Tuesday, March 7, 2017

Cardiovascular Surgery Sternotomy procedure instruments

Sternotomy
Objective
To open the chest and to expose the heart and mediastinum.
Position
Supine.
Anesthesia
General, endotracheal.
Procedure
1.  Incision from suprasternal notch to xiphoid process.
2.  Deepen incision to periosteum.
3.  Retract skin at the upper end with Rake retractor with scissors and a right angled clamp clear the upper sternal edge.
4.  Divide interclavicular ligament.
5.  Use sternal saw to cut along the line from above downwards.
6.  Pericardium is incised.
Instruments
   Cleaning tray

   Sternotomy set.


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