Wound Classification
LAST
MH
Counts
Fun Facts
100

When does the wound classification occur?

Debriefing

100

What does LAST stand for?

Local Anesthetic Systemic Toxicity

100

Where is the MH cart located?

Recovery Room next to the crash cart and airway cart

100

 What is counted during an initial count for a laparoscopic procedure?

Sponges, Sharps, Instruments

100

What time should the first patient of the day be entering the OR?

0730

200

What is the wound class for a laparoscopic cholecystectomy?

Class II: Clean-contaminated

200

What are the two types of toxicity that occurs?

CNS & Cardiac

200

What is the antidote for MH

Dantrolene

200

When the peritoneum is entered during a hernia repair what are you counting during the closing count?

Sponges, Sharps, Instruments

200

What is the reversal agent for Rocoronium?

Sugammadex

300

what is the wound classification for a carpal tunnel repair?

Class I: Clean

300

What is the antidote for LAST?

Intralipids

300

What do you mix Dantrolene with?

Sterile Water

300

Are instruments counted during a FESS?

No

300

What short acting muscle relaxant may be given during laryngospasm? 

Succinylcholine 

400

Why do we classify wounds?

Helps reflect the probable degree of microbial contamination and the risk of a SSI

400

Does Epinephrine increase or decrease the risk of LAST?

decrease. It is a vasoconstrictor and slows the rate of absorption. 

400

Is increased temperature an early or late sign of MH?

Late
400

Who should you inform if there is an incorrect count?

Surgical Team, Charge, Manager

400

What are the blue fan pads used for during specimen collection?

Neutralizes any possibly small formalin spills

500

If there is bile spillage during a cholecystectomy what wound classification should the procedure be?

Class III: Contaminated 

500

Name 2 of the 3 main local anesthetic medications

Lidocaine

Bupivacaine

Ropivacaine

500

What type of lavage is considered effective for MH?

Peritoneal Lavage

500

In what direction do you count?

Surgical Site, Mayo Stand, Back Table, Kick Bucket

500

What is the difference between BURP and Cricoid Pressure

BURP is commonly used for visualization of the vocal cords during intubation. Cricoid pressure is to reduce the risk of aspiration of stomach contents when a patient may have a full stomach or GERD. Not used often btu may be used during a RSI

M
e
n
u