagnosis |358 |Breast and Axilla: Pathology and Diagnosis |457 |
|Breast Surgery (Noncosmetic) |359 |Breast Surgery (Noncosmetic) |457 |
|SURGERY OF THE THYROID AND PARATHYROID |361 |SURGERY OF THE THYROID AND PARATHYROID |461 |
|Anatomy of the Thyroid and Parathyroid |362 |Anatomy of the Thyroid and Parathyroid |461 |
|Pathological Conditions of the Thyroid and Parathyroid |363 |Pathological Conditions of the Thyroid and Parathyroid |461 |
|Glands | |Glands | |
|Thyroidectomy |363 |Thyroidectomy |461 |
|TRACHEOTOMY |363 |TRACHEOTOMY |461 |
|Indications for a Tracheotomy |366 |Indications for a Tracheotomy |461 |
|Illustrative Procedure: Tracheotomy |367 |Illustrative Procedure: Tracheotomy |467 |
|CHAPTER 12 | |CHAPTER 15 | |
|OBSTETRIC AND GYNOCOLOGICAL SURGERY | |OBSTETRIC AND GYNOCOLOGICAL SURGERY | |
|INTRODUCTION TO OBSTETRIC AND GYNOCOLOGICAL SURGERY |376 |INTRODUCTION TO OBSTETRIC AND GYNOCOLOGICAL SURGERY |478 |
|ANATOMY |376 |ANATOMY |478 |
|The Pelvis |376 |The Pelvis |478 |
|External Genitalia |377 |External Genitalia |481 |
|Vagina |377 |Vagina |481 |
|Uterus |379 |Uterus |482 |
|Fallopian Tubes |380 |Fallopian Tubes |483 |
|Ovaries |380 |Ovaries |483 |
|PREGNANCY-A SPECIAL CONDITION |381 |PREGNANCY-A SPECIAL CONDITION |485 |
|Select Key Terms in Labor and Delivery |381 |Select Key Terms in Labor and Delivery |486 |
|Labor |381 |Labor |486 |
|SPECIAL INSTRUMENTATION, SUPPLIES, DRUGS, AND EQUIPMENT |383 |SPECIAL INSTRUMENTATION, DRUGS, EQUIPMENT, AND SUPPLIES|487 |
|IN OBSTETRIC AND GYNOCOLOGICAL SURGERY | |IN OBSTETRIC AND GYNOCOLOGICAL SURGERY | |
|Instrumentation |383 |Instrumentation |487 |
|Equipment |384 |Equipment |494 |
|Supplies |390 |Supplies |494 |
| | |NEW Drugs |487 |
|ROOM SETUP AND BASIC PATIENT POSITIONING AND DRAPING |390 |OR SETUP AND BASIC PATIENT POSITIONING AND DRAPING |494 |
|SURGICAL PROCEDURES: OBSTETRICS AND FERTILITY RELATED |391 |SURGICAL PROCEDURES: OBSTETRICS AND FERTILITY RELATED |494 |
|Pathology and Surgical Conditions: Obstetrics and |391 |Pathology and Surgical Conditions: Obstetrics and |494 |
|Fertility Related | |Fertility Related | |
|Vaginal Delivery |392 |Vaginal Delivery |495 |
|Cesarean Section |394 |Cesarean Section |497 |
|Sterilization Procedures |399 |Tubal Occlusion (Sterilization) Procedures |503 |
|Tuboplasty |400 |Tuboplasty |504 |
|Laproscopic Resection of Unruptured Tubal Pregnancy |403 |Laproscopic Resection of Unruptured Tubal Pregnancy |507 |
|SURGICAL PROCEDURES: GYNECOLOGICAL PROCEDURES |406 |SURGICAL PROCEDURES: GYNECOLOGICAL PROCEDURES |510 |
|Gynecological Pathology |406 |Gynecological Pathology |510 |
|SURGICAL INTERVENTION OVERVIEW |406 |SURGICAL INTERVENTION OVERVIEW |510 |
|Abdominal Incisions for Gynecological Surgery |406 |Abdominal Incisions for Gynecological Surgery |510 |
|Surgical Intervention: Laparoscopy |411 |Surgical Intervention: Laparoscopy |515 |
|Basic Colposcopy |414 |Basic Colposcopy |518 |
|Hysteroscopy |416 |Hysteroscopy |518 |
|Marsupialization of Bartholin’s Gland Cyst |417 |Marsupialization of Bartholin’s Gland Cyst |521 |
|Simple Vulvectomy |419 |Simple Vulvectomy |521 |
|Anterior and Posterior Repair (Colporrhaphy) |423 |Anterior and Posterior Repair (Colporrhaphy) |524 |
|Cervical Biopsy, Cryotherapy, Laser Treatment, LEEP, and|429 |Cervical Biopsy, Cryotherapy, Laser Treatment, LEEP, |533 |
|Conization | |and Conization | |
|Dilation and Curettage |431 |Dilation and Curettage |535 |
|Myomectomy |434 |Myomectomy |538 |
|Total Abdominal Hysterectomy and Bilateral |436 |Total Abdominal Hysterectomy and Bilateral |542 |
|Salpingo-oophorectomy | |Salpingo-oophorectomy (TAH-BSO) | |
|Vaginal and Laparoscopically Assisted Vaginal |441 |Vaginal and Laparoscopically Assisted Vaginal |546 |
|Hysterectomy (LAVH) | |Hysterectomy (LAVH) | |
|Radical Cancer Surgery: Total Pelvic Exenteration |442 |Radical Cancer Surgery: Total Pelvic Exenteration |547 |
|CHAPTER 13 | |CHAPTER 16 | |
|OPHTHALMIC SURGERY | |OPHTHALMIC SURGERY | |
|ANATOMY OF THE EYE |448 |ANATOMY OF THE EYE |554 |
|Orbit |448 |Orbit |554 |
|Extrinsic Muscles |448 |Extrinsic Muscles |555 |
|Lacrimal System |449 |Lacrimal System |555 |
