Expertise in the Operating Room, 1st ed. 2023 Logistics, Fundamentals and Nuances

This book provides the logistics, fundamentals, and nuances for all involved in surgery to optimize performance and results in the operating room. A surgical operation is a detailed coordination of a complex procedure involving the integration of many people, facilities, and supplies. The efficiency and success of an operation foremost depends on the professionalism of its staff. These medical professionals must understand the tasks of the operating room milieu of individuals. The surgeon, surgeon?s assistant, anesthesiologist, scrub nurse, circulating and recovery room nurses all determine an operation?s success and efficiency. Medical professional education too often focuses on senior level preparatory education or capstone projects rather than mastering day to day practical information or techniques.  A reflection of this quandary is the establishment of surgical intern ?boot camps.? These industry subsidized courses taken after medical school graduation are one- or two-week courses whose curriculum is to train recent medical school graduates how to function as surgeons. Patients deserve the work of professionals in and out of the operating room. 

Part I. Preparation before the Operating Room.- The Surgeon's Preparation before the Operating Room.- The Anesthesiologist's and Nursing Team's Preparation before the Operating Room.- Part II. Preparation in the Operating Room: Before Anesthesia.- Universal Protocol.- Sterility.- Part III. Preparation in the Operating Room: After Anesthesia.- Patient Preparation.- Part IV. Surgery.- Logistics and Ergonomics.- Fire.- Part V. The Surgeon's Tools.- Surgeon's Instruments.- Sutures and Needles.- Part VI. Surgical Devices.- Local Anesthetics.- Electrocautery.- Surgical Tourniquets.- Part VII. Wound Closure.- Drains.- Suture Closures.- Surgical Dressings.

Michael J. Yaremchuk, MD, Department of Surgery, Harvard Medical School, Boston, MA, USA

Arman T. Serebrakian, MD, Department of Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, 02115 USA

Brent Pickrell, MD, Department of Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, 02115 USA

Juliana Paniss, CST, The Boston Center for Ambulatory Surgery, Boston, MA, USA

Michael T. Bailin, MD, The Boston Center for Ambulatory Surgery, Boston, MA, USA

Nicole Gangi, BA, The Boston Center for Ambulatory Surgery, Boston, MA, USA

Offers tips and tools learned from over thirty years of senior surgical experience Shares nuances and details not described in standard surgical textbooks Includes select, chapter-level video clips