성인간호학) 정형외과 주요수술 procedure

목차

1. Arthroscopy, shoulder (SLAP & 회전근개 파열)
2. Open reduction (nonunion scaphoid)
3. Ulnar shortening
4. Meniscectomy
5. Patella Fx
6. MBO (Modified Brostrom Operation)

본문내용

1. Arthroscopy, shoulder (SLAP & 회전근개 파열)

1) 준비물
Arthro set, Shoulder pack, MT, MP, mini-revo set, PREP, Arthro cable, 4mm sleeve set, arthro forcep set, scope 4mm 30°/70°, arthro care, 물줄, suction tube #2, light handle, marking pen, no.11 blade, star sleeve, E/B, Lasso, wire, shaver tip 4mm(aggressive/radius), troca(6mm/8mm) ioban(3등분), arthro cutter, lassor, 볼록이 rasp(or burr tip 4mm), cordless drill set, 베터리

2) Procedure
prep : soap → alcohol → povidone

drap
sheet #2(몸통 & 팔 윗부분) → 천 skin towel 2장으로 앞, 뒤 닦아낸 후 유틸리티 skin towel → U-drap → 대공 → Ioban 반으로 잘라서 붙임 → 팔에 붕대 감고 star sleeve 적용 → 추 이용해서 extraction (1-point로 2.5㎏ #2) → line 연결(물줄, camera, beem, suction tube, shaver, arthro care, drill line)

Marking : 마킹펜 준비

portal 확보
- 1st portal : no.11 blade + no.3 knife handle → str. mosquito → 4mm sleeve(str.) → scope 삽입
- 2nd portal : scope으로 필드 보면서 spinal needle 삽입 → incision → Str. mosquito or switching stick → 8mm troca obtulator → 8mm troca

참고 자료

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