|Globe |449 |Globe |556 |
| | |Cavities and Chambers of the Eye |558 |
|OPHTHALMIC SURGICAL PATHOLOGY |451 |OPHTHALMIC SURGICAL PATHOLOGY |558 |
|Cataract |451 |Cataract |558 |
|Small Retinal Detachment |451 |Small Retinal Detachment |558 |
|Large Retinal Detachment |452 |Large Retinal Detachment |558 |
|Vitreous Hemorrhage |452 |Vitreous Hemorrhage |558 |
|Proliferative Vitreoretinopathy (PVR) |452 |Proliferative Vitreoretinopathy (PVR) |559 |
|Traction Retinal Detachment |452 |Traction Retinal Detachment |559 |
|Epiretinal Membarane |452 |Epiretinal Membarane |559 |
|Corneal Pathology |452 |Corneal Pathology |559 |
|Chalazion |452 |Chalazion |559 |
|Dacryocystitis |452 |Dacryocystitis |559 |
|Strabismus |452 |Strabismus |559 |
| | |NEW Glaucoma |558 |
| | |NEW Pterygium |559 |
|SPECIAL CONSIDERATIONS IN OPHTHALMIC SURGERY |453 |SPECIAL CONSIDERATIONS IN OPHTHALMIC SURGERY |560 |
|Special Equipment |453 |Special Equipment |560 |
|Instruments |453 |Instruments |561 |
|SURGICAL INTERVENTION |454 |SURGICAL INTERVENTION |562 |
|Strabismus Correction: Recession/Resection |454 |Strabismus Correction: Recession/Resection |563 |
|Adjustable Suture Surgery |457 |Adjustable Suture Surgery |566 |
|Scleral Buckle |458 |Scleral Buckle |567 |
|Enucleation and Evisceration of the Eye (Traditional |462 |Enucleation and Evisceration of the Eye (Traditional |571 |
|Approach) | |Approach) | |
|Keratoplasty (Corneal Transplant) |464 |Keratoplasty (Corneal Transplant) |573 |
|Cataract Extraction |468 |Cataract Extraction |577 |
|Phacoemulsification |470 |Phacoemulsification |580 |
|Vitrectomy |470 |Vitrectomy |580 |
| | |Surgical repair of Ptosis |562 |
| | |Iridectomy |563 |
| | |Trabeculoplasty |563 |
| | |NEW OPTHALMIC MEDICATIONS |560 |
|CHAPTER 14 | |CHAPTER 17 | |
|OTORHINOLARYNGOLOGIC SURGERY | |OTORHINOLARYNGOLOGIC SURGERY | |
|ANATOMY OF THE EAR |476 |ANATOMY OF THE EAR |587 |
|Outer Ear |476 |Outer Ear |587 |
|Middle Ear |476 |Middle Ear |588 |
|Inner Ear |476 |Inner Ear |588 |
|PATHOLOGY OF THE EAR |477 |PATHOLOGY OF THE EAR |589 |
|Pathology Affecting the Outer Ear |477 |Pathology Affecting the Outer Ear |589 |
|Pathology Affecting the Middle Ear |478 |Pathology Affecting the Middle Ear |589 |
|Pathology Affecting the Inner Ear |478 |Pathology Affecting the Inner Ear |590 |
|Diagnostic Procedures/Tests for the Ear |479 |Diagnostic Procedures/Tests for the Ear |590 |
|SPECIAL PREOPERATIVE CONSIDERATIONS |479 |PREOPERATIVE CONSIDERATIONS |591 |
|SPECIAL INSTRUMENTS, SUPPLIES, DRUGS |480 |SPECIAL INSTRUMENTS, SUPPLIES, DRUGS |592 |
|INTRAOPERATIVE PREPARATION |480 | | |
|EAR PROCEDURES |480 |EAR PROCEDURES |592 |
|Myringotomy |480 |Myringotomy |592 |
|Myringoplasty/Tympanoplasty |484 |Myringoplasty/Tympanoplasty |596 |
|Mastoidectomy |487 |Mastoidectomy |600 |
|Stapedectomy |487 |Stapedectomy |600 |
|Stapedotomy |488 |Stapedotomy |600 |
|Cochlear Implants |488 |Cochlear Implants |601 |
|ANATOMY OF THE NOSE AND SINUSES |488 |ANATOMY OF THE NOSE AND SINUSES |601 |
|External Nose |488 |External Nose |601 |
|Internal Nose |488 |Internal Nose |601 |
|Paranasal Sinuses |489 |Paranasal Sinuses |602 |
|Blood Supply to the Nose |490 |Blood Supply to the Nose |602 |
|Olfaction |490 |Olfaction |603 |
|PATHOLOGY OF THE NOSE AND PARANASAL SINUSES |490 |PATHOLOGY OF THE NOSE AND PARANASAL SINUSES |603 |
|Rhinitis/Sinusitis |490 |Rhinitis/Sinusitis |603 |
|Nasal Polyps |491 |Nasal Polyps |604 |
|Hypertrophied Turbinates | |Hypertrophied Turbinates |604 |
|Deviated Nasal Septum |491 |Deviated Nasal Septum |604 |
|Septal Perforation |491 |Septal Perforation |604 |
|Epistaxis |492 |Epistaxis |604 |
|DIAGNOSTIC PROCEDURES |492 |DIAGNOSTIC PROCEDURES |605 |
|Direct Vision |492 |Direct Vision |605 |
|Mirror Examination |492 |Mirror Examination |605 |
|Radiography |492 |Radiography |605 |
|SPECIAL PREOPERATIVE CONSIDERATIONS |492 |PREOPERATIVE CONSIDERATIONS |605 |
|SPECIAL INSTRUMENTS, SUPPLIES, AND DRUGS |493 |SPECIAL INSTRUMENTS, SUPPLIES, AND DRUGS |606 |
|INTRAOPERATIVE PREPARATION |496 | | |
|NASAL PROCEDURES |496 |NASAL PROCEDURES |609 |
|Submucous Resection (SMR) |496 |Submucous Resection (SMR) |609 |
|Polypectomy |499 |Polypectomy |612 |
