Читать книгу Principles of Dentoalveolar Extractions - Seth Delpachitra - Страница 22

When preparing for a procedure, the surgeon should run through a checklist to ensure that everything is in order. This includes:

 A signed consent (to be reviewed with the patient on the day of surgery).

 Confirmation of any allergies.

 A current radiograph, displayed in the surgical room (to be visible to the surgeon during the procedure).

 Confirmation of the correct side and site of the procedure.

 Use of personal protective equipment.

 Surgical handwash, gowning, and gloving.

The surgeon and trained staff should ensure that all equipment has been sterilised, is in suitable condition, and is handled in accordance with aseptic non‐touch techniques. All equipment that is anticipated to be used or which may be required in the event of a complication should be ready. In some cases, it may be useful to have a ‘scout’ nurse to collect additional equipment as required.

All surgical procedures require adequate lighting in order to visualise the operative field. This is particularly important when working in a small area such as the mouth. An overhead light should be used to ensure that both the surgeon and the assistant have adequate visual access to the field. The surgeon may also use a personal headlamp.

The surgeon should perform a surgical handwash prior to the procedure, as per the World Health Organization (WHO) surgical handrubbing technique, to ensure disinfection of contaminated skin of the hands, arms, and elbows (Figure 1.7). Typically, this will involve the use of a chlorhexidine‐ or iodine‐based surgical handwash.

Figure 1.7 WHO surgical handrubbing technique.

Source: From Surgical Handrubbing Technique, https://www.who.int/gpsc/5may/hh‐surgicalA3.pdf, WHO. © WHO.

After the handwash, the surgeon must apply a sterile gown and gloves, so that they may enter the sterile field without contamination (Figure 1.8).

Figure 1.8 Dentist with sufficient sterile and personal protective attire for dentoalveolar surgery.