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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