c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Instrument Manipulation: 10

A D V E R T I S E M E N T

   
 

Rarely, when suturing the underside of a structure, it is necessary to remove the ring finger to allow extra rotation. The half grip must then be re-established to open the instrument.       

Notes:

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Instrument Manipulation: 11

A D V E R T I S E M E N T

   
 

Clamps (hemostats) are held with thumb and ring finger tips in the rings for control. The silent signal to the scrub nurse for a hemostat is hand extended with palm up. The surgeon's eyes should not leave the field. If the surgeon does not specify, the scrub nurse will snap the curved hemostat into the palm with the points down (toward the palm side of the hand) since this is the most common position of use. Vessels should be clamped near the tip of the instrument (the area of maximal tension) with the number of ratchet clicks appropriate for the structure being clamped.     

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Instrument Manipulation: 12

A D V E R T I S E M E N T

   
 

Forceps are held like a pencil in a relaxed pinch-chuck grip. Toothed forceps (such as the Adson's here) concentrate force for maximal grip with minimal tissue trauma for substantive tissue like skin and fascia. Atraumatic forceps like DeBakey's are used for delicate tissue.      

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This page was last modified on 5/25/2000.