This is the OR you will set up for aneurysm cases
What is OR 4?
What is the first thing you grab when the screen turns red with blood?
Emergency Suction or "OSS"
What is the contrast dye used for an aneurysm and where do you get it?
ICG (reconstituted with sterile water) from the Omnicell
Who administers the ICG?
Anesthesia
How many units of Blood should you have in the room at all times?
2 Units
How Dr. Breshears will rotate the HOB from Anesthesia
What is 180 degrees?
What are the two types of aneurysm clips we have made out of?
This device is intraoperatively used to check for blood flow in the vessels surrounding the aneurysm and the aneurysm itself.
Doppler
Who do you call to call in the neuromonitoring tech?
Callan
How do you get blood sent to the OR?
Call Blood Bank, fill out Blood Bank Request form with A#, date, time and a patient sticker, have anesthesia place an order for blood
This is the device used to position the head
What is the Mayfield with Skull Clamp?
What are the two main types of aneurysm clips present in every set?
Temporary and Permanent
What kind of doppler do you use for aneurysm cases and where is it located?
Smart Needle Doppler in Neuro OR 4's pass through cabinet
True or False? You will have a specimen to send.
FALSE
What labs need to be complete prior to incision being made?
Type and Screen, Type and Cross
This is the microscope and settings Dr. Breshears will use
True or False? BrainLab is needed for Aneurysm Clippings
FALSE
If a rupture occurs, patient decompensates and BP is steadily dropping, what should you bring into the room or have nearby?
Code Cart!
You have used 1 unit of blood and need one more to replace it. What do you do?
Call Blood Bank, send another request and have anesthesia place a new order.
You will need a cooler with how many ice blocks from the substerile freezer for your blood in the OR?
3 blocks of ice
Well Done!
What vitals sign changes will you see when an aneurysm is ruptured?
HR increased, BP decreased
How long is blood good for in the OR in a cooler before it expires/need to be sent back to Blood Bank?
Up to 6 hours