Today was the first day of surgeries! We neutered Dipper. We arrived early so that the students could get a head start. First, we checked the anesthetist’s drug calculations for Torbugesic, acepromizine and glycopyrrolate for the premedications and then Propofol for the induction agent. Then they could draw up the drugs, and have either myself, Maura or Kim check the syringes, and then mix the premed into one syringe. Then the circulating nurses performed their physical exam and did a big four; blood glucose, BUN, PCV and a total solid. After Dr. Young checked the exam and the blood work, the anesthetists could give the premed IM.
While this is going on, the surgical assistants are preparing the surgical suite by turning the table and heating pad on, setting up all of the monitoring machines and getting out their gowns and gloves for after they scrub.
I then changed the scrub containers according to the correct procedure.
When Dipper was sedated enough, the circulating nurses attempted to place a catheter. They tried three times, so I had to put the catheter in.
Once the catheter was placed, the anesthetists induced him with the Propofol over 60-90 seconds. Then they intubated him, connected the tubes, inflated the cuff and turned on the oxygen and Isoflurane. Then they clipped the surgical area and scrubbed him.
While Dipper was being prepared for surgery, the surgical assistants scrubbed, gowned and gloved. Then they moved into the surgery suite and had a circulating nurse sterilely open the surgical pack.
Once Dipper was scrubbed, he was moved into the surgical suite and hooked up to the anesthesia machine and monitors, as well as tied to the table.
Then the surgery began, with one surgical assistant passing instruments, and the other helping Dr. Young. They switched half way through. The anesthetists monitored Dipper throughout the surgery, adapting the anesthesia according to what was going on with Dipper.
After the surgery was over, everyone cleaned up and the anesthetists recovered Dipper, giving him his pain medication; Buprenex; when his temperature was up to 97. They also decided who was going to give the rest of the pain medication.
A recovery sign was put up and the catheter was removed. The surgical packs get cleaned and repacked to be autoclaved for tomorrow’s lab, along with the gowns and drapes. The surgery suite is cleaned and mopped and the monitors are cleaned as well.
*please see procedure section for a more in depth description of all of these tasks
While this is going on, the surgical assistants are preparing the surgical suite by turning the table and heating pad on, setting up all of the monitoring machines and getting out their gowns and gloves for after they scrub.
I then changed the scrub containers according to the correct procedure.
When Dipper was sedated enough, the circulating nurses attempted to place a catheter. They tried three times, so I had to put the catheter in.
Once the catheter was placed, the anesthetists induced him with the Propofol over 60-90 seconds. Then they intubated him, connected the tubes, inflated the cuff and turned on the oxygen and Isoflurane. Then they clipped the surgical area and scrubbed him.
While Dipper was being prepared for surgery, the surgical assistants scrubbed, gowned and gloved. Then they moved into the surgery suite and had a circulating nurse sterilely open the surgical pack.
Once Dipper was scrubbed, he was moved into the surgical suite and hooked up to the anesthesia machine and monitors, as well as tied to the table.
Then the surgery began, with one surgical assistant passing instruments, and the other helping Dr. Young. They switched half way through. The anesthetists monitored Dipper throughout the surgery, adapting the anesthesia according to what was going on with Dipper.
After the surgery was over, everyone cleaned up and the anesthetists recovered Dipper, giving him his pain medication; Buprenex; when his temperature was up to 97. They also decided who was going to give the rest of the pain medication.
A recovery sign was put up and the catheter was removed. The surgical packs get cleaned and repacked to be autoclaved for tomorrow’s lab, along with the gowns and drapes. The surgery suite is cleaned and mopped and the monitors are cleaned as well.
*please see procedure section for a more in depth description of all of these tasks
