Place a sheet under the lower

STEP 1 limbs

If the model of the clothing package includes a

waterproof lower sheet cover with reinforcement
and incorporated genital diaper, proceed to place
STEP 2 said cover, isolating the genital area properly. If the
package model has an individual diaper, proceed to
PATIENT place the diaper and then the lower waterproof
cover
DRESS
STEP 3 Put on the leggings to isolate the feet.

STEP 4 Place a polyester dressing covering the central

venous catheter.
 The skin fields are placed as
follows:

STEP 5 Two fields 5 cm on each side of the sternal notch.

Two fields diagonally supported on the field already

placed in such a way that it completely covers the
STEP 6 hands and parts of the surgical table that are
exposed
PATIENT
DRESS
STEP 7 A field 3cm from the sternal notch to the neck

STEP 8 A field 5cm below the xiphoid process

 STEP 9 If necessary, place a sheet on top of the patient,
isolating the area of anesthesia

Proceed to the placement of the adhesive film in

the area that is required (thorax and/or inguinal
STEP 10 region as necessary), with the in order to isolate the
operative area, preventing the accumulation of
PATIENT humidity and thus the migration of bacteria that
can cause a infection
DRESS
STEP 11 For upper UN fenestrated field location, place the
center fold over the sternum orienting the field
according to the printed symbols

Find the edges of the fields inside the top fold,

STEP 12 unfold the field from side to side, and extend the
top of the field to the area of anesthesia above the
patient's head.
 Remove and discard the protective paper from the
STEP 13 chest fenestration tape at the top and adhere it to
the patient.

Gradually remove the pieces of backing paper from

STEP 14 the tape adhesive of the sides of the field one by
one as it goes ufolding and sticking each segment
PATIENT
DRESS The final portion of the field is attached to the skin
of the thighs and legs in their midline, exposing the
STEP 15 groin, and the course of the internal saphenous vein
of a limb or limbs depending on be necessary

STEP 16 The pockets are placed and fixed to the field with
grasping forceps.
 On the right side are fixed the wall suction (street),
STEP 17 the electrocoagulation system, the CO2 aeration
system

Perfusion lines are fixed as follows:

Gradually remove the pieces of backing paper from

STEP 18 the tape adhesive of the sides of the field one by
one as it goes ufolding and sticking each segment
PATIENT
DRESS On the left side, arteriovenous line, cardioplegia line,
first suction (aortic root), second suction (aortic
STEP 19 aspiration) pericardium), third suction (aspiration of
left cavities and/or free cavities), fourth suction (if
necessary), (varies according to the surgeon's taste)

STEP 20 In the upper left part towards the area of

anesthesia, the alligators are fixed with hemostatic
forceps.
 In the upper right part towards the anesthesia area,
STEP 21 the monitoring lines are fixed as appropriate with
hemostatic forceps.

If direct cardioplegia infusion is necessary, the

STEP 22 infusion set is fixed at the top left towards the area
of anesthesia with hemostatic forceps
PATIENT
DRESS If tip cleaner is available Electroscalpel), proceed to
STEP 23 its adhesion on the surgical field next to the pocket
located on the right side

Proceed to the placement of the handles of the

STEP 24 ceiling lamps and their correct location.
 Place a compress on each side of the site to be
STEP 25 incised.

In this way, the patient's surgical gown

is terminated to begin the
cardiovascular surgical procedure.
PATIENT
DRESS