I am curious as to how many ORs have a general major kit set up, counted and ready to
use during major laparoscopic cases such as, Lap Choles, bowels, Nissens,
We have recently gone to setting up only minimal instruments such
as 2 snaps, 4 kellys, 2 tooth forceps a metz and suture scissors. The
times I have been involved when the case has converted to an "open"
procedure, I have found the MDs don't want to wait the 10 mins for us to
open a major, set-up and count. I'd appreciate hearing from others as to
their thoughts and how it is done elsewhere. Thanks.
In our OR, we have a lap chole cart, bowel cart, etc...It is in the room for whatever it is that we are doing. On it is what we need for the laperscopic version, as well as a box containing what is needed to open. It is a very smooth transition really. Our usual lap chole drum has a few things in it too, like suction, kochers, kellys, snaps, just oa few of each... and we always have a #20 blade loaded, ready to go. A surgeon is happiest when cutting, after all. We, of course do a full count to start with, and a small at the end if we have not opened. It takes no time to do a full count. Just opening everything, and then doing an x-ray does not sound like very good technique.
Last edit by mud on Feb 14, '02