Dr Rudra Pratap Pandey Needle holders Mayo Hegar Olsen Hegar Microspring Needle holder grip Needle grasped perpendicular to the jaws Grasp near the center of the curve for most situations ID: 1048396
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1. Instrument handling and various skillsDr. Rudra Pratap Pandey
2. Needle holdersMayo-HegarOlsen-HegarMicro-spring
3. Needle holder gripNeedle grasped perpendicular to the jawsGrasp near the center of the curve for most situations Grasp near tip if penetrating tough tissueGrasp near eye or swedged-on end for large amount of tissueRotating the wrist while the needle is penetrating the tissue uses the arc of needle so less force is needed
4. Towel clampsBackhaus towel clampCross action towel clampWide based tripod grip..concavity downwardTo fix the drape…drape to drape and skin grip
5. Scalpel…BP or Bard Parker blade and handle43
6. Scalpel handligFinger tip gripReverse pencil gripPalm gripPencil grip
7. Scissors…Mayo’s Curved vs StraightGeneralMayoMetzbaum
8. Wide base tripod grip..forward
9. Backhand cutting
10. Thumb forceps vs rat tooth forcepsPoor hold, tissue strangulationGood hold, less tissue strangulationBrown-Adsonfine tips..broad handle for delicate secure grasp also for manipulating small needles during suturing
11. Forceps holdingCorrect pencil gripPoor control…
12. Tissue forceps…self holdingAllis tissue forcepsBabcock tissue forcepsConsider replacing with stay sutures for prolonged grip
13. Hemostats Mosquito straight n curvedCrile curved stout largeRochester Carmalt large crushing for pediclesWide base tripod gripDunhill, Spencer Wells, Kocher’s, Ochsner’s are some other artery forceps