Otmanage upgrade to referral HOSPITAL

WE embark on a fresh endevour to upgrade OTMANAGE to the level of a Referral hospital
begining with the facilities in the Operating rooms.

Infection Control, Sterilization and Care of Surgical Instruments

VENTILATION of OT

The ventilation system has a very large part to play in limiting infection. 
The temperature at 68 to 70°F (20-23°C) with a humidity of 30 to 60 percent. 
This reduces bacterial growth and static electricity. Each OT should have independent temperature controls.

Air flow should be filtered through high-efficiency particulate air (HEPA) system with 15 air exchange per hour at least three must be fresh air. 
Air enters the OT through vents in the ceiling and leaves through vents near the floor.

There must be a positive pressure in the OT compared to wash rooms, utility rooms and corridors.

The air ventilation system must have a routine for inspection and maintenance including change of filters.

Any questions be sent to drmmkapur@gmail.com

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ANESTHESIA Procedures 1

Anesthesia Procedures

Preoperative Check

Objectives

· Patient identification and consent check for operation and anesthesia.

· Availability and check functioning of anesthesia machine, intubation sets, drugs, monitors.

· Casenote confirmation of operation decided upon for that particular patient.

Intravenous Induction

Objectives

• To induce loss of awareness rapidly at the start of anesthesia.
• Induction is achieved with intravenous agents (thiopentone 3-5 mg/kg, methohexitone 1-1.5 mg/kg, etomidate 0.3 mg/kg, propofol 1.5-2.5 mg/kg or ketamine 2 mg/kg).

Position

• Supine.

Premedication

Any combination of anxiolite and antisialgogue.

Procedure

• Intravenous cannula inserted into a peripheral vein, preferably on the dorsum of the hand and infusion fluid attached.
• Drugs prepared in syringes and labeled (IV induction agent, muscle relaxant, atropine)
• Patient connected to the monitor for ECG, non-invasive blood pressure (NIBP), and oxygen saturation.
• 100% oxygen by mask before the drugs are injected.
• Small test dose of intravenous induction agent given and effects observed for any anaphylactic reaction.
• Rapid sequence induction technique used in emergency situation where the stomach is full or chances of regurgitation are a potential problem.
• Anesthesia maintained with inhalational agent.
• Tracheal intubation done using muscle relaxant.

Instruments

• Intubation tray
• Anesthesia machine ( check list 1, see page 99 )
• Breathing circuits, face mask, inhalation set ( check list 1, see page 99 )
• 1V cannula, infusion, fluid, spirit and iodine swab, adhesive plaster.
• Drug tray and labels.
• Normal saline bottle for dilution of drugs.
• Induction agents-Thropentone, Propofol, Ketamine.
• Arm boards.
• Patient monitors for ECG, Spo_2, NIBP, and ETCO2.
• Anesthesia machine monitors (Oxygen analyser, gas monitor)
• Emergancy drug tray(check list 11, see page 102 ).

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and reviev.

Visitors that the site may post contributions.

To create consumer/provider engagement visit www.surgseminar.blogspot.com.

www.drmmkapur.blogspot.com.