Insufflation
This gas is the one most commonly used to create a pnuemoperitoneum in laparoscopic procedures.
What is carbon dioxide?
The new Stryker tower uses a different camera than the older towers. True or false
What is TRUE?
BONUS: The old tower cameras can be used with the new tower. True or false What is FALSE?
Surgical smoke does not obstruct the surgeon's view.
What is false?
I know the light cable is properly connected by seeing what visual clue?
What is 'The light around the connection port comes on and stays on'?
CO2 tanks are kept here.
What is the equipment storage room outside OR 5 and 6?
The typical insufflation pressure for a patient with normal range BMI.
What is whatever the surgeon directs in accordance with the manufacturer's instructions for use?
The main functional improvement available with the new tower.
What is 'SPY VIEW' / the ability to view in fluorescence (i.e. see the Icey Green)? Will also accept - What is the smoke evacuation feature?
White balance for the camera is done in this way.
What is press AND HOLD the rectangular menu button on the camera handle?
The surgeon requests the light be turned on from the tower console but the light button 'does not work'.
What is the light button must be pressed AND HELD to turn the light on or off from the tower console?
CO2 is a flammable gas. True or False
What is false?
This is the reason insufflation pressure for a bariatric patient often needs to be greater than that for a normal BMI patient?
What is more pressure is needed to create an adequate space for viewing and manipulating the surgical target? i.e. It takes more strength to lift a heavier weight.
I know my camera is for the new tower by this visual clue.
What is the small black writing on the base of the camera that says 1688 A 4K?
First port / trocar placement is typically made at this anatomical landmark.
What is the umbilicus or belly button?
BONUS question: This device is used to initially puncture the abdominal cavity. What is a Veress needle?
There is no picture even though the camera is properly plugged into the camera box.
What is the camera is for the NOT for the new tower / it's one of the old cameras?
This allows the gas source to be switched to another tank.
What is the black toggle lever at the back of the tower?
Patients can experience this painful, post-operative side effect if the CO2 is inadequately evacuated.
What is sharp pain in upper chest and shoulders? Also, increased risk for venous stasis?
The autolight feature should be turned off for laparoscopic procedures because of this.
What is fog? (Autolight creates heat and causes the camera lenses to fog over for laparoscopic cases. That isn't an issue for modes other than laparoscopic.)
When not evacuated during laparoscopic surgery, studies show this causes increased pain and longer healing time for patients
What is surgical smoke or plume?
The surgeon's view can appear foggy and dim for these reasons.
What is the camera lenses is fogged over OR smoke evacuation is not turned on / needs to be on at a higher level.
I know my CO2 tank is low because of this.
Insufflation tubing should always be positioned at or above heart level for this reason.
What is reduce the risk for gas emboli?
Spy mode is turned on by pressing this button.
What is the rectangular menu button (at the 3 o'clock position) on the camera base?
Trendelenburg position is commonly used in laparoscopic procedures because of this.
What is letting gravity help make anatomical features accessible / better visualization of the surgical target?
If 'desufflate' is not an option upon turning off the gas, look for this problem.
What is make sure the trocars are all open and connected to tubing.
This is why CO2 is the most commonly used gas to insufflate the peritoneum.
What is 'Because it has a higher blood solubility than air, thus reducing the risk of complications from venous air embolism? Also, What is 'It enables appropriate adjustments to ventilation in order to maintain normal oxygenation or 'normocapnia'? Also, What is 'Because it is a stable gas?