By Karl J. Kassity (auth.), Karl J. Kassity M.D., F.A.C. Anes, James E. McKittrick M.D., F.A.C.S., Frederick W. Preston M.D., F.A.C.S. (eds.)
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Extra info for Manual of Ambulatory Surgery
General endotracheal anesthesia is used, and the patient is placed in a Rose position, prepared, and draped for tonsillectomy. A McIvor mouth gag with Ring tongue blade is inserted and suspended from a Mayo stand or other support, and the patient is approached from the head (Fig. 4-12). The right tonsil is grasped with a Tivenen tenaculum, and a No. 12 BardParker blade is utilized to incise the mucous membrane over the outstretched superior pole (Fig. 4-13). Dissection is then made into the superior pole area utilizing a Hurd elevator (Fig.
Wilen new procedures are introduced, the supervisor's skill in explaining the reason for change is a key factor in gaining employee acceptance and overcoming resistance. Selection Process for Personnel The selection of personnel for the outpatient surgical center is critical because of the one-to-one care they must administer to their patients. Personnel must have optimum technical skills as well as a high degree of personal integrity. TABLE 3-3. M. M. Educational topic General meeting Educational topic General breakfast meeting with medical director Schedule: 1st Wednesday 2nd Wednesday 3rd Wednesday 4th Wednesday Minutes: Minutes of all meetings are taken, copied, and distributed with all paychecks Yearly 1.
Blunt dissection technique is preferable. In the process of doing septal reconstruction, badly deformed cartilage and bone should be removed, refashioned, replaced and sutured into position Nose with 4-0 chromic mattress sutures utilizing a urologic needle carried in a Castroviejo needle driver. Practice is necessary to properly perform a septal reconstruction without septal perforation. Small and moderate-size septal spurs without significant septal deformity can be simply removed by utilizing a slit incision over the spur with dissection of the mucous membrane and perichondrium to allow removal of cartilage and bone.
Manual of Ambulatory Surgery by Karl J. Kassity (auth.), Karl J. Kassity M.D., F.A.C. Anes, James E. McKittrick M.D., F.A.C.S., Frederick W. Preston M.D., F.A.C.S. (eds.)