Shared Flashcard Set

Details

VTI: Surgical Nursing 1 Final Review
Review Terminology/ID
207
Veterinary Medicine
Undergraduate 3
04/07/2011

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Area where the incision is made
Definition
Surgical Site
Term
Surgical site & sterile drapes surrounding it on the table
Definition
Sterile Surgical Field
Term
Surface covered with drapes & intended to be used as a work area to hold instrument & supplies
Definition
Sterile Field
Term
sterile field, sterile surgery field, area of scrubbed personnel and the airspace above all of these
Definition
Sterile Zone
Term
How do sterile people pass each other?
Definition
Back to Back
Term
If a pack becomes damp or wet from bleeding through it is cosidered contaminated this is called:
Definition
Strike Through
Term
How far from the edge of anything that encloses sterile contents have to be to still be considered sterile?
Definition
1 inch from outer edge
Term
Non-sterile people pass a sterile area by :
Definition
Facing the area
Term
What are the main factors to take into consideration when having  sperata are for storage of steilized items:
Definition
  • Dust Free
  • Ventilated
  • Germ Free
  • Insect Free
  • No temperature or humidity extremes
Term
A single wrapped muslin that is stored in a cabinet is sterile for how long?
Definition
1 week
Term
A double wrapped muslin stored on open shelving is steril for how long?
Definition
3 weeks
Term
This wrapping has the longest sterilitiy when placed open shelving:
Definition
Single wrapped crepe paper
Term
A sterile single wrapped crepe paper last 8 weeks in a closed cabinet how long does a double wrapped muslin last?
Definition
7 weeks
Term
Heated-sealed and Plastic Pouches are good for how long on an open shelf?
Definition
1 year
Term
A sterilized pack is considered contaminated if:
Definition
  • It becomes wt
  • Tape is broken or loosened
  • Date is illegible or missing
  • Pack is punctured or torn
  • Pack has been dropped on the floor
Term
In a case of extreme emergency and you have dirty instruements what can you do so that the intruement can be used?
Definition

Disinfect as well as u can by:

  • Cold soak solution for a minimum of 15 min (ideally 3 hours)
  • Alcohol 70% (1 hour than allow to dry)
  • Betadine/Nolvasan Solution (3 hours)
  • Flash Sterilization at 270° for 3 minutes
Term
What ideal characterisitics do we want when referring to wrap material?
Definition
  • Selective Permeability
  • Resistance to damage
  • Flexibility
  • Memory
Term
What types of wrap material are there?
Definition
  • Cotton textile (muslin)
  • Paper
    • Crepe
    • Non-Crepe
Term
What should be done with insturments immediately after surgery is completed?
Definition
Instruements should be placed in soak and prepared to be washed
Term
When rinsing or spraying an instrument with instrument milk it should be applied for at least how long?
Definition
45 seconds
Term
How long is an ultrasonic cleaner used after the instruement has been hand washed?
Definition
5-10 minutes
Term
When washing surgical materials in a washer machine we want to wash them with this substance:
Definition
Bleach
Term
What are four different drapes?
Definition
  • 4 corner drapes
  • 3 corner drapes
  • mayo stand drapes
  • fenestrated drapes
Term
How many gowns and hand towels should be placed in a pack?
Definition
One of each
Term
Which people have the direct contact with the sterile field?
Definition
  • Surgeon
  • Sterile Scrub Nurse
Term
When is an open gloving technique used?
Definition
Used when prepping the animal for surgery
Term
Non-sterile personnel do what?
Definition
  • Open packs
  • Open blades
  • Open suture material
  • Transfer items
Term
Before actual prep begins you ALWAYS verify?
Definition
  • Patient's identity
  • Sex
  • Procedure to be performed
  • Confirm fasting of patient
Term
What are some necessary test results?
Definition
  • Blood work (Look at notes for detail)
  • Urinalysis
  • Fecal
  • X-rays
  • EKG
  • HWT
  • FeLV/FIV
Term
This begins after the patient has been anesthetized, stabilized & hooked up to I/V fluids
Definition
Actual Patient Prep
Term
What blade number should be used when clipping a patient?
Definition
#40
Term
Who begins the sterile scrub?
Definition
Sterile Prep Nurse
Term
Why should positioning the patient be be carefule done?
Definition
  • Maintain airway
  • Maintain IV fluid flow

