Berry and Kohn's operating room techniques.

Previous ed.: 2000.

Includes bibliographical references and index.

Ophthalmic surgical patient care--Special features of Ophthalmic surgery--Ocular surgical procedures--Eye injuries--Ophthalmic lasers--39. Plastic and Reconstructive surgery:- Historical background--Special features of Plastic and Reconstructive surgery--Skin and tissue grafting--Head and Neck Plastic and Reconstructive procedures--Plastic and reconstructive procedures of other body areas--40. Otorhimolaryngologic and Head and Neck Surgery:- Historical background--General considerations in Ear, Nose, and Throat Procedures-- Ear--Nose--Oral cavity and throat--Neck--Face--41. Thoracic Surgery:- Historical background--Anatomy and physiology of the thorax--Special features of Thoracic surgery--Thoracic surgical procedures--Chest trauma--Intrathoracic Esophageal procedures--Complications of Thoracic surgery--42. Cardiac Surgery:- Historical background--Anatomy of the heart and great vessels--Physiology of the heart--Special features of cardiac surgery--Cardiac surgical procedures--43. Vascular Surgery:- Historical background--Anatomy and physiology of the vascular system--Vascular disease--Diagnostic procedures--Special features of vascular surgery--Conservative interventional techniques--Vascular surgical procedures--44. Organ Procurement and Transplantation:- Historical background--Types of transplants--Tissue transplantation--Organ transplantation.

SECTION I: Fundamentals of Theory and Practice:- 1. Perioperative Education:- Historical background--The art and science of surgery--Perioperative learner--Perioperative educator--Learning resources--Application of Theory to practice--Expected behaviors of perioperative caregivers--Realities of clinical practice-- 2. Foundations of Perioperative Patient Care Standards:- Historical background--Patient rights--Accountability--Standardization of patient care--Professionalism--Professional Periooperative nursing--Nursing process--Standards of perioperative nursing practice--Clinical competency of the perioperative nurse--Scope of perioperative nursing practice--Surgical technology--Standards of practice for surgical technologists--Clinical competency of the surgical technologist--Credentialing of caregivers--Continuous performance evaluation and improvement--Sentinel events and performance improvement --3. Legal, and Ethical Issues:- Historical background-- Legal issues--Liability--Consent--Documentation of Perioperative Patient Care--Legal aspects of drugs and medical devices--The standard of care and professional ethics--Recommended practices--Ethical issues--Bioethical situations--Surgical conscience -- SECTION 2: The Perioperative Patient Care Team:- 4. The Perioperative Patient Care Team: Historical background-- Dependence of the patient on the qualified team--Perioperative patient care team--Nonsterile team members--Sterile team members -- 5. The Surgical First Assistant:- Historical background--First Assistant\'s knowledge and skill level--What does the first assistant do?--Disciplines associated with first assisting in surgery --6. Administration of Perioperative Patient Care Services:- Establishing administrative roles--Interdepartmental relationships--Patient care departments--Patient services departments--Departmental service divisions--Coordination through committees--Surgical services management--Budgeting and