|Intranasal Antrostomy |499 |Intranasal Antrostomy |612 |
|Removal of Foreign Body |499 |Removal of Foreign Body |612 |
|Internal Maxillary Artery Ligation |500 |Internal Maxillary Artery Ligation |613 |
|Sinus Procedures |500 |Sinus Procedures |613 |
|Caldwell-Luc |500 |Caldwell-Luc |613 |
|Ethmoidectomy |502 |Ethmoidectomy |615 |
|Sphenoidectomy |502 |Sphenoidectomy |616 |
|Drainage of the Frontal Sinus |503 |Drainage of the Frontal Sinus |616 |
|Sinus Endoscopy |503 |Sinus Endoscopy |616 |
|ANATOMY OF THE UPPER AERODIGESTIVE TRACT |505 |ANATOMY OF THE UPPER AERODIGESTIVE TRACT |618 |
|Pharynx |505 |Pharynx |618 |
|Larynx |506 |Larynx |620 |
|Trachea |507 |Trachea |621 |
|Bronchi and Lungs |507 |Bronchi and Lungs |621 |
|Esophagus |507 |Esophagus |621 |
|PATHOLOGY AFFECTING THE UPPER AERODIGESTIVE TRACT |508 |PATHOLOGY AFFECTING THE UPPER AERODIGESTIVE TRACT |621 |
|Pharyngitis |508 |Pharyngitis |621 |
|Epiglottis |508 |Epiglottis |622 |
|Tonsillitis |508 |Tonsillitis |622 |
|Sleep Apnea |509 |Sleep Apnea |623 |
|Laryngitis |509 |Laryngitis |623 |
|Polypoid Corditis or Vocal Cord Polyps |510 |Polypoid Corditis or Vocal Cord Polyps |623 |
|Vocal Cord Nodules |510 |Vocal Cord Nodules |623 |
|Vocal Cord Granulomas |510 |Vocal Cord Granulomas |623 |
|Laryngeal Neoplasms |510 |Laryngeal Neoplasms |624 |
|Tracheitis and Bronchitis |510 |Tracheitis and Bronchitis |624 |
|Laryngotracheobronchitis (Croup) |510 |Laryngotracheobronchitis (Croup) |624 |
|Foreign Bodies |511 |Foreign Bodies |624 |
|PATHOLOGY AFFECTING THE ESOPHAGUS |511 |PATHOLOGY AFFECTING THE ESOPHAGUS |624 |
|Esophagitis |511 |Esophagitis |624 |
|Ulceration of the Esophagus |511 |Ulceration of the Esophagus |624 |
|Neoplasms Affecting the Esophagus |511 |Neoplasms Affecting the Esophagus |624 |
|Foreign Bodies |511 |Foreign Bodies |625 |
|Zenker’s Diverticulum |511 |Zenker’s Diverticulum |625 |
|DIAGNOSTIC PROCEDURES/TESTS |511 |DIAGNOSTIC PROCEDURES/TESTS |625 |
|Direct Visualization |511 |Direct Visualization |625 |
|Indirect Visualization |512 |Indirect Visualization |625 |
|Laboratory Tests |512 |Laboratory Tests |625 |
|Radiological Examinations |512 |Radiological Examinations |625 |
|Videostroboscopy |512 |Videostroboscopy |626 |
|Polysomnography |512 |Polysomnography |626 |
|Multiple Sleep Latency Test (MSLT) |512 |Multiple Sleep Latency Test (MSLT) |626 |
|SPECIAL PREOPERATIVE CONSIDERATIONS |512 |PREOPERATIVE CONSIDERATIONS |626 |
|SPECIAL INSTRUMENTS, SUPPLIES, DRUGS |513 |SPECIAL INSTRUMENTS, SUPPLIES, DRUGS |626 |
|INTRAOPERATIVE PREPARATION |514 | | |
|AERODIGESTIVE TRACT PROCEDURES |514 |AERODIGESTIVE TRACT PROCEDURES |628 |
|Adenoidectomy |514 |Adenoidectomy |628 |
|Tonsillectomy |514 |Tonsillectomy |628 |
|Incision and Drainage of a Peritonsellar Abscess |517 |Incision and Drainage of a Peritonsellar Abscess |631 |
|Uvulopalatopharyngoplasty |517 |Uvulopalatopharyngoplasty |631 |
|Laryngoscopy |519 |Laryngoscopy |633 |
|Bronchoscopy |521 |Bronchoscopy |636 |
|Esophagoscopy |522 |Esophagoscopy |636 |
|Panendoscopy |522 |Panendoscopy |636 |
|Radical Neck Dissection with Mandibulectomy |522 |Radical Neck Dissection with Mandibulectomy |636 |
|CHAPTER 15 | |CHAPTER 18 | |
|ORAL AND MAXILLOFACIAL SURGERY | |ORAL AND MAXILLOFACIAL SURGERY | |
|ANATOMY OF THE ORAL CAVITY |530 |ANATOMY OF THE ORAL CAVITY |645 |
|Lips |530 |Lips |645 |
|Teeth |530 |Teeth |645 |
|Palate |530 |Palate |646 |
|Cheeks |530 |Cheeks |646 |
|Tongue |530 |Tongue |646 |
|ANATOMY OF THE FACE AND CRANIUM |531 |ANATOMY OF THE FACE AND CRANIUM |646 |
|Orbit |532 |Orbit |647 |
|Facial Muscles and Innervation |532 |Facial Muscles and Innervation |647 |
|EMBRYOLOGICAL EVELOPMENT OF THE FACE |533 |EMBRYOLOGICAL EVELOPMENT OF THE FACE |648 |
|PATHOLOGY OF THE ORAL CAVITY |533 |PATHOLOGY OF THE ORAL CAVITY |649 |
|Mouth |533 |Mouth |649 |
|Jaw Bones |534 |Jaw Bones |649 |
|Mandibular Fractures |534 |Mandibular Fractures |649 |
|Frontal Fractures |535 |Frontal Fractures |650 |
|Orbital Fractures |535 |Orbital Fractures |650 |
|Zygomatic Fractures |535 |Zygomatic Fractures |650 |
|Midfacial Fractures |536 |Midfacial Fractures |651 |
