Questions and Verified Answers |
Already Graded A+
What are available laparoscope diameters? - 🧠 ANSWER ✔✔2-10mm
What degree scope is best for a field of view in-line with a port? - 🧠
ANSWER ✔✔Zero degree
What is the most commonly used light source? - 🧠 ANSWER ✔✔300 W
Xenon lamp
What if there is initial low pressure and high flow rate at entry? - 🧠
ANSWER ✔✔There may be a leak in the insufflator circuit. Check all
connections.
,Benefits of Monopolar energy. - 🧠 ANSWER ✔✔Tissue heated quickly.
Less thermal spread/coagulation.
Monopolar voltage/frequency - 🧠 ANSWER ✔✔Low voltage, High
frequency
What does coagulation mode do? - 🧠 ANSWER ✔✔Rapid surface heating
with shallow depth of necrosis. intermittent wave form with higher voltage.
What are some risks of monopolar energy? - 🧠 ANSWER ✔✔Current can
be diverted through unintentional pathways leading to inadvertent tissue
injury. To avoid this, do not use "hybrid" ports that mix plastic with metal.
How does a grounding pad avoid injury with monopolar energy? - 🧠
ANSWER ✔✔Grounding pads help avoid capacitative coupling. This
happens when two conductors are separated by an insulator and the
passive electrode stores energy that can be released with tissue injury. The
grounding pad inhibits the passive electrode from storing energy.
Benefits of bipolar energy. - 🧠 ANSWER ✔✔- Lower risk of inadvertent
injury.
- Produces less thermal spread and necrosis.
, - No grounding pad necessary.
- Works in a "wet" operative field.
Risks of bipolar energy. - 🧠 ANSWER ✔✔May cut patent blood vessels
before adequate sealing. Device will not work if there is metal between the
jaws.
Risk of ultrasonic dissection (harmonic). - 🧠 ANSWER ✔✔The active blade
can inadvertently injure something due to high frequency (50mHz).
Does aspirin need to be discontinued day of surgery. - 🧠 ANSWER ✔✔No
How to best enter a patient with bowel obstruction. - 🧠 ANSWER ✔✔Direct
visualization.
Cut vs Coag - 🧠 ANSWER ✔✔Cut: Heats tissue quickly to convert cell
water to steam, lysing the cell.
Coag - Heat more widely dispersed, less cutting.
Benefits of "Cut mode" - 🧠 ANSWER ✔✔- Low voltage
- High frequency
- Continuous waveform
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