 

Term
This is the most routine position and is commonly used for abdominal surgeries and cervical disc surgery
Definition
Dorsal Position
Term
This position is also known as the frog position and is used for surgeries like lumbar disc surgery, cranial and ear surgery
Definition
Sternal position
Term
Hanging prep positioning is commonly used for this surgery
Definition
Orthopedic surgery
Term
happens outside the patient Ex: air, surgical instruements and supplies
Definition
Exogenous route
Term
happens within the patient reaching the wound through the blood stream ex: dermatitis bacteria
Definition
Endogenous route
Term
Who determines the degree to which principes of asepsis are followed in each case
Definition
The surgeon
Term
What is the principle function of the cardiovascular system?
Definition
Generate an appropriate amount of intravascular pressure to ensure tissue perfusion
Term
The measurement of force applied to artery walls:
Definition
Blood pressure
Term
Indicates the driving force for tissue blood flow and refers only to arterial blood pressure:
Definition
Blood Pressure
Term
This has the strongest correlation with body fluid volume and allows us to access how well blood is returning to the heart and the ability of the heart to receive and pump blood:
Definition

Central Venous Pressure (CVP)

 

Remember: We can measure the pressure of this within the vein

Term
Organ perfusion may be inadequate and is usually due to anesthesia, drugs, toxins, various forms of shock (hemorrhage).
Definition

Hypotension

(Blood Pressure that falls too low)

Term
Organs can be over perfused or undergo barotrauma. Usually due to kidney disease, hyperthyroidism or possibly other types of metabolic changes:
Definition

Hypertension

(Blood pressure that rises to high)

Term
Sensory nerve trauma that stimulates pressure change
Definition

Barotrauma

 

(Note: Seen with Hypertension)

Term
These must also be considered when evaluating a patients blood pressure:
Definition
  • Species
  • Gender
  • Age
Term
What is a high risk BP that needs intervention by administration of necessary drugs or antihypertensive agents
Definition
180/120 mm Hg
Term
What is a moderate risk BP where intervemtion should be considered and there is a risk og organ injury and monitoring shoukd be done
Definition
150/95 mm Hg
Term
What is a BP with moderate risk with reduced organ perfussion?
Definition
100/60 mm Hg
Term
What is the BP that is high risk which mandates intervention and requires administration of IV fluids and or reducing anesthetic agents?
Definition

70/40 mm Hg

 

Remember: Death will occur if action is not taken

Term
What is the normal systolic blood pressure for dogs and cats ?
Definition
90-160 mm Hg
Term
What is the normal diastolic blood pressure for dogs and cats?
Definition
50-90 mm Hg
Term
What is the normal Mean Arterial Pressure when a patient is awake and anesthetized?
Definition

Awake: 85-120 mm Hg

Anesthetized: 70-90 mm Hg

Term
This is the average pressure through the cardiac cycle which is the most important during anesthesia and the best indicator of blood perfussion
Definition

Mean Arterial Pressure

(MAP)

 

Note: Diastolic pressure + (systolic pressure- diastolic pressure)/3

Term
What two ways can blood pressure be measured?
Definition
Direct or indirect
Term
What is an example of direct measurement of blood pressure?
Definition
Placement of an indwelling catheter
Term
What is an example of indirect measurement of blood pressure?
Definition
  • Auscultatory
  • Ultrasonic Doppler
  • Oscillometric
Term
Pressure is measured with either:
Definition
  • Manometer
  • Pressure tranducter
Term
This detects blood flow as a change in frequency of reflected sound due to motion of red blood cells
Definition
Doppler
Term
When using the doppler where should the probe be positioned?
Definition
Distal to the cuff on the same limb
Term
Dopplers are more reliable for measurements of:
Definition

