Instrumental qx
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L.E. José Eduardo Aguilar Mundo.
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DEFINICION:
INTRUMENTAL QUIRÚRGICO
Conjunto de instrumentos (herramientas y objetos) que se utilizan durante el acto quirúrgico.l
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OBJETIVOS:
proporcionar una herramienta
disminuir los tiempos quirurgicos
mejorar la calidad de vida
disminuir la incapacidad fisica y mortalidad en el paciente.
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FABRICACION
ACERO INOXIDABLE.TITANIO.ALUMINIOCARBURO DE TUNGSTENOACERO CROMADOVITALLIUMINSTRUMENTO BLINDADOALEACIONES DE ACERO CON COBRE, PLATA, ALUMINIO, CERAMICA, PLASTICO, ZINC
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PROCESO DE PASIVACIÓN
Su finalidad:
Proteger la superficie y minimizar la corrosión.
Tipos de terminado:
– espejo– adonizado – de ébano
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CUIDADOS
DURANTE LA OPERACIÓN:
• Manipular el instrumental con suavidad • No colocar dentro de las vasijas • Mantener las superficies cortantes lejos de otras superficies
metálicas• No moje o enjuague los instrumentos con clna 9°/oo porque
produce corrosión. Sólo utilice agua destilada • Limpie la sangre y tejidos en todo momento. • Emplee para cada trabajo el instrumento correcto.
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CUIDADOSDespués de la operación: • Mojar con detergente enzimático • Lavar
instrumental observando las normas de bioseguridad secado de instrumental pieza por pieza
• Preparar el instrumental, observando separar instrumentos pesados de los delicados
• Procesar todo el instrumental utilizado para su esterilización • Almacenamiento de instrumento
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CLASIFICACION
• De corte• De disección• De hemostasia• De fijación• De separación• De sutura
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INSTRUMENTAL DE CORTE
Cualquier instrumental quirúrgico que posea un área cortante ya sea en la punta o a un lado
Tipos:
Bisturies. Cuchillos Tijeras. Cortadores de hueso
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BISTURIES:
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Corte y Bísturi
• Bísturi• Mango de Bisturi
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CUCHILLOS:
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TIJERAS
• LITTAUER • METZENBAUM CURVA Y RECTA
• POTTSIRIS
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CORTADORES DE HUESO
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TIJERAS
• LISTER O BERGMAN T. VANNAS
• T. MAYO REC Y CUR• T. DE CORNEA
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Metzembauth Mayo recta y
Curva Tijera Littauer Lister
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INSTRUM. DE DISECCION
Definicion:
instrumental adecuado para tomar y sostener en determinada posicion, permitiendo al cirujano disecar o suturar sin dañar los tejidos.
Clasificacion:• Roma• Cortante
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DISECCION
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Pinzas de Disección
• Adson-Hudson• Tisular• Disección
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DISECCION• DISECCION= O.12, UTRAKA Y MAPHERSON
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INSTRUM. DE HEMOSTASIA
Definicion:
Instrumental que pinza, ocluye y se utiliza para aplicar presión.
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PINZAS HEMOSTATICAS
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Pinzas de Hemostasia
• Kelly• Crille• Halsted• Rochester Pean• Rochester Carmalt• Kocher
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Pinzas Hemostaticas
• Mosquito• Fergusson• Mixter• Clamp intestinal de Doyen
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PINZAS HEMOSTATICAS:• PINZA DANDY PINZA MAYO
• PINZA DE MOSQUITO
• PINZA DE PEAN
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INSTRUM. DE FIJACION
Definición:
Es la tracción con base en la referencia de órganos y tejidos que facilitan el tiempo quirúrgico.
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PINZAS DE FIJACION:BABCOK ALLIS
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PINZAS DE FIJACION
FOERSTER DUVALBACKHAUS
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Pinzas de Fijación
• Allis• Babcock• Foerster• Vulsellum
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Pinzas Erinas o de Campos
• Backhaus• Jones
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INSTRUM. DE SEPARACION
Definicion:
Instrumentos que mantienen los tejidos u organos fuera del area donde se encuentra trabajando el cirujano.
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SEPARADORES:
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Separadores
a) Finochietto
b) Volkmann
c) Adson
d) Balfour
e) Gosset
f) Gelpi
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SEPARADORES
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SEPARADORES
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INSTRUMENTAL DE SUTURA
Definicion:
Se usa para tomar y sostener agujas quirurgicas curvas, son muy parecidas a las pinzas.
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INSTRUMENTAL DE SUTURA
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Porta Ahujas (para sutura)
• Mayo-Hegar• Olsen-Hegar• Mathieu
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Equipo Cx. General
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Equipo de Episiotomía
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Equipo de Curación Simple
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Material Adicional
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TIPOS DE EMPAQUETADO
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Material de curaciónAPÓSITO # 1
GASA CON TRAMA Y SIN TRAMA
COMPRESA
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