|Craniofacial Deformities |536 |Craniofacial Deformities |651 |
|DIAGNOSTIC TESTS |536 |DIAGNOSTIC TESTS |651 |
|ORAL PROCEDURES: GENERAL CONSIDERATIONS |537 |ORAL PROCEDURES: GENERAL CONSIDERATIONS |652 |
|Tooth Extraction |538 |Tooth Extraction/Odontectomy |653 |
|Tooth Restoration |541 |Tooth Restoration |657 |
|Implantation |541 |Implantation |657 |
|MAXILLOFACIAL PROCEDURES: GENERAL CONSIDERATIONS |541 |MAXILLOFACIAL PROCEDURES: GENERAL CONSIDERATIONS |658 |
|Graft Materials |542 |Graft Materials |658 |
|Repair of Mandibular/Maxillary Fractures |543 |Repair of Mandibular/Maxillary Fractures |659 |
|Application of Arch Bars |543 |Application of Arch Bars |659 |
|Wire Fixation |546 |Wire Fixation |662 |
|Plate and Screw Fixation of Mandibular Fracture |546 |Plate and Screw Fixation of Mandibular Fracture |663 |
|Frontal Fracture Repair |549 |Frontal Fracture Repair |666 |
|Orbital Floor Fracture Repair |550 |Orbital Floor Fracture Repair |667 |
|Reduction of Zygomatic Fractures |553 |Reduction of Zygomatic Fractures |670 |
|Le Fort I Fracture Repair |554 |Le Fort I Fracture Repair |671 |
|Le Fort II and III Fracture Repair |557 |Le Fort II and III Fracture Repair |675 |
|Craniofacial Reconstruction |557 |Craniofacial Reconstruction |675 |
|Correction of Retrognathism or Prognathism |560 |Correction of Retrognathism or Prognathism |679 |
|Temporomandibular Joint Procedures |561 |Temporomandibular Joint Procedures |682 |
|CHAPTER 16 | |CHAPTER 19 | |
|PLASTIC AND RECONSTRUCTIVE SURGERY | |PLASTIC AND RECONSTRUCTIVE SURGERY | |
|ANATOMY |567 |ANATOMY |685 |
|Skin and Underlying Structures |567 |Skin and Underlying Structures |685 |
|Palate |568 |Palate |687 |
|Nose |570 |Nose |687 |
|Hand |570 |Hand |687 |
|Breast |575 |Breast |694 |
|SURGICAL PATHOLOGY |575 |SURGICAL PATHOLOGY |694 |
|Pathology Affecting the Skin |575 |Pathology Affecting the Skin |694 |
|Cleft Lip and Palate |577 |Cleft Lip and Palate |696 |
|Pathology Affecting the Hand |578 |Pathology Affecting the Hand |697 |
|Pathology Affecting the Breast |581 |Pathology Affecting the Breast |701 |
|DIAGNOSTIC PROCEDURES AND TESTS |582 |DIAGNOSTIC PROCEDURES AND TESTS |701 |
|SPECIAL INSTRUMENTATION, SUPPLIES, DRUGS, AND EQUIPMENT |582 |SPECIAL INSTRUMENTATION, SUPPLIES, DRUGS, AND EQUIPMENT|701 |
|Nasal Set |582 |Nasal Set |701 |
|Dermatome |583 |Dermatome |702 |
|Mesh Graft Device | |Mesh Graft Device |704 |
|SURGICAL INTERVENTION |584 |SURGICAL INTERVENTION |704 |
|Rhytidectomy |584 |Rhytidectomy |704 |
|Blepharoplasy |586 |Blepharoplasy |706 |
|Suction Lipectomy |587 |Suction Lipectomy |707 |
|Abdominoplasy |588 |Abdominoplasy |708 |
|Skin Grafts |589 |Skin Grafts |709 |
|Cheiloplasty and Palatoplasy |592 |Cheiloplasty and Palatoplasy |713 |
|Rhinoplasty |593 |Rhinoplasty |714 |
|Hand Surgery |595 |Hand Surgery |716 |
|Mammoplasty |602 |Mammoplasty |723 |
| | |NEW Dermabrasion |713 |
| | |NEW Scar Revision |713 |
|CHAPTER 17 | |CHAPTER 20 | |
|GENITOURNARY SURGERY | |GENITOURNARY SURGERY | |
|ANATOMY |611 |ANATOMY |732 |
|Suprarenal (Adrenal) Glands |611 |Suprarenal Glands |732 |
|Kidneys |611 |Kidneys |732 |
|Ureters |614 |Ureters |735 |
|Urinary Bladder |615 |Urinary Bladder |736 |
|Male Reproductive System |615 |Male Reproductive System |737 |
|PATHOLOGY AFFECTING THE ADRENAL GLANDS |617 |PATHOLOGY AFFECTING THE ADRENAL GLANDS |739 |
|Cushing’s Syndrome |617 |Cushing’s Syndrome |739 |
|Adrenal Insufficiency (Addison’s Disease) |617 |Adrenal Insufficiency (Addison’s Disease) |739 |
|Pheochromocytoma |618 |Pheochromocytoma |739 |
|PATHOLOGY AFFECTING THE URINARY SYSTEM |618 |PATHOLOGY AFFECTING THE URINARY SYSTEM |739 |
|Bladder Tumors |618 |Bladder Tumors |739 |
|Urinary Calculi |618 |Urinary Calculi |740 |
|Kidney Disorders |619 |Kidney Disorders |740 |
|PATHOLOGY AFFECTING THE MALE REPRODUCTIVE SYSTEM |621 |PATHOLOGY AFFECTING THE MALE REPRODUCTIVE SYSTEM |743 |
|Phimosis |621 |Phimosis |743 |
|Hypospadias/Epispadias |621 |Hypospadias/Epispadias |743 |
|Benign Prostatic Hyperplasia |622 |Benign Prostatic Hypertrophy |743 |
|Cancer of the Prostate |622 |Cancer of the Prostate |744 |
|Cryptorchidism |622 |Cryptorchidism |744 |