financial responsibility--New product and equipment evaluation--SECTION 3: The Patient as a Unique Individual:- 7. The Patient: The reason for your existence:- Historical background--Patient-centered care--Patients with special needs--The patient with cancer--Historical background--Potential causes of cancer--Clinical signs and symptoms--Curative versus Palliative therapy--Adjuvant therapy--Surgical resection--Endocrine therapy--Photodynamic therapy--Radiation therapy--Chemotherapy--Immunotherapy--Hyperthermia--Future of Oncology--Chronic and Terminal illnesses--8. Perioperative Pediatrics:- Indications for surgery--Considerations in perioperative pediatrics--Perioperative assessment of the Pediatric patient--Perioperative psychologic preparation of pediatric patients--Pediatric anesthesia--Intraoperative pediatric patient care considerations--Common surgical procedures--Postoperative pediatric patient care--9. Perioperative Geriatrics:- Perspectives on Aging--Perioperative assessment of the Geriatric Patient--Intraoperative Considerations--Postoperative considerations--SECTION 4: The Perioperative Environment:- 10. Physical Facilities:- Historical background--Physical layout of the Surgical Suite--Transition Zones--Peripheral support areas--Operating room--Special procedure rooms--11. Ambulatory Surgery Centers:- Historical background--Ambulatory surgery programs--The ambulatory surgical patient--Perioperative documentation--Advantages and disadvantages of ambulatory surgery--Performance improvement for ambulatory services--12. Care of the Perioperative Environment:- Historical background--Establishing the perioperative environment--Room turnover between patients--Daily terminal cleaning--13. Potential Sources of Injury to the Caregiver and the Patient:- Historical background--Environmental Hazards--Physical hazards and safeguards--Chemical hazards and safeguards--Biologic hazards and safeguards--Risk management--SECTION 5: Surgical Asepsis and Sterile Technique:- 14. Microbiologic Considerations:- Historical background--Microorganisms: Nonpathogens versus Pathogens--Types of Pathogenic Microorganisms--Antimicrobial Therapy--15. Principles of Asepsis and Sterile Technique:- What is the difference between Asepsis and Sterile Technique?-- Historical background--Transmission of Microorganisms--Human-Borne Sources of Contamination--Nonhuman Factors in Contamination--Sources of infection--Aseptic Technique and Environmental Controls--Standard precautions--Application of sterile

