Right Colectomy - Open
P Ronan O’Connell, Robert D Madoff, Stanley M Goldberg, Michael J Solomon, Norman S Williams in Operative Surgery of the Colon, Rectum and Anus Operative Surgery of the Colon, Rectum and Anus, 2015
After the induction of general anesthesia, the patient is placed supine on the operating table. To ensure the safety of the patient during possible changes in table position, we recommend the use of both chest and ankle straps. Pneumatic compression boots are applied as mechanical venous thromboembolism prophylaxis. An orogastric tube is placed as routine postoperative gastric drainage is not required. An indwelling urinary catheter is placed in a sterile fashion and the proposed area of the incision is prepared using an electric clipper. The entire abdomen is prepared using combination skin preparation that includes alcohol and either iodine or chlorhexidine. Use of a solely iodine-based preparation should be avoided as recent evidence suggests that it is an inadequate skin preparation and is associated with an increase in superficial surgical site infections.3
The Abdomen
Kenneth D Boffard in Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
During resuscitation, standard Advanced Trauma Life Support® guidelines should be followed. These should include: Standard A-B-C-D-E priorities.Nasogastric or orogastric tube.Urinary catheter.
Principles of laparoscopic and robotic surgery
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie in Bailey & Love's Short Practice of Surgery, 2018
An orogastric tube may be placed during the operation if the stomach is distended and obscuring the view. It is not necessary in all cases. It should be removed as soon as the operation is over and before the patient regains consciousness. This is more routinely used in bariatrics and oesophagogastric surgery, where a larger (32F or 34F) tube is used.
A Large Segmental Mid-Diaphyseal Femoral Defect Sheep Model: Surgical Technique
Published in Journal of Investigative Surgery, 2022
David S. Margolis, Gerardo Figueroa, Efren Barron Villalobos, Jordan L. Smith, Cynthia J. Doane, David A. Gonzales, John A. Szivek
Sheep anesthesia is not straightforward, and a veterinary practitioner with experience should be available due to numerous potential species-specific complications [19]. General anesthetic is induced with Ketamine (5–6 mg/kg, IV), Midazolam (0.2–0.5 mg/kg, IV) and isoflurane (1–4%, inhalation). The animal is intubated, ophthalmic ointment is applied and preoperative analgesia is provided with burprenorphine (0.01 mg/kg, IM). Excede® (ceftiofur) is administered as a prophylactic antibiotic (5 mg/kg, IM). An orogastric tube is also placed during patient preparation. Anesthesia is maintained using isoflurane under positive pressure mechanical ventilation. The animal is placed in the right lateral decubitus position. The wool is sheared near the right midsection for placement of a Bovie pad and the left hindquarter for surgery. To facilitate preparation of the hindquarter the foot is wrapped in tape from the metatarsals to the hoof, leaving a loop at the end to allow suspension of the limb on an IV pole (Figure 3a). The skin is prepped using alcohol and chlorhexidine. Once the surgical site is dry, sterile towels and drapes are placed with the limb suspended. The hindlimb is then supported at the knee and the tape is cut to release it from the IV pole, following which a sterile stocking net is applied over the leg, and is overwrapped by sterile Coban™ and Ioban™.
Massive upper gastrointestinal bleeding due to a gastric ulcer in a newborn
Published in Baylor University Medical Center Proceedings, 2022
Hasan Akduman, Nurdan Dinlen Fettah, Ayşegül Tok, Rümeysa Çitli, Başak Kaya Gürsoy
Oral intake was discontinued. The stomach was drained freely with an orogastric tube. Fluid and ranitidine treatment were initiated. Her hemoglobin was 13 g/dL and thrombocyte count, 254,000/mm3; liver and kidney function tests, coagulation tests (prothrombin time, partial thromboplastin time), and tests of acute-phase reactants (C-reactive protein, interleukin-6) were normal. Blood continued to come from the orogastric catheter during follow-up. Hematochezia was seen on day of life 2. A red blood cell suspension was given to the patient on day 3 due to the progressive decrease in hemoglobin. Trophic breast milk was started on the same day because of the absence of hematemesis and hematochezia. Abdominal Doppler and transfontanel ultrasonography and echocardiography were normal, as were a TORCH panel, urine cytomegalovirus polymerase chain reaction test, thyroid function test, bleeding time, factor 13, and serum gastrin hormone levels.
Comparison of analgesic efficacy of ultrasound-guided erector spinae block with port site infiltration following laparoscopic cholecystectomy
Published in Egyptian Journal of Anaesthesia, 2023
Magdy Mohammed Mahdy, Essam Ezzat Abdelhakeem, Ayman Mohamed Fawzy, Mostafa Samy Abbas
Standard monitors were used, including noninvasive blood pressure, pulse oximetry, electrocardiography, temperature, and capnography. Fentanyl 1–2 µg/kg and Propofol 2 mg/kg were used to induce anesthesia. Rocuronium bromide 0.6 mg/kg was used to facilitate endotracheal intubation and maintain skeletal muscle relaxation during surgery with the aid of train of four. Oxygen-air mixture 40% and isoflurane were used to maintain anesthesia. To guarantee normocarbia, controlled ventilation with closed circuit is used. After induction of general anesthesia nasogastric or orogastric tube was used to deflate the stomach which was removed at end of surgery. Patients underwent the intervention in accordance with their group assignment after anesthesia induction and under strict aseptic conditions.
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