Case No.

: Major Scrub 3
Name of Student: Mary Edella Acob
Year and Section: III-I

Name of Patient: C. N. U Age: 55 Sex: Male Civil Status: Married

Date of Admission: 10/6/19 Time Started/Ended: 4:35 PM –7:00 PM
Date of Surgery: 10/7/19
Bed #: Hospital No.: 19-210000239292 Admission No.:

Surgeon: Dr. John Hubert Pua, MD

Anesthesiologist: Dr. Paraiso, MD
Scrub Nurse: Lara Katrina, RN
Circulating Nurse: Stephanie Reyes, RN

Chief Complaint: Non healing wound at the right foot

Rationale/Definition: The patient involved in a motor vehicle accident that traumatize his right foot
up to his leg. There was a big area that was affected when the right leg touches
the motor exhaust. The wound was also infected already because it has a lot of
pus from his leg down to his foot.
Post-Op Diagnosis: Above the knee amputation of the right foot
Rationale/Definition: Due to worsened condition of the wound in the right foot. There is a lot of pus
coming from the wound and up until his legs and some area is severe burned.
There was a chronic infection that do not respond to surgical debridement.

Surgical procedure: Above the knee amputation of the right foot

Definition: Removal of a leg, foot or toes from the body. It is done either by surgery or
they occur by accident or trauma to the body.
Indication: There is a traumatic injury which is a severe burn and non-healing wound due
to motor vehicle accident. Also, there are a lot of pus when the debridement
started that led to amputation.

Type of anesthesia: General

Specific technique: Inhalation
Main anesthetic agent: Sevoflurane
Mechanism of action:
Sevoflurane work by reducing the activity of the body's central nervous system temporarily.
It is a clear colorless liquid, that becomes a gas when put into a special anesthetic machine
(vaporizer); causes a dose-dependent vasodilation of cerebral vasculature, thereby increasing
cerebral blood flow and intracranial pressure
Position: Supine
Equipment used for Positioning: Pillow, safety strap and grounding pad
Incision: fish mouth incision
Skin preparation: Right Leg down to foot
Disinfectant used: Betadine and cutasept-F
Draping: Lap sheet, towel (4)

Sutures and Needles:

Tissue Layer Needle Name of Suture Used Suturing Technique

• Skin • Cutting • Prolene 3-0 • Interrupted Suture

• Subcutaneous Fat • Taper point • Vicryl 0 • Subcutaneous Suture
• Fascia • Taper point • Vicryl 2-0 • Deep Suture
• Muscle • Cutting • PDS II • Spiral Interrupted Suture
Instruments:
Clamping Retracting Grasping Cutting Others

• Mosquito • Malleable • Thumb • Knife • Bowl

• Kelly • Army Navy Forceps • Mayo Straight • Kidney Basin
• Tonsil • Richardson • Tissue • Mayo Curve • Medicine Cup
• Peritoneal • Balfour Forceps • Metzenbaum • Cautery
• Bladder • Russian • Ronguer • Needle Holder
Retractor • De Bakey • Osteotome • Suctions
• Deaver • Kocher • Curette
• Allis • Rasp
• Babcock
• Sponge stick
• Towel clip