Technique--Principles of sterile technique--No compromise of sterility--16. Attire, Surgical Scrub, Gowning, and Gloving:- Historical background--Appropriate Operating Room Attire--Sugical Scrub and Hand Cleansing--Gowning and Gloving--17. Decontamination and Disinfection:- Instrument Cleaning and Decontamination--Repairing or restoring versus replacing instruments--Disinfection of items used in patient care--Methods of disinfection--Disposable products--18. Sterilization:- Historical background--Steriization versus disinfection--Sterilization--Assembly of instrument sets--Packaging instruments and other items for sterilization--Thermal sterilization--Chemical sterilization--Radiation sterilization --Control measures--Custom packs--SECTION 6: Surgical Instrumentation and Equipment:- 19. Surgical Instrumentation:- Historical background--Fabrication of metal Instruments--Classification of Instruments--Handling instruments--20. Specialized Surgical Equipment:- Electosurgery--Historical background--Laser surgery--Historical background--Microsurgery--Historical background--Ultrasonosurgery--Integrated technologies--SECTION 7: Preoperative Patient Care:- 21. Preoperative Preparation of the Patient:- Historical background--Hospitalized patient--Preoperative preparation of all patients--Transportation to the Operating Room Suite--Admission to the Operating Room Suite--22. Historical background--Patient care Considerations for diagnostic procedures--Pathologic examination--Radiologic examination--Magnetic Resonance Imaging--Nuclear Medicine Studies--Ultrasonography--Sensory Evoked Potential--Plethysomgraphy--Endoscopy--SECTION 8: Pharmacology and Anesthesia:- 23. Surgical Pharmacology:- Historical background--Pharmacology baselines--Considerations in Surgical Pharmacology--Surgical drug and Pharmaceutical sources--Pharmacologic forms used in surgery--24. Anesthesia: Techniques and Agents:- Historical background--Types of Anesthesia--Anesthesia state--Knowledge of anesthesics--General anesthesia--Balanced anesthesia--Controlled Homeostasis--Care of the Anesthetized patient--Care of general anethesia equipment--Local and regional anesthesia--Historical background--Preparation of the patient--Intraoperative patient care--Local anesthesia--Spinal and Epidural anesthesia--Techniques of administration of Local or regional anesthesia--Actions of local and regional anesthetics--Complications of local and regionalAnesthesia--Alternatives to Conventional Anesthesia--SECTION 9: Intraoperative Patient Care:- 25. Coordinated Roles of the Scrub Person and the Circulator:- Division of duties--Setting up the room--Scrub person duties--Circular duties--Sponge, Sharps, and Instrument Counts-- Sponges--Sharps--Instruments--Efficiency of the Operating Room Team--26. Positioning, Prepping, and Draping the Patient:- Historical background--Preliminary considerations--Anatomic and Physiologic considerations--Equipment for positioning--Surgical Positions--Modifications for Individual patient needs--Physical Preparation and draping of the surgical site--Principles of patient skin preparation--Preliminary preparation of the patient\'s skin--Antiseptic skin cleansing fundamentals--Antiseptic solutions--Skin preparation for specific anatomic areas--Documentation--Draping--Draping materials--Style/Type of drapes--Principles of Draping--Procedures for Draping the patient--Draping of equipment--Plastic Isolator--27. Physiologic Maintenance and Monitoring of the Perioperative Patient:- Historical background--Monitoring physiologic functions--SECTION 10: Surgical site Management:- 28. Hemostasis and Wound Closure:- Historical background--Hemostasis--Wound closure--29. Wound Healing:- Historical background--Anatomy and Physiology of body tissues--Mechanism of Wound Healing--Types of Wounds--Factors influencing would healing--Postoperative wound infections--Wound assessment--Basic wound care--SECTION 11: perianesthesia and postprocedural Patient Care:- 30. Postoperative Patient Care:- Historical background--Postanesthesia Care--Admission to the postanesthesai care unit--Death of a patient in the Operating Room--31. Potential perioperative Complications:- Historical background--Respiratory Complications--Cardiovascular complications--Intravenous cardiovascular drugs--Cardiopulmonary resuscitation--Fluid and electrolyte imbalances--Blood volume complications--Shock--Metabolic crises--Physiologic Injury--SECTION 12: Surgical Speciallities:- 32. Endoscopic Surgery:- Historical background--Eight essential elements of ~Endoscopy--Knowledge and skill for a safe endoscopic environment--Types of endoscopic procedures--Laparoscopic procedures--Hazards of endoscopy--Care of endoscopes-- Considerations for patient safety--Duties of the assistant for flexible endoscopy--33. General Surgery:- Historical background--Special considerations for general surgery--Breast procedures--Abdominal surgery--Biliary tract procedures--Liver procedures--Splenic procedures--Pancreatic procedures--Esophageal procedures--Gastrointestinal surgery--Gastric procedures--Intestinal procedures--Colorectal procedures--Abdominal trauma--Complications of abdominal surgery--Anorectal procedures--Excision of Pilonidal Cysts and sinuses--Hernia procedures--Amputation of Extremities--34. Gynecologic and Obstetric Surgery:- Historical background--Anatomy and Physiology of the female reproductive system--Gynecology: General considerations--Diagnostic techniques--Vulvar procedures--Vaginal procedures--Abdominal procedurres--Perioperative obstetrics--Assisted reproduction--Nonobstetric surgical procedures and the pregnant patient--35. Urologic Surgery:- Historical background--Anatomy and physiology of the Urinary system--Special features of Urologic surgery--Surgical procedures of the Genitourinary system--Male reproductive organs--Endocrine glands--Transsexual surgery (Sex reassignment)--Postoperative complications of Urologic surgery--36. Orthopedic Surgery:- Historical background--Anatomy and physiology of the Musculosketetal system--Special features of Orthopedic surgery--Extremity procedures--Fractures--Joint procedures--Repair of tendons and ligaments--Vertebral surgery--Cast application--Complications after orthopedic surgery--37. Neurosurgery:- Historical background--Anatomy and physiology of the brain and spinal cord--Special considerations in Neurosurgery--Surgical procedures of the cranium--Surgical rocedures of the spine--Peripheraol nerve surgery--38. Ophthalmic Surgery:- Historical Background--Anatomy and physiology of the Eye--

This volume seeks to equip the learner with a solid foundation of surgical principles and skills, while maintaining a fundamental focus on the care of the surgical patient.