Systolic Blood Pressure

 

Remember: They may be able to obtaina diastolic even though it is uncommon unless experienced

Term
This instruement detects pressure fluctuations in the occluding cuff resulting from the pressure pulse
Definition
Oscillometric
Term
What does an oscillometric measure?
Definition
Systolic, Diastolic and mean Blood pressure, as well as a pulse rate
Term
What are some sites that pressure measurement can be obtained?
Definition
  • Brachial Arteries
  • Median Arteries
  • Cranial Tibia Arteries
  • Medial Coccygeal Arteries
Term
What is the best postion to place a patient in for obtaining a blood pressure?
Definition
Which ever the patient is comfortable in
Term
At what level should that patient be cuffed at?
Definition
Level with the heart
Term
What do you want to remember when placing the cuff above or below heart level?
Definition
For every 2 cm above or below + or - 1mm Hg respectively
Term
Ideally the cuff size should be how much limb circumference?
Definition
40% of limb circumference
Term
What should be constant when measuring blood pressure?
Definition
  • The position
  • Technique
  • Vet Tech performing
  • Equipment
Term
How many consistent readings should be obtained before discarding the highest and lowest readings to achieve an average?
Definition
5
Term
How much should be added to the reading of systolic blood pressure on cats for accuracy?
Definition
15 mm Hg
Term
What are some anxiety induced artifacts?
Definition
  • Visit to veterinary Clinic
  • Restraint
  • Noises
  • Odors
  • Any other unusual stimuli
Term
Ideally how long do you want a patient to acclimate to its surroundings before doing a blood pressure
Definition
15 minutes
Term
What equipment is needed when measuring blood pressure through centrous venous pressure?
Definition
  • Sterile Bag or Bottle of Fluids or syringe of normal saline
  • Fluid administration set attached to fluids
  • IV extension set
  • Manometer
  • Stopcock
Term
When the white knob on a stopcock is pointed in a certain direction that position is considered off or on?
Definition
OFF
Term
What is the normal for CVP?
Definition
0-5 cm of H2O
Term
Values of 8-10 cm of H2O read on a manometer during a CVP can indicate:
Definition
  • Increased invascular volume
  • Suspected volume overload
  • Fluid therapy should be slowed or stopped
Term
Values greater than 10 cm of H2O are read on a manometer during a CVP what can this indicate?
Definition
  • Venous Congestion
  • Increased Thoracic Pressure
  • Volume Overload
  • Fluid Therapy Should Be Stopped
Term
The primary goal of the surgeon is:
Definition
The correction of disease
Term
The primary goal of the technician is:
Definition
The patient's life
Term

One celled organisms creating parasitic disease

Ex: Toxoplasmosis, Coccidiosis

Definition
Protozoa
Term
Plants that must exist as parasites due to their inability to synthesis their own food and normally cause skin disease
Definition

Fungi

 

Ex: Fungal pneumonia's, fungal infection of internal organs(liver,kidneys, etc...)

Term
A Major concern when cleaning & sterilizing, you should always educate clients on its importance of prevention:
Definition
Bacteria
Term
The prevention of hospital-acquired infections is the desired result of:
Definition

Aseptic Technique

 

 

 

Note: This involves Pre & Post- surgical asepsis

Term
Usually occurs over a boney providence and can have added problems if urine scolding occurs, the best treatment is prevention
Definition
Decubital Ulcer "Bed Sores"
Term
Elimination or control of the source of disease can be accomplished if efforts are made by:
Definition
  • Quarantine
  • Isolation
  • Euthanasia
Term
How can you increase the ability of the host to resist disease?
Definition
  • Adequate diet
  • Therapeutic agents
    • Antibiotics
    • Vaccines
  • General Hygiene

