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Inside the OT

Topic

Basic Science

Podcast

024

Updated

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What is the difference between sterilization, disinfection and cleaning?

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What forms of sterilization does OT use?

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What are the steps of instrument sterilization in the OT?

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How do you monitor for autoclave?

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How do we monitor sterilization processes?

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What do you know about the Lidwell landmark study? What are the factors of reduction?

TOURNIQUET

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How do you size a tourniquet?

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What pressure? What equation?

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Contraindications for tourniquet?

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How do you exsanguinate the limb?

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What should you do about the tourniquet if you are performing a long operation?

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What complications with tourniquets?

SUTURES

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What sutures do you use?

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What is the effect of braided sutures? Disadvantages?

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Estimated resorption time?

DIATHERMY

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What is the difference between electrocautery and electrosurgery?

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How does diathermy work?

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What are the diathermy modes?

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What is fulguration?

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How to ensure safety of diathermy?

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How do you manage a pacemaker intraoperatively?

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How is bipolar diathermy different?

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What is radiofrequency ablation?

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How do scope solutions differ for RFA versus diathermy?

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What are the contraindications?

OT DESIGN

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Where should the OT be placed in the hospital?

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What are the OT design areas?

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How do you design an OT?

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What other factors need to be considered?

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What is laminar flow and what types are there? What is it opposed to?

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What is the ideal OT ventilation?

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What is the evidence for laminar flow?

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What is HEPA filter?

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What is the definition of ultra clean air?

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How do you know your OT air is sterile?

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What is plenum?

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What are the sources of infection in the OT?

SCRUBBING AND CLEANSING

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What do you use for scrubbing?

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Mechanisms of various cleansing solutions?

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What do you wear?

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What are the types of OT gowns?

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What is the evidence for space suits?

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What is Strike Through?

Surgical Site Infection (consolidation)

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How do you reduce surgical site infection?

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Does blood transfusion itself increase infection rates?

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Go to the ant, O sluggard; consider her ways, and be wise. Proverbs 6:6