Wound Classification
When does the wound classification occur?
Debriefing
What does LAST stand for?
Local Anesthetic Systemic Toxicity
Where is the MH cart located?
Recovery Room next to the crash cart and airway cart
What is counted during an initial count for a laparoscopic procedure?
Sponges, Sharps, Instruments
What time should the first patient of the day be entering the OR?
0730
What is the wound class for a laparoscopic cholecystectomy?
Class II: Clean-contaminated
What are the two types of toxicity that occurs?
CNS & Cardiac
What is the antidote for MH
Dantrolene
When the peritoneum is entered during a hernia repair what are you counting during the closing count?
Sponges, Sharps, Instruments
What is the reversal agent for Rocoronium?
Sugammadex
what is the wound classification for a carpal tunnel repair?
Class I: Clean
What is the antidote for LAST?
Intralipids
What do you mix Dantrolene with?
Sterile Water
Are instruments counted during a FESS?
No
What short acting muscle relaxant may be given during laryngospasm?
Succinylcholine
Why do we classify wounds?
Helps reflect the probable degree of microbial contamination and the risk of a SSI
Does Epinephrine increase or decrease the risk of LAST?
decrease. It is a vasoconstrictor and slows the rate of absorption.
Is increased temperature an early or late sign of MH?
Who should you inform if there is an incorrect count?
Surgical Team, Charge, Manager
What are the blue fan pads used for during specimen collection?
Neutralizes any possibly small formalin spills
If there is bile spillage during a cholecystectomy what wound classification should the procedure be?
Class III: Contaminated
Name 2 of the 3 main local anesthetic medications
Lidocaine
Bupivacaine
Ropivacaine
What type of lavage is considered effective for MH?
Peritoneal Lavage
In what direction do you count?
Surgical Site, Mayo Stand, Back Table, Kick Bucket
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