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Patient Draping
ОглавлениеProper aseptic technique is indicated for all surgical patients regardless of size and species. Place quarter drapes around the surgical site and then cover with a patient drape with a fenestration around the site. Currently, disposable paper drapes are commonly used for both quarter drapes and patient drapes. Avoid the tendency to make a small sterile field as it is then easy to contaminate yourself by accidentally touching objects on the table outside the sterile field. Create a sterile field of the entire table top and take appropriate action to reestablish a sterile field if contamination occurs (Figure 1.2). When working with very small patients, it may be beneficial to use a clear plastic drape over the patient to allow respiration to be monitored; however, other respiratory monitoring devices such as end‐tidal CO2 monitors allow monitoring of respiration more accurately and do not require the ability to visualize the patient.
Figure 1.2 This 1.2 kg patient is being draped for a thoracotomy. First quarter drapes of Huck towels are placed to isolate the surgical field (a). Then the patient is covered with a patient drape large enough to create a sterile field of the entire table (b). The instruments are on the back table, and this is pulled up to the patient drape to complete the sterile field (c).