|Testicular Torsion |622 |Testicular Torsion |744 |
|Testicular Cancer |622 |Testicular Cancer |744 |
|Trauma to the Genitourinary System |623 |Trauma to the Genitourinary System |745 |
|DIAGNOSTIC PROCEDURES/TESTS |623 |DIAGNOSTIC PROCEDURES/TESTS |745 |
|History and Physical |623 |History and Physical |745 |
|Laboratory Findings |623 |Laboratory Findings |745 |
|Radiological Findings |629 |Radiological Findings |751 |
|Biopsy |630 |Biopsy |751 |
|Endoscopy |630 |Endoscopy |751 |
|SPECIAL EQUIPMENT, INSTRUMENTS, SUPPLIES, DRUGS |631 |SPECIAL EQUIPMENT, INSTRUMENTS, SUPPLIES, DRUGS |751 |
|PREOPERATIVE AND INTRAOPERATIVE PREPARATION |632 |PREOPERATIVE AND INTRAOPERATIVE PREPARATION |752 |
|Incisional Options |633 |Incisional Options |754 |
|SURGICAL PROCEDURES |635 |SURGICAL PROCEDURES |757 |
|Adrenalectomy |636 |Adrenalectomy |757 |
|Nephrectomy |637 |Nephrectomy |757 |
|Renal Transplant |641 |Renal Transplant |762 |
|Stone Removal |642 |Stone Removal |763 |
|Cystostomy |643 |Cystostomy |764 |
|Cystectomy/Ileal Conduit |645 |Cystectomy/Ileal Conduit |766 |
|Procedures for Stress Incontinence Affecting Women |650 |Procedures for Stress Incontinence Affecting Women |771 |
|Transurethral Endoscopy of the Genitourinary Tract |653 |Transurethral Endoscopy of the Genitourinary Tract |774 |
|Circumcision |655 |Circumcision |776 |
|Orchiectomy |657 |Orchiectomy |778 |
|Orchiopexy |657 |Orchiopexy |778 |
|Vasectomy |660 |Vasectomy |783 |
|Vasovasostomy |660 |Vasovasostomy |784 |
|Prostatectomy |660 |Prostatectomy |784 |
| | |NEW Hydrocelectomy |781 |
| | |NEW Varicocelectomy |781 |
| | |NEW Hypospadias Repair |782 |
| | |NEW Insertion of Inflatable Penile Prosthesis |782 |
|CHAPTER 18 | |CHAPTER 21 | |
|ORTHOPEDIC SURGERY | |ORTHOPEDIC SURGERY | |
|BONE AND BONE TISSUE |669 |BONE AND BONE TISSUE |792 |
|Bone Tissue |670 |Bone Tissue |792 |
|Types of Bones |671 |Types of Bones |794 |
|Types of Joints |672 |Types of Joints |794 |
|Bone Growth and Bone Cells |673 |Bone Growth and Bone Cells |797 |
|Intramembranous Bones |674 |Intramembranous Bones |798 |
|Endochondral Bone |674 |Endochondral Bone |798 |
|Mineral Storage |674 |Mineral Storage |798 |
|Factors That Affect Bone Growth |675 |Factors That Affect Bone Growth |798 |
|Clinical and Bone Landmark Terms |675 |Clinical and Bone Landmark Terms |798 |
|PATHOLOGY |676 |PATHOLOGY |798 |
|Types of Fractures |676 |Types of Fractures |805 |
|Normal Bone Healing |676 |Normal Bone Healing |805 |
|Pathological Bone Healing |682 |Pathological Bone Healing |806 |
|Diagnostic Terms and Procedures |684 |Diagnostic Terms and Procedures |808 |
|THE SKELETON |685 |THE SKELETON |808 |
|The Skull |685 |The Skull |808 |
|Vertebral Column |688 |Vertebral Column |811 |
|Bones of the Thoracic Region |689 |Bones of the Thoracic Region |812 |
|Clavicles |689 |Clavicles |812 |
|Scapula |689 |Scapula |812 |
|Pectoral Girdle |689 |Pectoral Girdle |812 |
|Humerus |690 |Humerus |812 |
|Radius and Ulna |690 |Radius and Ulna |813 |
|Hand and Wrist |690 |Hand and Wrist |814 |
|Pelvis |691 |Pelvis |814 |
|Hip and Femur |692 |Hip and Femur |814 |
|Tibia and Fibula |692 |Tibia and Fibula |814 |
|Ankle and Foot |694 |Ankle and Foot |816 |
|EQUIPMENT |695 |EQUIPMENT |818 |
|Positioning Devices |695 |Positioning Devices |818 |
|Pneumatic Tourniquets |696 |Pneumatic Tourniquets |819 |
|Traction |696 |Traction |819 |
|Lasers |696 |Lasers |819 |
|Radiography |696 |Radiography |819 |
|Air Flow |696 |Air Flow |820 |
|Continuous Passive Range-of-Motion Machines (CPM) |696 |Continuous Passive Range-of-Motion Machines |820 |
|Transcutaneous Electrical Nerve Stimulation (TENS) |696 |Transcutaneous Electrical Nerve Stimulation |820 |
|Electrical Stimulation of Bone |697 |Electrical Stimulation of Bone |820 |
|Saws, Drills, and Reamers |697 |Saws, Drills, and Reamers |820 |
|Arthroscopic Equipment |697 |Arthroscopic Equipment |820 |
|SUPPLIES |697 |SUPPLIES |821 |
|Implants |697 |Implants |821 |
|Suture |698 |Suture |821 |
|Polymethyl Methacrylate (PMMA) |698 |Methyl Methacrylate |821 |
|Pharmacology |698 |Pharmacology |821 |
|PROCEDURES |699 |PROCEDURES |822 |
|Bone Grafting |699 |Bone Grafting |822 |
