Get to the Point
What does the needle BV stand for?
Blood Vessel
Which Ethicon plant based product is safe to use on Jehovah Witness Patients?
Surgicel
During the endoscopic vein harvest access can be tricky to manage bleeding, what is a best practice to help manage this bleeding post OP?
Hold Compression on the leg. Utilize 35cm laparoscopic VISTASEAL tip, place distally and pull slowly through the channel allowing the tip to spray the tunnel. Hold pressure on the leg with a bandage compression wrap.
Surgeon is looking for a Pop Off Suture, what does it say on the box?
Controlled Release
Name 3 Synthetic Absorbable Sutures & what layer of skin are they typically used
Monocryl, Vicryl, PDS
Subcuticular, Subcutaneous, Fascia
What does the needle CC stand for?
Calcified Coronary
Why do SURGICEL products change color when it comes in contact with blood?
Lowers pH which creates a bactericidal enviornment
What size suture is used during a distal anastomosis in a CABG procedure?
6-0, 7-0 or 8-0
Dr. Dhanisetty is looking for his Hemoseal needle, on the packaging how do you identify this specific needle?
Suture Code begins with an HS
Name the characteristics of a Prolene suture
Monofilament, Non-Absorbable, Synthetic
What does the needle RB stand for?
Renal (Arterial) Bypass
What is SURGICEL products made of & what makes them turn brown?
Oxidized Regenerated Cellulose (plant based) & Lowers pH to create a bactericidal environment
What are some patient factors that impact wound healing?
Age
Weight
Nutritional status
Dehydration
Inadequate blood supply to wound
Immune response
Presence of chronic disease
Radiation therapy
Dr. Meyers is using the best needles, which is made of the strongest alloy that is stronger and more bend resistant than standard stainless steel needles, when locating this special needle how do you know by looking at the box you have his requested needle?
Name the characteristics of a Ethibond
Braided, Synthetic, Non-Absorbable
What makes Everpoint different than other needles?
Made of Tungsten Rhenium, Non-Magnetic, Darker in color vs. Stainless Steel
What makes Vistaseal's mechanism of action different from other hemostatic agents?
Forms a clot independent of patients coagulation profile & can be used on patients who have trouble forming clots on their own.
When applied to the surgical site, these biologic components generate a cross-linked fibrin clot in a process that recreates the last stage of the coagulation cascade, which is effective even in heparinized patients.
How much is a surgical site infection according to the CDC?
$25,000 but can be upwards of $95,000 depending on if there is an implant involved
6 to mix
Goo in the Blue
Dermabond PRINEO consists of a mesh dressing with a topical adhesive, together this dressing gives the wound an additional strength similar to what size suture?
3-0 Monocryl
Hemoseal Needles have a tapered suture to thinner needle ratio making less needle hole bleeding. How much of a reduction to needle hole bleeding does this needle provide vs. our standard needle/suture combination?
67%
What is the new indication for Vistaseal if left out of the freezer after defrosting?
7 days allowed to stay in the fridge
Blood transfusions happen most commonly in what procedure?
1. Cardiac Valve Replacement
2. CABG
3. Aortic Aneurysm Repair
Per the IFU, when using Evarrest, which side is placed on the wound?
Powder side down, Waves up
What are the key application steps to Dermabond PRINEO?
Approximate wound edges, apply the mesh adhesive, cover with liquid adhesive, and allow it to dry for at least 60 seconds. Ensure the area is clean and dry, Do not overapply.