 

 

 

Term
Preventing transmission of microbes by:
Definition
  • Washing Hands
  • Adequate ventilation
  • Physical and chemical control
Term
Name three types of physical classification:
Definition
  • Filtration
  • Radiation
  • Heat
    • Dry
    • Moist
Term
The use of a filter to separate particulate matter from liquids or gases:
Definition

Filtration

 

Note: Commonly used on pharmaceuticals

Term

These are primarly used during production & packaging of certain surgical products:

 

Ex: Gloves & Some suture material

Definition

Radiation

 

 

Remember: There are differnt types of radiation

Term
This type of radiation has a drying effect that causes mutations of the nucleic acid in microorganisms and is commonly used on surfaces and can disinfect air.
Definition

Ultraviolet

 

 

 

Term
Type of radiation that is rapid and continuous
Definition

Gamma

(γ)

Term
This radiation is commonly used to prepackage suture material, gloves, and rubber tubing
Definition

Beta

(β)

Term
The most common method of sterilization
Definition
Heat
Term
Accomplished by either boiling or steam under pressure and kills microbes by coagulating critical cellular proteins
Definition
Moist (heat)
Term
More difficult to control unlike its counterpart, longer sterilization period and kills microbes by protein oxidation
Definition
Dry (Heat)
Term
Only sanitizes at 60°C(140°F) or higher and sanitizing can be increased with scrubbing and detergent use, this doesn't sterilize
Definition

Hot Water

 

Ex: Automatic dishwashers, Clothes washers

Term
Rarely used because spores and viruses resist destruction at this temperature for extended periods of time, the maximum temperature is reached at 100°C(212°F)
Definition

Boiling

 

Remember: When boiling for 10 minutes it will only destroy vegetative bacteria

Term
Has the same problem as boiling but is used at a large scale (steel cages) and the temperature must be at 212°F for 30 to 45 minutes to be effective
Definition
Free Flowing Steam
Term
When used properly it kills all forms of microbial life including spores and cysts and incorporates steam under pressure
Definition
Autoclave
Term
Generally an autoclave is run for 30 minutes ideally at what temperature and psi does it run at?
Definition
250°F-270°F at 15psi
Term
Why is tap water contraindicated when using an autoclave?
Definition
Tap water has minerals that will deposit and clog over time which is why, it is ideal for distilled water to be used.
Term
When can the autoclave door be opened?
Definition
The autoclave door can be opend when there is 0 psi and the temperature has dropped to 212°F
Term
What is the common protocol for flash sterilization use?
Definition
3-4 minutes unwrapped at 270°F-272°F at 15 psi
Term
As moisture evaporates from soiled materials this occurs
Definition

Particles from the soiled material disperse by small air currents

 

Remember: Although drying inhibits growth of MO's-it may also increase dispersal of particles containing viable microbes if not cleaned ASAP

Term
Gives complete destruction of materials that are non-reuseable and have no value
Definition
Incineration
Term
Refering to incineration the material must be completely reduced to ash and if any partially burned lumps remain this can occur:
Definition
Microorganisms may still be present and the partially charred piece may actually protect the microorganism
Term
Used at a temperature of 150°C-170°C(340°F) for 3 hours this is economical and does not corroid metals or dull sharp edges however it does take longer and is not recommended for paper, cloth, plastic, or rubber. What am I?
Definition
Hot Air Ovens
Term
Gluteraldehyde and Chlorhexidine (Diluted Nolvasan Solution) are the most common agents of what chemical classification category?
Definition
Liquids
Term
Gases are used on items that cannot tolerate high temperatures or steam. Name two of the most common gas agents.
Definition
  • Ethlene Oxide
  • Hydrogen Peroxide Gas Plasma (Safer than EO but cannot penetrate walls of an instruement)
Term
Primarily used in an industry, institution and military this gas inactivates DNA preventing cell reproduction and very poisonous, explosive and flammable.
Definition

