longest surgery? - page 3

Silly questions but have always wanted to ask? What is the longest surgery you have been involved in? And what do you do when you have to pee?... Read More

  1. by   talaxandra
    God, SophiaO - how hideous. That poor child.

    When I did my student OR rotation I came on at 1300 to find the first CAGS case in chaos: the patient's aorta was somehow adhered to her sternum. A friend who was in theatre in the AM said that when the surgeon cut through the sternum and blood spurted eight feet into the air she could just feel everyone in the room think Oh, **** and freeze for what felt like ten minutes but must have been less than a second. When I got there they were still trying to repair the aorta, a tast they were still attempting when I left at 21:30. I walked past the family, outside ICU, on my way back to the student quarters. I heard they called it a day just after midnight, almost 19 hours after they started.
    Last edit by dianah on Oct 19, '09 : Reason: TOS
  2. by   fracturenurse
    Multi level spinal fusion. Granted the doctor is slower than a snail...We cut at 8 am and I left at 3...They finished around 10...
  3. by   queenoftheor
    The longest case for me......a avm in the brain. Scrubbed in at 6:45 ,got lunch at 11:00,scrubbed back in @ 1135,I was on call so... got scrubbed out at 2130.....came back in the next morning scrubbed back in (same case) at 645....case finished at 1330. The pt did well. I had to take a 3 day weekend.
  4. by   Marie_LPN, RN
    Quote from SandraCVRN
    Ahhhh, the already dead fem-pop. We had something like that last week, a fem thrombectomy...2 hours later a fasciotomy, then the surgeon says, I guess we should have done that first. Dead muscle....

    PS we always prep both legs for fem-pops, fem-thrombectomies, etc for just in case.....
    Sounds like someone we used to have here that did those. Sick as it sounds, his fem-pops were called fem-pop-chops because RARELY was the pt. NOT oming back for an amputation, despite the hours of surgery.
  5. by   Marvie
    I had an exceptionally long case one time...I had been at work at 6 AM until 3 pm then an emergency case came in and since I was the "on call" person I got to enjoy the surgery. It was a knee scope that ended up with a ruptured popliteal artery and a ton of blood loss, it was the messiest, most exhausting case ever. It ended at 545 am the following morning, and I was expected to do my shift that day. Then to top if off- my NM says to me that I "forgot" to clock out the day before...No, I explained, I was there all night. She didn't believe me until she spoke to the doctor. Yeah that was just a nightmare.
  6. by   ORNurseAngie
    Diep flap's last forever, never done one myself but seen them last from 0730 am to midnight and then come back in the middle of the night because it doesn't take, sucks! The nurses and techs have break coverage until 11pm and the surgeon's provided that everything is going well take breaks every couple of hours.
  7. by   Davidb RN
    7 hour spinal fusion, not huge, but not too bad given that I'm still in my new grad year. I think for the moment 7 hours is about as long as I can scrub for and still work productively and safely, though I am sure I will improve.

    Longest I've been a part of (scout) was a 10h Occiput to T6 fusion for Brest cancer mets to give a lady enough stability to walk in her last couple of months. When we started the she was bed bound and wearing a brace 24/7, she is now apparently able to walk again and no longer requires the brace. These are the cases that make is all worth it.

    Interestingly unlike most people here, most of our neuro team won't get scrubbed out, even though we all offer each other breaks every 4-5hours or so. we all like to see the case through to the end. Anyone else like that or are we just a bit odd?
  8. by   SandraCVRN
    Quote from Davidb RN
    Interestingly unlike most people here, most of our neuro team won't get scrubbed out, even though we all offer each other breaks every 4-5hours or so. we all like to see the case through to the end. Anyone else like that or are we just a bit odd?
    Don't be martyrs, you NEED to take breaks/lunch. Your body needs it even if you don't think you need it. The only time we turn down a break if it during a critical time (mostly heart stuff, going on pump, etc). Our motto is, take it, you may not know when another one will come along.
  9. by   ORTech2RN
    A couple of spines that probably went 6 plus hours. Honorable mention to the Lap Nissen that a rookie surgeon did a few months back. Started at 10, and was going strong when I left at 4!

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