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Ok, all you surgical technologists in training, tell me what steps should have been taken by the ST in the following scenario.
Procedure: Lap chole.
Supplies on back table in addition to basic lap chole set-up, according to surgeons preference:
One set of green horizon clips.
Endo-catch bag.
While dissecting the neck of the gall bladder and trying to identify and isolate the cystic duct and artery, the surgeon gets into some projectile bleeding coming from the inflamed, edematous mess on screen.
First question; What structure do think this is?
The surgeon sees no movement in his peripheral vision from the body on the other end of the mayo stand, so he asks for a clip.
Second question; What should the tech have been doing?
The first clip misses, second clip also misses, third clip slows it down and diverts the flow, fourth clip does little more.
Third question: What should the next words be out of the ST's mouth?
Look forward to your answers!
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3 comments:
I'm only in my second week of my Minor Surgeries class but I'm going to take a stab at this one.
First Question: Artery
Second Question: The ST should have already anticipated the need of the clip once the bleeding started
Third Question: (I think) that the ST should be asking if the surgeon needs a larger, more durable clip or if another clip applier should be loaded(?)
There you have it (maybe). Even if I'm wrong on all three questions, I just wanted to say thanks for posting this because it was a lot of fun. I love reading your blog and learning the things that I will most likely encounter one day. Keep em' coming!
...hmmm....KNIFE????
Anon - Always a thought! Still early in the game though. After the bleeding was controlled the rest was a bit tedious yet non-eventful. Probably wouldn't open without exhausting some efforts to control bleeding laparoscopically.
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