Ethylene Oxide (EO Gas)

 

Remember: Item must air out for a minimum of 7 days

Term
Required with every pack these indicate whether or not the autoclave are working properly there are many types
Definition
Sterilization Indicators
Term
This item changes color when exposed to heat and does not indicate sterility but indicates whether or not an item has been processed
Definition
Autoclave Tape
Term
Vials or paper strips impregnated with lead that is inoculated onto a growth medium to determine sterility. This process takes two days. What am I?
Definition

Biological Indicators

 (Bacillus Stearothermophilus)

Term
Water pulling through sterile material contaminating it with bacteria is called:
Definition
Strike Through
Term
A practice of soaking objects in disinfectant solutions mainly used for dirty or minor procedures cleaning the instruments well within a minimum 15 minutes soaking or 3 hours to be considered sterile.
Definition

Cold Sterilization

 

Remember: Solution should be changed in a minimum of every 2 weeks or more often if it gets dirty and date labeled with name or intitals.

Term
The use of disinfectants are used for animal cages, counters and floors which are examples of inanimate or animate objects?
Definition
Inanimate
Term
The use of antiseptics are used on wounds, surgical sites, and the surgeon's hands these are examples of inanimate or animate ?
Definition
Animate
Term
What type of chemical disinfectant are used on inanmate objects?
Definition
  • Phenols
  • Quaternary Ammonium Compounds
  • Aldehydes
  • Alcohols
Term
What type of antiseptics are used on animate objects?
Definition
  • Halogens
  • Biguanides
  • Hydrogen Peroxide
  • Soaps and Detergents
Term
Commonly used if an allegry to Chlorhexidine or Iodine is present, this conatins carbonic acid-Hexacholorophene.
Definition

Phenols

Example: PhisoHex Hand Scrub

Term
Never to be mixed with bleach because it will form a toxic cloud which can cause a fatal acute asthmatic attack resulting in death.
Definition

Quaternary Ammonium

Example: Roccal, Benzalkonium, Chloride

 

Remember:Very effective against bacteria not spores or viruses

Term
These are toxic and irritating and it is important to wear gloves when handling.
Definition

Aldehydes

Ex: Formaldehyde & Gluteraldehyde

Term
This evaporates rapidly and leaves no residue and should also not be used in open wounds because it is cytotoxic/painful.
Definition

Alcohol

Example: 50% or 70% Isopropyl/Ethyl and 99% Isopropyl (Not use don patients but suture material)

 

Remember: Bactericidial and ineffective against spores and fungus.

Term

A common surface disinfectant which is among one of the very first agents used, that can be cytotoxic at improper dilutions.

 

Hint: Dilution at 1:30 kills viruses including parvo

Definition

Example of Halogens: Chloride Compounds

 

Note: An example of Chloride Compounds is Sodium Hypochlorite (Bleach)

Term
Used only on intact skin and is not common in vet practices. An aqueous solution must be greatly diluted to use on living tissue.
Definition

Iodines

 

Example: Tincture(2% Iodine/50% Ethyl Alcohol

Term
Iodine combined with carrier molecule more commonly used in vet practices and is available as a scrub solution.
Definition

Idophors

Example: Providine-Iodine Srub/Solution

Term
Examples of Biguanides are:
Definition
Chlorhexidine (Nolvasan) and Nolvasan-S which is used only on inanimate objects unlike Chlorhexidine
Term

True or False

There are ideal chemical disinfectants

Definition
False
Term
[image]
Definition

Scalpel Handles

#3: Small Animal Surgical Procedures

#4: Large Animal Surgical Procedures or Necropsy

Term
[image]
Definition

A: Metzenbaum- Used to cut delicate tissue (Ex:muscle and fat) REMEMBER: Never cut suture material with these.