|Knee Arthroscopy |700 |Knee Arthroscopy |824 |
|Arthroscopic Repair of Meniscal Tear |703 |Arthroscopic Repair of Meniscal Tear |827 |
|Endoscopic Carpal Tunnel Release |706 |Endoscopic Carpal Tunnel Release |832 |
|Colle’s Fracture |709 |Colle’s Fracture |835 |
|Open Reduction-Internal Fixation (ORIF) of the Humerus |713 |Open Reduction-Internal Fixation (ORIF) of the Humerus |842 |
|Repair of the Rotator Cuff |716 |Repair of the Rotator Cuff |846 |
|Total Hip Arthroplasty |720 |Total Hip Arthroplasty |852 |
| | |NEW Arthroscopic Anterior Cruciate Ligament Repair |830 |
| | |NEW Above-the-Knee Amputation |832 |
| | |NEW Metacarpal Phalangeal Joint Arthroplasty |840 |
| | |NEW Triple Arthrodesis |840 |
| | |NEW Achilles Tendon Repair |841 |
| | |NEW Bunionectomy |842 |
| | |NEW Shoulder Joint Arthroscopy |845 |
| | |NEW Acromioplasty |846 |
| | |NEW Internal Fixation of Femoral Shaft Fracture |851 |
| | |NEW Total Hip Arthroplasty |853 |
| | |NEW Total Knee Arthroplasty |859 |
|CHAPTER 19 | |CHAPTER 22 | |
|CARDIOTHORACIC SURGERY | |CARDIOTHORACIC SURGERY | |
|ANATOMY OF THE CHEST |729 |ANATOMY OF THE CHEST |864 |
|The Thorax |729 |The Thorax |864 |
|The Trachea |730 |The Trachea |866 |
|The Bronchial Tree |730 |The Bronchial Tree |866 |
|The Lungs |731 |The Lungs |867 |
|ANATOMY AND PHYSIOLOGY OF THE HEART |732 |ANATOMY AND PHYSIOLOGY OF THE HEART |868 |
|Location of the Heart |733 |Location of the Heart |868 |
|Coverings of the Heart |733 |Coverings of the Heart |869 |
|The Heart Wall |733 |The Heart Wall |869 |
|The Heart Chambers |733 |The Heart Chambers |869 |
|The Heart Valves |733 |The Heart Valves |869 |
|Blood Flow Through the Heart |735 |Blood Flow Through the Heart |870 |
|Blood Supply for the Heart |735 |Blood Supply for the Heart |871 |
|The Cardiac Cycle |735 |The Cardiac Cycle |871 |
|Cardiac Output |736 |Cardiac Output |872 |
|Cardiac Conduction |736 |Cardiac Conduction |872 |
|Anatomical Development of the Heart |736 |Anatomical Development of the Heart |872 |
|OPERATIVE PATHOLOGY |738 |OPERATIVE PATHOLOGY |873 |
|The Chest Wall |738 |The Chest Wall |873 |
|The Mediastinum |739 |The Mediastinum |873 |
|The Lungs |739 |The Lungs |874 |
|Thoracic Trauma |739 |Thoracic Trauma |875 |
|Thoracic Outlet Syndrome |741 |Thoracic Outlet Syndrome |877 |
|Thoracic Aortic Aneurysm |741 |Thoracic Aortic Aneurysm |877 |
|Coronary Artery Disease |742 |Coronary Artery Disease |879 |
|Valvular Disease |745 |Valvular Disease |881 |
|Cardiomyopathy |746 |Cardiomyopathy |882 |
|Cardiac Dysrythmias |746 |Cardiac Dysrythmias |882 |
|Congenital Heart Defects |748 |Congenital Heart Defects |884 |
|DIAGNOSTIC PROCEDURES: THORAX |750 |DIAGNOSTIC PROCEDURES: THORAX |887 |
|Bronchoscopy |750 |Bronchoscopy |887 |
|Mediastinoscopy |751 |Mediastinoscopy |887 |
|Thoracoscopy |751 |Thoracoscopy |887 |
|Thoracentesis |751 |Thoracentesis |889 |
|DIAGNOSTIC PROCEDURES: CARDIAC |751 |DIAGNOSTIC PROCEDURES: CARDIAC |889 |
|Radiological Studies |753 |Radiological Studies |889 |
|SURGICAL INTERVENTION: THORACIC |753 |SURGICAL INTERVENTION: THORACIC |889 |
|Special Preoperative Considerations |753 |Special Preoperative Considerations |889 |
|Special Instrumentation, Supplies, Drugs, and Equipment |753 |Special Instrumentation, Supplies, Drugs, and Equipment|889 |
|Patient Preparation |754 |Patient Preparation |890 |
|Thoracoscopy |755 |Thoracoscopy |892 |
|Scalene/Supraclavicular Node Biopsy |758 |Scalene/Supraclavicular Node Biopsy |895 |
|Thoracotomy for Upper Lobectomy |758 |Thoracotomy for Upper Lobectomy |895 |
|Thoracotomy for Right Pneuonectomy |762 |Thoracotomy for Right Pneuonectomy |899 |
|Thoracotomy for Wedge Resection or Segmentectomy |762 |Thoracotomy for Wedge Resection or Segmentectomy |899 |
|Decortication of Lung |762 |Decortication of Lung |899 |
|SURGICAL INTERVENTION: CARDIAC (ADULT) |763 |SURGICAL INTERVENTION: CARDIAC (ADULT) |900 |
|Preoperative Considerations |763 |Preoperative Considerations |900 |
|Patient Preparation |764 |Patient Preparation |901 |
|Techniques of Cardiopulmonary Bypass (CPB) |765 |Techniques of Cardiopulmonary Bypass |901 |
|Mechanical Circulatory Assistance |767 |Mechanical Circulatory Assistance |904 |
