Operating Room

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Surgical Experience

Prior To Surgical Experience:

1.Sterile Field
Before surgery is performed surgical drapes should be put in place to establish an aseptic barrier minimizing the passage of microorganisms from nonsterile to sterile areas. Only Sterile items should be in the sterile field.

Sterile to Sterile ideas should be in place
Open any sterile packages away from body to the sides and than towards your body Make sure sterile area does not become wet if so then you must set up a new field Never reach over sterile field
Never turn back on sterile field
General and Local Anesthesia:
General: Blocks all body sensations and cause unconsciousness, relaxation and loss of reflexes. Local, Regional, conduction blocks, or spinal anesthetics disrupt sensation to specific body areas or parts, without causing unconsciousness. States of General Anesthesia:

Stage I: The beginning anesthesia when reflexes present, heart rate normal, slower rate and increased depth of respiration, normal blood pressure (BP), some dilation of eyes with reaction to light. Stage II: Dreams and excitement, active reflexes, increased heart rate, irregular breathing, increased BP, pupils widely dilated and divergent. Stage III: Surgical Anesthesia: Four planes, ranging from light to deep, with third and forth plane usually best for most types of surgery. Progressive loss of reflexes, decreased heart rate, progressively depressed respirations until apneic, normal to decreased BP, constricted to slightly dilated and centrally fixed pupils. Stage IV: Danger Stage, Too much anesthesia has been administered, no reflexes, weak and thready pulse, respiration completely flaccid, decreased BP, widely dilated pupils. Prompt venation is required to prevent irreversible coma and death. Commonly used preoperative medications and why given?

Sedative is usually order the night before so the patient can sleep. Antibiotics before surgery to help prevent postoperative infections. A preoperative...
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