 

B: Mayo- Cut thick tough tissue (Ex: Skin and fascia)

Term
[image]
Definition

Lister Bandage Scissors

 

Used for cutting off bandages these are angled with a blunt end to avoid damaging the skin

Term
[image]
Definition

Wire Suture Cutting Scissor

 

Thicker than Lister to cut through wire suture material

Term
[image]
Definition

Littauer Suture Removal

Has a hook at the end to get under suture material to cut

Term
This surgical scissor is used to cut various things.
Definition
OR Scissors
Term
This scalpel blades is the most commonly used for small animal surgical procedures.
Definition

#10

 

Note: #20 scalpel blade is most common for large animal

#22- Necropsy

#15-Eye surgeries

Term
[image]
Definition

Allis Tissue Forcep

Used for grasping tissue to be removed. These are very traumatic and crush tissue.

Term
[image]
Definition

Babcock Tissue Forcep

Same purpose as Allis but less traumatic

Term
[image]
Definition

Backhaus Towel Clamp

Used to click tiny amounts of skin to hold drapes in place. You only want to click once.

Term
[image]
Definition

Rochester Carmalt

Used to crush and occlude vessels in spays. Two curved and Two straight in a pack. Unlike pean and ochsner carmalt's have longitudinal grooves with a cross hatch pattern at the tips.

Term
[image]
Definition

Rochester Pean

Used to crush and occlude vessels and large tissue bundles. Transverse grooves

Term
[image]
Definition

Rochester Ochsner

Used to crush and occlude vessels in large animals. These are different than Pean because of there interdigitating teeth.

Term
[image]
Definition

Kelly Hemostatic Forceps

Used to crush and occlud small to medium vessels. Transverse grooves run half way up the jaw.

Term
[image]
Definition

Crile Hemostatic Forceps

Used for crushing and occluding small to medium vessels. Has transverse grooves that run up the entire jaw.

Term
When using mosquito hemostatic forceps you only want to use this area on when using them for skin bleeders.
Definition
Tips
Term
[image]
Definition

Adson Tumb Forcep

Aka: Mouse tooth

These are not traumatic to tissue

Term
[image]
Definition

Rat Tooth Tumb Forcep

Used for grasping skin.

Term
[image]
Definition

Debakey Thumb Forcep

Created by Dr. Debakey so he could suture small vessels while performing cardiovascular surgey.

Term
[image]
Definition

Russian Thumb Forcep

Used at the tips of the interdigitating teeth for pulling needle out while suturing only.

Term
[image]
Definition

Army/Navy Retractor

Smooth ends on both sides

Term
[image]
Definition

Senn Retractor

Sharp or blunt

Term
[image]
Definition

Snook Retractor

AKa: Spay Hook

Used in surgery to reach around the body cavity and hook the uterine horn and pull it to be exposed for removal.

Term
[image]
Definition

Hohman Retractor

Used in orthopedic surgery to help lever tissue out of the joint

Term
This retractor is bent to the doctors preference.
Definition
Malleable
Term
[image]
Definition

Mayo Hegar

Is used for needle holding.

Term
[image]
Definition

Olsen Hegar

 Used for needling holding and to cut suture material. the tips may or may not have replacebale tungstin carbin tips.

Term
[image]
Definition

Poole Suction Tip

Used for abdominal and thoracic surgery. Has a removable outer sleeve that is removed to clean properly and if the instrument is plastic it is disposable.

Term
[image]
Definition

Frazier Suction Tip

Used for orthopedic or neurological surgery. A stylette is used to clean the middle piece.