|Coronary Artery Bypass Grafting (CABG) |769 |Coronary Artery Bypass Grafting |905 |
|Aortic Valve Replacement |774 |Aortic Valve Replacement |911 |
|Mitral Valve Replacement |778 |Mitral Valve Replacement |916 |
|Thoracic Aortic Aneurysmectomy (TAA) |779 |Thoracic Aortic Aneurysmectomy |917 |
|Pericardictomy/Pericardial Window |781 |Pericardictomy/Pericardial Window |918 |
|Heart Transplantation |781 |Heart Transplantation |919 |
|Permanent Pacemaker Insertion |782 |Permanent Pacemaker Insertion |920 |
|Percutaneous Transluminal Coronary Angioplasty (PTCA) |783 |Percutaneous Transluminal Coronary Angioplasty |921 |
|SURGICAL INTERVENTION: CARDIAC (PEDIATRIC) |784 |SURGICAL INTERVENTION: CARDIAC (PEDIATRIC) |921 |
|Special Preoperative Preparation |784 |Special Preoperative Preparation |922 |
|Atrial Septal Defect |784 |Atrial Septal Defect |922 |
|Ventricular Septal Defect |785 |Ventricular Septal Defect |922 |
|Patent Ductus Arteriosus |785 |Patent Ductus Arteriosus |923 |
|Correction of Aortic Coarctation |785 |Correction of Aortic Coarctation |924 |
|Procedure for Correction of Tetralogy of Fallot |787 |Procedure for Correction of Tetralogy of Fallot |924 |
|Procedure for Correction of Transposition of the Great |787 |Procedure for Correction of Transposition of the Great |925 |
|Arteries | |Arteries | |
|CHAPTER 20 | |CHAPTER 23 | |
|PERIPHERAL VASCULAR SURGERY | |PERIPHERAL VASCULAR SURGERY | |
|PERIPHERAL VASCULAR SURGERY |790 |PERIPHERAL VASCULAR SURGERY |928 |
|SURGICAL ANATOMY |790 |SURGICAL ANATOMY |928 |
|Blood Vessels |790 |Blood Vessels |928 |
|Blood Pressure |791 |Blood Pressure |930 |
|The Arterial System |793 |The Arterial System |931 |
|The Venous System |795 |The Venous System |933 |
|OPERATIVE PATHOLOGY AND DIAGNOSIS |796 |OPERATIVE PATHOLOGY AND DIAGNOSIS |934 |
|Arterial Embolism |796 |Arterial Embolism |935 |
|Arteriosclerosis Obliterans |797 |Arteriosclerosis Obliterans |935 |
|Aneurysms of the Abdominal Aorta |797 |Aneurysms of the Abdominal Aorta |936 |
|SURGICAL INTERVENTIONS |799 |SURGICAL INTERVENTIONS |937 |
|Peripheral Vessel Angioplasty |799 |Peripheral Vessel Angioplasty |937 |
|Bypass Grafting and Endarterectomy |800 |Bypass Grafting and Endarterectomy |939 |
|Features of Peripheral Vascular Procedure |802 |Features of Peripheral Vascular Procedure |940 |
|Aortofemoral Bypass |803 |Aortofemoral Bypass |943 |
|Abdominal Aortic Aneurysmectomy |806 |Abdominal Aortic Aneurysmectomy |947 |
|Femoropopliteal Bypass |810 |Femoropopliteal Bypass |950 |
|Femorofemoral Bypass |813 |Femorofemoral Bypass |954 |
|Axillofemoral Bypass |815 |Axillofemoral Bypass |956 |
|Carotid Endarterectomy |818 |Carotid Endarterectomy |959 |
|CHAPTER 21 | |CHAPTER 24 | |
|NEUROSURGERY | |NEUROSURGERY | |
|SURGICAL ANATOMY |825 |SURGICAL ANATOMY |966 |
|Divisions of the Nervous System |825 |Divisions of the Nervous System |966 |
|Cranium |825 |Cranium |966 |
|Vertebral Column |831 |Vertebral Column |973 |
|Blood Supply |833 |Blood Supply |974 |
|Cranial Nerves |833 |Cranial Nerves |974 |
|Spinal Nerves |833 |Spinal Nerves |974 |
|NEUROSURGICAL PATHOLOGY |834 |NEUROSURGICAL PATHOLOGY |976 |
|Cervical Spine |835 |Cervical Spine |976 |
|Thoracic Spine |836 |Thoracic Spine |977 |
|Lumbar Spine |836 |Lumbar Spine |978 |
|Neoplasms |837 |Neoplasms |979 |
|Head Injury |838 |Head Injury |980 |
|Spinal Cord Injury |840 |Spinal Cord Injury |982 |
|Cerebrovascular Disease |840 |Cerebrovascular Disease |982 |
|Congenital Abnormalities |841 |Congenital Abnormalities |983 |
|INFECTION |842 |INFECTION |984 |
|Abscess |842 |Abscess |984 |
|Spinal Tumors |843 |Spinal Tumors |985 |
|Peripheral Nerve Disorders |843 |Peripheral Nerve Disorders |985 |
|NEUROSURGICAL PROCEDURES |844 |NEUROSURGICAL PROCEDURES |986 |
|Special Instrumentation, Supplies, Drugs, and Equipment |844 |Special Instrumentation, Supplies, Drugs, and Equipment|986 |
|Patient Preparation |848 |Patient Preparation |990 |
|Craniotomy |849 |Craniotomy |991 |
|Craniectomy |858 |Craniectomy |1001 |
|Ventriculoperitoneal and Ventriculoatrial Shunt |862 |Ventriculoperitoneal and Ventriculoatrial Shunt |1005 |
