NDD Operating Room Set-up
NDD Operating Room Set-up
NDD Operating Room Set-up
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Warming<br />
Blanket<br />
Cautery<br />
IV<br />
Pole<br />
Anesthesia<br />
Mayo Stand for<br />
Above Diaphragm<br />
Instruments<br />
IV<br />
Pole<br />
Suction<br />
Multi-canister<br />
Bronchoscopy<br />
if recovering<br />
lungs<br />
Single<br />
Basin<br />
Above<br />
Diaphragm<br />
Surgeon<br />
Above<br />
Diaphragm<br />
Assistant<br />
Sterile Draped<br />
Back<br />
Table<br />
for<br />
Lung<br />
Below<br />
Diaphragm<br />
Surgeon<br />
Below<br />
Diaphragm<br />
Assistant<br />
IV Pole<br />
Cardiac<br />
Back Table<br />
for Hospital<br />
Laparotomy <strong>Set</strong> Up<br />
Ring Stand<br />
Hospital<br />
Scrub<br />
Nurse<br />
Bleed<br />
Out<br />
Bucket<br />
Mayo Stand for<br />
Below Diaphragm<br />
Instruments<br />
Suction x 2<br />
Multi-canister<br />
Organ<br />
Recovery<br />
Assistant<br />
Cautery<br />
Sterile Draped<br />
Back Table for Organ Perfusion<br />
(Near to Door if Possible)<br />
Double Ring Stand for<br />
Slush & Liver<br />
IV Pole<br />
Pulmonary<br />
IV Pole<br />
Abdominal<br />
Organ Donation & Hospital Development<br />
BC Transplant (BCT)<br />
3 rd Floor, West Tower, 555 West 12th Ave.<br />
Vancouver, BC CANADA V5Z 3X7<br />
Telephone (604) 877-2240<br />
Toll Free 1-800-663-6189<br />
FAX (604) 604-877-2136 or 1-866-559-5594<br />
www.transplant.bc.ca
Procedure: Organ Recovery – Single or Multi-Organ - <strong>NDD</strong><br />
Skin Prep:<br />
Solution as per hospital protocol. Prep from chin to<br />
mid-thigh.<br />
Draping:<br />
Laparotomy drapes are acceptable with a wider area<br />
of exposure. Free draping is also acceptable and may<br />
be preferred.<br />
Position of Patient:<br />
Warming blanket is placed under the patient. S<strong>up</strong>ine<br />
with arms tucked in at the sides.<br />
Grounding pads, EKG electrodes and other devices should be placed on the posterior side of the body, away from<br />
the sterile field.<br />
To be added to the basic Laparotomy set <strong>up</strong>:<br />
Back Tables:<br />
• 1 for Instruments<br />
• 1 for Organ Perfusion<br />
• 1 for Lung Team –if needed<br />
Single Basins:<br />
• 2 Single Basins in Ring Stands<br />
• 1 for Perfusion Table<br />
• 1 for Lung Perfusion Table (if recovering lungs)<br />
Mayo Stands:<br />
• 1 for BCT Below Diaphragm Instruments<br />
• 1 for BCT Above Diaphragm Instruments<br />
• Cautery Machines x 2<br />
• Suction Units x 3<br />
• Extra IV Poles --2 x Above Diaphragm<br />
--1 x Below Diaphragm<br />
Instruments and Equipment<br />
• Warming Blanket on OR Table<br />
• Defibrillator available with Internal/External<br />
Pads<br />
Other:<br />
• Medium Clip Appliers and Bars<br />
• Large Lap Sponges<br />
• Asepto Syringe<br />
• Large Ortho Mallet<br />
• Silk Ties (2 silk, 2-0 Silk, 3-0 Silk) as requested<br />
• Scrub Gowns – <strong>up</strong> to 6<br />
• Extra Grad Jug<br />
• Scalpel Blade x 1<br />
• Flexible Bronchoscope with sputum trap (if<br />
recovering lungs)<br />
Stock Fridge with 1 liter of Cold pourable Saline.<br />
Buckets of Ice needed at the end of case.<br />
3 x 1 Litre IV bags of Saline.<br />
*Retrieval team will be in contact with the OR prior to the start to confirm<br />
and/or request additional equipment needs