Term
[image]
Definition

Yankauer Suction Tip

General Purpose

Term
What fingers should be placed in the rings of an instrument?
Definition
Ring finger and thumb
Term
What are the three most common sissors in a pack?
Definition
  • OR
  • Mayo
  • Metzenbaum
Term
This tissue forcep is used as an intestinal clamp and is usually autoclaved alone.
Definition
Doyen
Term
The choice of the suture material is based on the preference of the ____.
Definition
Surgeon
Term
What are some of the ideal suture characteristics?
Definition
  • Relatively non-reactive in body tissue
  • Easy to sterilize
  • Monofilament of a uniform small size
  • Possess a high tensile strength
  • Completely absorbable
  • Inexpensive
  • Pilable
  • Easily Manipulated
  • Never slips when tied
Term
What are the purposes of suturing?
Definition
  • Bring one tissue edge in contact with the other
  • Hold wound edges in apposition until it can endure normal stress without support of suture

 

Term
What are major classes of cuture material?
Definition
  • Absorable vs Nonabsorable
  • Monofilament vs multifilament
  • Synthetic vs natural
Term
This class of sutures are digested and assimilated by the body during normal healing and does not requre removal and replaces healthy tissue as a result of an inflammatory reaction
Definition
Absorbable
Term
This absorbable suture made from hog or sheep submucosal intestinal layers can be plain or chromic and is elastic and easy to handle
Definition
Surgical Gut (Catgut)
Term
Plain surgical gut (catgut) is absorbed 3 to 5 days unlike chromic surgical gut (catgut) that is absorbed in ___ to ___ days.
Definition

10 to 15 days

 

Note: Its absorption time is longer than plain because it is treated with chromic acid salts.

Term
Synthetic material made from hydroxyacetic acid lasts 14-21 days has excellent handling and knot holding characteristics as well as less tissue reactions than catgut
Definition

Polyglycolic Acid

 

Examples: Dexon, Kendall

Term
Dexon a polyglycolic acid absorbable suture and Vicryl a polyglactin 910 absorbable suture have what cons?
Definition
Degrades rapidly in an alkaline enviorment,dissolves faster in infected urine
Term
This absorable suture is made from lactic and glycolic acids and lasts 14 to 21 days. It has good handling qualities and knot security.
Definition

Polyglactin 910

 

Examples: Vicryl, Ethicon

Term
Multifilament absorable suture made from glycoside/ lactive copolymers that lasts 14 to 42 days and is gone by 70 days
Definition

Polysorb

 

Examples: Kendall

Term
A newer synthetic polyester material that has less tissue drag during placement,possess memory, requires multiple throws for knot security and is better for slow healing wounds taking 180 days (6 months) for absorption
Definition

Polydioxanone/Polyglyconate

 

Examples: PDS, Ethicon

Term
Monofilament absorbable suture used in situations where healing occurs more quickly and lasts 7 to 14 days gone by 90 to 120 days (3-4 months)
Definition

Poliglecaprone & Glycomer 631

 

Examples: Monocryl, Ethicon, Biosyn, Kendall

Note: Dr. Karner uses this for cat spays

Term
This class of sutures are not absorbed or digested by body tissues and can keep its strength for at least 60 days and remain in tissues until removed by a veterinary technician.
Definition
Non-absorbable
Term
This non-absorable suture has excellent handling/knotting qualities, can induce a severe soft tissue reaction and can serve as a point of prgin for infection. Commonly used in cardiovascular surgery.
Definition
Silk
Term
A non-absorbable natural fiber that increases slightly in strength when wet and has limited use in the veterinary field.
Definition
Cottone & Linen
Term
Synthetic polymerized plastic non absorbale suture material that does not cause tissue reaction in tissue, strength that last for several years, has significant memory and is somewhat stiff and slippery.
Definition

Polyamide

Examples: Nylon, Ethicon

Term
Non-absorbable synthetic plastic similar to nylon that does not weaken over time and is excellent for permanent suture support.
Definition

Polyproplylene

Examples: Prolene, Ethicon, Surgipro, Kendall, Fluorofil II

Term
Synthetic suture that is more elastic making it able to stretch and return to its orginal length without breaking. This is why it is ideal for repairing ligaments and structures under weighted motion. Commonly used for cruciate ligament.
Definition

