7/31/2019 1Bedah Minor English

1/26

Minor Surgery

Basic Knowledge and Skill

7/31/2019 1Bedah Minor English

2/26

Basic Knowledge and Skill

General principles of surgery

Aseptic and antiseptic procedure

Local anesthetics Basic instruments

Surgical Needle and

Incision Surgical hemostatic

Knot and suture

Technique of suture

7/31/2019 1Bedah Minor English

3/26

Basic Knowledge and Skill

The knowledge and skills about a goodsurgical technique

It is not the only way Efficient movement

It is not for advancement

7/31/2019 1Bedah Minor English

4/26

Surgical Principles

Total Care

Safe surgery

Patient safety

Operator, assistant and team safety

Erorrs/mistakes

7/31/2019 1Bedah Minor English

5/26

Adjusting the height of operating table

7/31/2019 1Bedah Minor English

6/26

A and Antiseptic Procedure

Aseptic

Operator aspect The use of operation

wardrobe, cap/hat, goggle,

masker

Hand washing

Use sterile tools :

Gloves, sterile doek, etc

7/31/2019 1Bedah Minor English

7/26

Technique to wash the hands

7/31/2019 1Bedah Minor English

8/26

Technique to wash the handsDo not use any brush

7/31/2019 1Bedah Minor English

9/26

How to wear surgical gloves individually

7/31/2019 1Bedah Minor English

10/26

How to wear surgical gloves by assisted

7/31/2019 1Bedah Minor English

11/26

The wrong technique to wear surgical gloves

7/31/2019 1Bedah Minor English

12/26

A and Antiseptic Procedure

Aseptic

Patient aspect

The use of surgical wardrobe

Shaving

The use of anticeptic

7/31/2019 1Bedah Minor English

13/26

Tindakan a dan antisepsis

Antiseptic

Sterilitation

Wet sterilitation

Dry sterilitation

Antiseptic

Baktericid vs. bakteriostatic Alcohol, formaldehide, sublimat,

iodium, etc

7/31/2019 1Bedah Minor English

14/26

Wet Sterilitation

Boil in 100o

C water in30 minutes Autoclave 120o

C30 minutes

7/31/2019 1Bedah Minor English

15/26

Dry Sterilitation

Formaldehide evaporate24 hours

radiation30 minutes

7/31/2019 1Bedah Minor English

16/26

Antiseptic Substances

Alcohol 70% solution

Formalin 37% solution in alkohol > 24 hours

Sublimat Larutan

Iodin Tinctura

7.5-10% solution

Clorheksidin Scrubb 1.5%

4% solution

7/31/2019 1Bedah Minor English

17/26

7/31/2019 1Bedah Minor English

18/26

Local Anesthetics

Topical anesthetics

In non disruption skin :

Euthetics Mixture Light Anesthesia (EMLA)Cream 1g (25mg Lidocain + 25 mg Prilocain)

In disruption skin :

Local anesthetics solutionLidocain, pantocain, marcain, cocain 1-2%

7/31/2019 1Bedah Minor English

19/26

Field blockanesthesia

Infiltrationanesthesia

7/31/2019 1Bedah Minor English

20/26

Nerve blockanesthesia

7/31/2019 1Bedah Minor English

21/26

Topicalanesthesia

7/31/2019 1Bedah Minor English

22/26

Local Anesthetics

The knowledge of local

anesthetics substances

Mechanism of ZAL

Dose

Onset of action

DurationToxicity effect

Vasoconstrictor

7/31/2019 1Bedah Minor English

23/26

Working Mechanism of ZAL

intraselular

Membran sel : Fosfolipid

ZALLigan (Protein)Na+

7/31/2019 1Bedah Minor English

24/26

General Principle

Onset Duration

Infiltration Fast Short

Block Slow Long

Dose maximal dose

Intravascular

Toxicity

Vasoconstrictor adjuvant

7/31/2019 1Bedah Minor English

25/26

Vasoconstrictor Adjuvant:1:80.000100.000

Constriction of vascular

Decrease of bleeding

Increase the duration of ZAL

Decrease of toxicity

7/31/2019 1Bedah Minor English

26/26

End of session