Term
| What specialized clamp is used to control hemostasis? |
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Definition
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Term
| How are tumors diagnosed? |
|
Definition
| With a CT scan and high-resolution MRI |
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Term
| What is used to help determine the type of tumor? |
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Definition
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Term
| What is a specialized type of clip used during a craniotomy? |
|
Definition
|
|
Term
| How should a dandy clamp be passed? |
|
Definition
| With the tips pointing downward |
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Term
| What should the tech do while the surgeon is drilling through the skull? |
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Definition
| The tech should be irrigating to keep cool and prevent friction and removes bone dust |
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Term
| When a bone flap is removed, what should be done with it? |
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Definition
| The bone flap should be placed on the back table to soak in a betadine solution, or in normal saline with antibiotics |
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Term
| What is often used to control bleeding around bone edges? |
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Definition
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|
Term
| How is bleeding from the dura controlled? |
|
Definition
| Bipolar forceps and thrombin-soaked Gelfoam |
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Term
| What should be done to brain spoons before passing to the surgeon? |
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Definition
| They should be moistened with saline |
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|
Term
| What suture is often used to close the dura? |
|
Definition
| 4-0 braided nylon or silk |
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|
Term
| How is the bone flap secured to the cranium? |
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Definition
| The bone flap is secured by either titanium plates and screws, or with stainless steel wire |
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Term
| What type of drain is often used and left in the patient? |
|
Definition
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|
Term
| How is the drain attached and secured to the patient? |
|
Definition
| 0 or 2-0 silk on a cutting needle |
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Term
| What should be taken into consideration when moving the patient postoperatively? |
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Definition
| Extreme caution must be sued when moving the patient as they will have a urinary catheter with a drainage bag, monitoring lines, Hemovac wound drain, and most likely other important lines that could be easily pulled. |
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Term
| What is it about the saline irrigation that you should be monitoring? |
|
Definition
| The temperature of the saline and the amount used. |
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Term
| What types of tumors are considered benign? |
|
Definition
| craniopharyngiomas, epidermoids, dermoids, hemangiomas, meningiomas, acoustic neuromas, and pituitary microadenomas |
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|
Term
| What is specific to benign tumors and a craniotomy? |
|
Definition
| There are usually totally excised |
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|
Term
| What types of tumors are considered malignant? |
|
Definition
|
|
Term
| What is specific to malignant tumors and a craniotomy? |
|
Definition
| Usually, they cannot be totally excised, but the surgeon will try to remove as much as possible |
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