Polybutester

Examples: Novafil, Kendall

Term
Non- absorbable synthetic multi-filament that requires 5 to 6 throws for knot security and has significant tissue drag and tissue reaction. Chronic infection and draining fistulas is a common complication.
Definition

Polyester Fibers

Examples: Mersiline, Tevdek, Polydek, Ethicon, Ti-cron, Kendall

Term
This non absorbable synthetic fiber coated with a plastic like material should not be use below skin level because it can predispose a patient to fistula's and infection. The outer sheath of suture can often break allowing underlying fibers to have bacterial migration.
Definition

Polmerized Caprolactum

Examples: Supramid, Braunamid, Vetcassette II

Term
This non-absorbable suture is stainless steel and is available in monofilament and multifilament and does not support bacterial growth.
Definition
Wire
Term
Means to go around
Definition
Cerclage
Term
#O means:
Definition
Ought
Term
Eyed needles are frequently used and are reusable with various types of suture material its counterpart however will not unthread itself has less bulk and comes with suture material already attached what is this called
Definition
Swaged or Swedged
Term
These are faster and easier to use then hand suturing and are named by an abbreviation of their designed function, a number may be used after the name to indicate the length of the row.
Definition
Skin Staples
Term
This sapler placesfour rows od staples and cuts between the middle two rows.
Definition
Gastrointestinal Stapler (GIA)
Term
Unlike a surgical skin stapler that places only a single row of staples this stapler is used in lung resection and places double or triple rows of staples
Definition
Thoracoabdominal stapler (TA)
Term
Used for blood vessel ligation this stapler places two staples on a vessel, and cut between them.
Definition
Ligate-and-Divide Stapler (LDS)
Term
A straight neddle driven through by hand and one that resembles a regular sewing needle is called:
Definition
Keith
Term
Special needle with the eye in the point that requires a special braided tubular suture. The only purpose is to retain a prolapsed vaginia in large animals.
Definition
Buhner Needle
Term
A double curve design needle that goes thru skin without having to pivot wrist and is used exclusively for large animal
Definition
S Curve Needle
Term
Round all the way to the tip with gradual taper. Used for soft tissue, internal tissue and SQ. This type of needle is atraumatic to tissue because it pushes apart instead of cutting.
Definition
Non-cutting or Tapered
Term
Produces a "cut out' effect and should not be used when an air tight or water tight suture line is required. Has a triangular shaped point used for skin and tougher tissue.
Definition
Cutting
Term
Has less of a cut out effect and does not bend or break as easily as regular cutting needles which is why they are most preferred by surgeons.
Definition

Reversal Cutting

Aka- (K needle)

Term
There are many suture patterns but for categorization purposes they are described as continuous or interrupted. They can also be described or divided as :
Definition
  • Simple- directly oppose each other
  • Mattress- designed to withstand added tension
  • Everting- turns the tissue outward away from the patient and towards the surgeon
  • Inverting-turns the tissue toward the patient or toward the lumen of a hollow viscous organ
Term
Suture pattern mainly used in large animals and is similar to simple continuous but provides greater security if broken
Definition
Ford Interlocking
Term
Is commonly used to suture skin of cattle following a rumenotomy
Definition
Horizontal Mattress
Term
Used for inversion of visceral stumps or securing of "ostomy" tubes. The stump is held inverted as suture is tightened.
Definition
Purse String
Term
Used for manipulation or retraction of tissue. Usually 2 or more are placed.
Definition
Stay sutures
Term
Suture material is passed through the stump to be ligated, tied around half of the stump then around the entire stump. Example used to suture the uterine stump.
Definition
Transfixation Ligature
Term
This is a classical suture pattern for closing gut. The needle and suture penetrate serosa and muscularis but not mucosa. This pattern can be continuous or interrupted.
Definition
Lembert
Term
6-O to 10-O are mainly used for delicate surgeries like:
Definition
eye surgeries
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