SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

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IQX-FT-003-BUC
STUDENT NAME: CODE: PRACTICE
Erika Lizeth Carreño contreras 01180022040 LEVEL: III

TEACHER'S NAME: PRACTICE STAGE: NOTE:

Lidy Higuera Institute of heart

SPECIALTY: SURGEON: DATE:

Cardiovascular Dr. Carlos Ocampo 02- Noviembre- 2022

NAME OF PATIENT: MEDICAL HISTORY NUMBER: PATIENT AGE:

Antonio Maria Alquichim 5566525 77 Años
SURGICAL PROCEDURE TO PERFORM:
RVM

SURGICAL INSTRUMENTATION PROCESS

1. PLANNING STAGE:

1.1. Surgical Objective: (Make description)

It is a surgical intervention that uses leg veins, or arteries from another part of the body, to divert blood after the
obstruction of the coronary arteries, which are the ones that supply oxygenated blood to the heart.

1.2. Anatomy and physiology: (Make graph and description).

 SURGICAL INSTRUMENTATION PROGRAM

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1.3. Check list:

MEDICAL EQUIPMENT/ DRUGS AND

SUTURES AND
INSTRUMENTAL DEVICES SOLUTIONS
NEEDLES

• extracorporeal • Scalpel blades • kit ticron 2/0 • Saline solution

basket 15 • Prolene 4/0 • heparinized
• coronary basket • Scalpel blades • ptolene 6/0 solution
• reciprocating saw 11 • Polyglactin 910
• perfusion machine • Syringe 3cc 0
• frontlight • 10cc syringe • surgical wire 5
• Electrosurgical unit • Ruber • pacemaker
console • asept thread
• separatorsternal • biological aortic
• ligaclip forceps valve
• Handlebars • dressing
• Extracorporeal • Micropore
basket • cardioplegia
• Cardiac cannula
PositionerStarfished • arterial cannula
• 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).

 SURGICAL INSTRUMENTATION PROGRAM

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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 and in the lower longitudinal limb

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

1. asepsis and antisepsis of the patient

2. Longitudinal lower limb incision
3. section of the saphenous vein to perform the coronary bypass
4. inverted T-incision over the thorax
5. Performs the cannulation, according to the surgeon's preference, the use of suction
ventilation and retrograde cardioplegia.
6. If the sinus venosus is not cannulated for retrograde perfusion, pass a metal needle to the
surgeon for indirect antegrade cardioplegia (surgeon's choice)
7. Pass the umlaut instruments (scalpel blade 11) and vascular grasping instruments to the
surgeon to incise the aorta, then pass the scissors.
8. Pass the suction cannula of the machine to collect the blood.
9. Pass 4-0 silk for repair of aortic walls
10. Pass vascular grasping forceps and scissors for aortic valve dissection and removal.
11. Note that when the valve is calcified, the surgeon places a medium-moist gauze pad in
the cavity, removes the valve using allix forceps, scissors, and vascular grasping forceps.
12. The surgeon passes the surgeon a 2-0 vascular needle polyester suture with or without
felt (at the surgeon's discretion) of 16mm in each of the posts and respective repair, then
passes the following sutures, taking special care not to repeat the color of the thread, the
change of this sequence will be given by order of the surgeon.
13. Proceed to measure the valve with the sizer approved by the surgeon and confirmed.
14. If the valve to be implanted is biological, wash it according to the valve device washing
protocol
 SURGICAL INSTRUMENTATION PROGRAM

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15. Support the surgeon in the passage of the sutures in the valve annulus.
16. After implantation of the medical device, pass the closing suture (4-0 prolene 4-0 round
needle 16 mm with pleat)
17. Perform the completion time steps: patient decannulation, hemostasis review, pericardial
closure, pericardial muscle and fat closure, sternum closure, and skin closure.
18. healing and curation.

WEEKLY REPORT FORMAT OF TRAINING PRACTICE

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

STUDENT SIGNATURE: Erika Carreño 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

Elimina del encabezado la fecha de la

implementación del formato, según Erika Grandas Ardila
disposición de la alta dirección consejo
superior.
Coordinadora de prácticas

01 Eliminación pie de página por modificación 03/08/2022

en procedimiento control de documentos y
registro.