Читать книгу Small Animal Laparoscopy and Thoracoscopy онлайн
152 страница из 232
Planning Coordination and Efficiency
The entire surgical team is involved in planning for MIS procedures. A surgical checklist may facilitate preparation. Adequate function and availability of equipment need to be confirmed by the surgeon before anesthesia.
A sample checklist of MIS room assessment is:
Confirm light source working properly and check bulb life (expended hours).
Turn insufflator on and check for gas availability and spare tank.
Check image capture devices for appropriate functioning and storage capacity.
Turn on electrosurgical unit and check for proper function.
Check suction and irrigation equipment and confirm for sterile containers and parts.
Confirm availability of additional hemostasis aids, Gelfoam, etc.
Confirm availability of other disposables necessary (e.g., staplers, graspers, trocars, and surgical loops).
Confirm availability of trays and instrumentation needed for MIS and conventional surgery [56, 58,71–74].
In general, thoracoscopic procedures should be scheduled early in the day because of challenges with anesthesia, such as one‐lung ventilation, as well as the increased potential for complications. Clean laparoscopic procedures are often scheduled after thoracic procedures, and clean‐contaminated procedures that lead to contamination of instrumentation should be scheduled last [75–79].