|Transphenoidal Hypophysectomy |865 |Transphenoidal Hypophysectomy |1008 |
|Stereotactic Procedure |868 |Stereotactic Procedure |1011 |
|Cranioplasty |869 |Cranioplasty |1012 |
|Spinal Procedures |869 |Spinal Procedures |1012 |
|Peripheral Nerve Procedure |876 |Peripheral Nerve Procedure |1020 |
| | |NEW ADVANCES IN NEUROSURGERY |1022 |
| | |NEW Intraoperative MRI |1022 |
| | |NEW Three-Dimensional Reconstruction |1022 |
| | |NEW Radiosurgery |1022 |
| | |NEW Minimall Invasive Techniques |1022 |
| | |NEW Stereotaxis |1022 |
| | |NEW Intraoperative Ultrasound |1023 |
| | |NEW Brain Mapping |1023 |
| | |NEW Endoscopic Neurosrgery |1023 |
| | |NEW Deep Brain Stimulation |1023 |
| | | | |
|APPENDIX A: COMMON PREFIXES AND SUFFIXES |881 |APPENDIX B: COMMON PREFIXES AND SUFFIXES |1036 |
|APPENDIX B: MEASUREMENTS |884 |APPENDIX C: MEASUREMENTS |1039 |
|INDEX |886 |Not Ready | |
| | |NEW APPENDIX A: ANATOMY PLATES |1025 |
| | | | |
| | |NEW CHAPTERS | |
| | |CHAPTER 2 | |
| | |STANDARDS OF CONDUCT | |
| | |LEGAL ISSUES |23 |
| | |Definitions of General Legal Terms |23 |
| | |Definitions of Traditional Principles |24 |
| | |Torts |25 |
| | |Consent for Surgery: A Basic Right |27 |
| | |Documentation |29 |
| | |Event/Incident Reports |30 |
| | |Advance Directives |30 |
| | |ETHICAL AND MORAL ISSUES |30 |
| | |Moral Principles |31 |
| | |Bioethics |31 |
| | |AHA Patient’s Bill of Rights |31 |
| | |Elements of Ethical Decision Making |32 |
| | |Professional Codes of Conduct |34 |
| | |Surgical Conscience |34 |
| | |SCOPE OF PRACTICE |34 |
| | |Job Descriptions and Competencies |35 |
| | |Credentialing |36 |
| | |Accreditation |36 |
| | |Core Curricula for Surgical Technology and Surgical |36 |
| | |Assisting | |
| | |Career Development |36 |
| | |Clinical Ladder Program |37 |
| | |RISK MANAGEMENT AND LIABILITY |38 |
| | |Medical Errors |38 |
| | |Safe Medical Device Act |39 |
| | |Malpractice Insurance |39 |
| | |CHAPTER 4 | |
| | |SPECIAL POPULATIONS | |
| | |INTRODUCTION |57 |
| | |PEDIATRIC PATIENTS |57 |
| | |Monitoring the Pediatric Patient |59 |
| | |Shock |60 |
| | |Fluids and Electrolytes |60 |
| | |Infection |61 |
| | |Metabolic and Nutritional Responses |61 |
| | |Trauma |61 |
| | |PATIENTS WITH OBESITY |62 |
| | |Review of Surgical Considerations |64 |
| | |Specific Considerations of Bariatric Surgery |64 |
| | |PATIENTS WITH DIABETES |64 |
| | |Complications Associated with Diabetes |65 |
| | |Care of the Patient with Diabetes in Surgery |66 |
| | |PREGNANT PATIENTS |66 |
| | |Considerations when Caring for Pregnant Patients |67 |
| | |Anesthesia |67 |
| | |Intraoperative Considerations for the Surgical |67 |
| | |Technologist | |
| | |IMMUNOCOMPROMISED PATIENTS |68 |
| | |Acquired Immunodeficiency Syndrome |68 |
| | |Considerations for the Surgical Team Members |68 |
| | |PATIENTS WITH DISABILITIES |69 |
| | |GERIATRIC PATIENTS |69 |
| | |TRAUMA PATIENTS |71 |
| | |THE “GOLDEN HOUR” AND TRAUMA PATIENTS |71 |
| | |KINEMATICS |71 |
| | |Blunt Trauma |71 |
| | |Penetrating Trauma |72 |
| | |TRAUMA SCORING |72 |
| | |CONSIDERATIONS FOR THE SURGICAL TECHNOLOGIST |72 |
| | |Preservation of Evidence |72 |
| | |Hypothermia |73 |
| | |Infection |73 |
| | |PREPARATION OF THE CASE |73 |
| | |CHAPTER 6 | |
| | |BIOMEDICAL SCIENCE | |
| | |INTRODUCTION |99 |
| | |COMPUTERS |99 |
| | |Surgical Applications |99 |
| | |Hardware |100 |
| | |Software |103 |
| | |Word Processing |104 |
| | |Graphics |105 |
| | |Internet Basics |106 |
| | |ELECTRICITY |107 |
| | |Surgical Applications |107 |
| | |Basic Principles of Electricity |108 |
| | |PHYSICS |112 |
| | |Medical and Surgical Applications |112 |
| | |Mechanics |113 |
| | |Nuclear Physics |122 |
| | |Gravity |122 |
| | |SURGICAL ROBOTS |122 |
| | |Terminology |123 |
| | |Design |123 |
| | |Remote Manipulation |124 |
| | |Geometry |124 |
| | |Hearing and Vision |125 |
| | |Decontamination and Sterilization of Robotic Components|125 |
| | |Clinical Applications |125 |
| | |THE OR OF THE FUTURE |125 |
| | |Surgical Planning and Rehearsal |125 |
| | |Surface-Based Registration |126 |
| | |ROLE OF THE SURGICAL TECHNOLOGIST |126 |
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