Question

provide a minimum of (4) specific actions utilized by the intraoperative team to make sure the patient is safe. Be sure to include a rationale to justify these criteria.

subject total knee replacement

Answer 1

SPECIFIC ACTIONS UTILIZED BY THE INTRAOPERATIVE TEAM TO MAKE SURE THE PATIENT IS SAFE, IN TOTAL KNEE REPLACEMENT SURGERY.

Intra opeative care by the health team assures utmost safety and comfort for tge patient, throughout the procedure. For that, they may be using the following methods:

• Continuous respiratory and cardiac assessment and ensuring sufficient ventillatory support. (Supportive oxygenation, Availability of experts in airway management and ACLS). RATIONALE: in total knee replacement, the preferred mode of anaesthesia is general anaesthesia. While giving general anaesthesia, there are chances for respiratory depression as well as cardiovascular irritation. Continuous monitoring of respiratory status by frequent auscultation of breath sounds as well as monitoring by pulse oxymetry is essential to avoid any such respiratory complications. If at all any complications arises, experts in airway management and ACLS will effectively manage the situation
• MAINTAIN A STRICT ASEPTIC TECHNIQUE: the intra operative team follows strict aseptic technique, as the surgery is an invasive procedure, chances of cross infection are high. To avoid cross infection and related complications, it is mandatory to maintain a strict aseptic technique(sterile) throughout the procedure
• USES THE BEST AVAILABLE EQUIPMENT AND MATERIALS. ALSO, THE SURGEON IS AWARE OF THE COMPLICATIONS. As intraoperative fractures and ligamental tires are one of the main complications of total knee replacement, it is important to use improved ancillary materials and equipment for the surgery. The surgeon also should possess thorough knowledge on the complications, so that he can prevent it
• PAD THE AREAS OF OPERATING TABLE THAT COMES IN CONTACT WITH BONY PROMINENCES OF CLIENT. As the client is undergoing general anaesthesia, client will not be able to respond to any pain stimuli. The patient will be in a temporary paralyzed state, so that client couldnt explain the pain sensations. Hence inorder to avoid hematomas or injuries, the parts of operation table that comes in direct contact with the clients bony prominences may be padded

Thus, Provision of a safe environment and safety equipment during the procedures further reduces complications