SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

IQX-FT-003-BUC
Versión: 1

STUDENT NAME: CODE: PRACTICE

Gissel Camila Jerez Muñoz 01190022026 LEVEL: III

TEACHER'S NAME: PRACTICE STAGE: NOTE:

Glenda Pabón Instituto del corazón

SPECIALTY: SURGEON: DATE:

Cardiovascular Dr. Ocampo 30 septiembre 2022

NAME OF PATIENT: MEDICAL HISTORY NUMBER: PATIENT AGE:

Alirio Galvis Laguado 5414399 67 Años
SURGICAL PROCEDURE TO PERFORM:
Aortic valve replacement

SURGICAL INSTRUMENTATION PROCESS

1. PLANNING STAGE:

1.1. Surgical Objective: (Make description)

1.2.
The procedure consists of the removal and replacement of the aortic valve with a prosthetic valve that allows
blood to flow in only one direction.
1.2. Anatomy and physiology: (Make graph and description).

The aortic valve is located at the outlet of the left ventricle, in the aorta.
consists of three sines, which are known as
right coronary sinus where does the right coronary artery come from
left coronary sinus where the left coronary artery arises
noncoronary sinus.

The aortic valve opens in systole pushed by blood and closes in diastole preventing blood from flowing back into the
ventricle.
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1.3. Check list:

MEDICAL EQUIPMENT/ DRUGS AND

SUTURES AND
INSTRUMENTAL DEVICES SOLUTIONS
NEEDLES

• reciprocating saw • pathology flask • kit ticron 2/0 • Saline solution

• perfusion machine • Scalpel blades • prolene 5/0 TF1 • heparinized
• frontlight 15 • Prolene 4/0 solution
• Electrosurgical unit • Scalpel blades • ptolene 6/0
console 11 • Silk 2/0 without
• Defibrillator and its • Syringe 3cc needle
paddles • 10cc syringe • Polyglactin 910
• Mammary type • Ruber 3/0
separator • asept • surgical wire 5
• separatorsternal • biological aortic • pacemaker
• ligaclip forceps valve thread
• Handlebars • dressing • scalpel blade
• Extracorporeal • Micropore 15
basket • cardioplegia • scalpel blade
• Cardiac cannula 11
PositionerStarfished • arterial cannula • bone wax
• Octopus fabric • venous cannula
stabilizer • pericardial
• Valve Gauge Set aspirator
• Rotators and testers • vent aspirator
• clothing
package
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ORGANIZATION STAGE:

Arrangement of May tables and reservation (make scheme).

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2.2. Patient position (Name and graphic):

2.3. Location of the Surgical Team (make a graph):

CX IQ

ANES

CX 2

PERFU
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2. EXECUTION STAGE:

a) Anesthesia (write the type of anesthesia):

• general anesthesia

b) Incision (write the type of approach and the name of the incision):

• inverted t incision in the thorax

c) Surgical Process (Describe the main steps of the surgical medical technique with the
instruments to be used).

PERTURESTERNAL TIME

Pass umlaut instruments to the surgeon to make the skin incision.

Transfer to the surgeon elastic apprehension instruments and electrocautery for incision of
deep tissues such as TCS and pre-sternal fascia of the pectoralis muscle.
Pass the reciprocating saw to the surgeon to perform the sternotomy, separating the sternal
edges with the Farabeuf retractor.
Pass to the surgeon an electrocoagulation device for hemostasis of the sternal periosteum,
and bone wax for bone marrow.
Transfer to the surgeon a sternum autostatic retractor to keep the sternum in place together
with the sternum protectors.
Transfer to the surgeon vascular elastic apprehension instruments and electrocoagulation
device for opening the pericardium
Transfer to the surgeon instrumental synthesis and silk suture 0 with a round needle the
repair points of the pericardium

CORRECTION TIME
 SURGICAL INSTRUMENTATION PROGRAM

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IQX-FT-003-BUC
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Transfer to the surgeon instrumental umlaut (scalpel, blade 11) and vascular apprehension to
incise the aorta, then pass Metzembaum-type scissors2.

Pass pericardial suction cannula to collect blood3.

Pass coronary perfusion cannula, for direct anterograde cardioplegia in the coronary ostia4.

Passage of elastic vascular instruments and 4-0 silk suture to repair the walls of the aorta

Pass vascular grasping forceps and scissors for dissection and removal of the aortic valve.

The nursing assistant is asked to identify the valve device to be planted, it is confirmed
aloud.9.

Pass the valve to the assistant surgeon and pass 2/0 polyester suture with a 16 mm needle
and synthetic instruments10.

WEEKLY REPORT FORMAT OF TRAINING PRACTICE

SURGERY ASSISTANCE RECORD FORM - TRAINING PRACTICE IQX-FT-024-UDES

STUDENT SIGNATURE: Gissel Camila Jerez Muñoz TEACHING SIGNATURE: __________________________

CONTROL DE CAMBIOS

FECHA DE
VERSIÓN DESCRIPCIÓN DEL CAMBIO RESPONSABLE
APROBACIÓN

Lizeth Guiza
Coordinadora de Prácticas
00 Versión de Prueba 25/11/2015
 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

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Elimina del encabezado la fecha de la

implementación del formato, según Erika Grandas Ardila
disposición de la alta dirección consejo Coordinadora de prácticas
superior.
01 Eliminación pie de página por 03/08/2022
modificación en procedimiento control de
documentos y registro.