Cardiovascular Surgery repair ASD

Atrial Septal Defect Closure (ASD)

Objective

•   To open chest

•   To close a defect (hole) in the atrial septum.

Position

•   Left semilateral/supine.

Anesthesia

General, endotracheal.

Procedure

   1.  Catheterization: Cleaning and draping.

   2.  Skin incision with No. 4 BP handle with No. 20 blade.

   3.  Saw and cable for sternotomy.

   4.  Pericardiotomy: Stay suture 2/0 At. silk.

   5.  Loop the SVC and IVC.

   6.  Keep ready for venous tubing, aortic tubing and cardio­plegia tubing.

   7.  Aortic purse string 3.0 T3 single arm suture (2) cannulated.

   8.  IVC purse string and cannulation.

   9.  SVC purse string and cannulation.

10.  Aortic cannulation No. 11 knife for hole in the aorta. Insert cannula, silk tie. Connect the venous and arterial line in SVC and IVC.

11.  Cardioplegia stitch 4.0 T3 single arm, arterial line, scissors, snugger medium snap, cardioplegia cannula, silk tie.

12.  Scissors for opening the RA.

13.  Direct closure 4.0 T3 stitch or Dacron patch 4/0 Surgilene.

14.  RA closure 5/0 Prolene.

15.  Decannulation, Pacing wire.

16.  Drainage tube.

17.  Sponge and instruments count.

18.  Sternum closure—muscle and subcutaneous.

Instruments

•   Cleaning tray

•   Catheterization set

•   Cardiac set

•   Open heart vascular set

•   Open heart special set

•           Open heart water seal.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew

Thosewho follow may post contributions to the site,please writo tp address above.

To create consumer/provider enagement visit www.surginstruatlas.blogspot.com

www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com

Also available now on android & smartphones same internet address