Dr  Yuda handaya SpB,FInaCS,Fmas
<ul><li>Surgery is used to both as a treatment, and as an aspect of treatment, for many conditions, including: </li></ul><...
A.OMPHALOCELE B. GASTROSCHIZIS C.TUMOR D. ATRESIA ANI
DSTC-Indonesia
 
Unit Kolonoskopi sarana, prasarana, asesori,  kolonoskop
 
 
 
 
 
 
 
 
 
 
ROBOTIK LAPAROSCOPI
 
<ul><li>Antiseptics  ( Greek  αντί,  against , and σηπτικός,  putrefactive ) are  antimicrobial substances  that are appli...
<ul><li>Aseptic Technique </li></ul><ul><li>The goal of aseptic technique is to reduce the possibility of microbial. </li>...
Sterilization of instruments and supplies <ul><li>All instruments and supplies that come in contact with the surgical site...
<ul><li>Cold sterilant solutions (hypochlorite, glutaraldehyde, etc.) - Generally, cold sterilants must have prolonged con...
<ul><li>Sterile gloves must be used for all procedures. Prior to donning gloves, the surgeon must scrub the hands and fore...
<ul><li>Sterile procedure for opening </li></ul><ul><li>Instruments </li></ul><ul><li>Organization </li></ul><ul><li>Secon...
Start with a Sterile Pack
Notice the edges, pull top edge away from you first, then, pull nearest edge toward you.
 
 
 
Secondary Pack -Purpose, to have the minimal amount of sterile equipment so that only the tips of the instruments need to ...
Topics  Preoperatif  Aseptic Techniques
Preoperative Concerns <ul><li>Surgical Areas </li></ul><ul><li>Support Area </li></ul><ul><li>Two Preparation Areas </li><...
Preoperative Concerns <ul><li>Instrumentation </li></ul><ul><li>Disinfection of Instruments </li></ul><ul><ul><li>Alcohols...
Preoperative Concerns <ul><li>Sterilization of Instruments </li></ul><ul><ul><li>Physical Methods </li></ul></ul><ul><ul><...
Preoperative Concerns <ul><li>Self </li></ul><ul><li>Scrubbing </li></ul><ul><ul><li>Clothes </li></ul></ul><ul><ul><li>Ha...
TERIMAKASIH
Upcoming SlideShare
Loading in …5
×

Pengantar Dan Asepsis Antisepsis Dr Yuda Umm

3,361 views

Published on

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
3,361
On SlideShare
0
From Embeds
0
Number of Embeds
8
Actions
Shares
0
Downloads
22
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Pengantar Dan Asepsis Antisepsis Dr Yuda Umm

  1. 1. Dr Yuda handaya SpB,FInaCS,Fmas
  2. 2. <ul><li>Surgery is used to both as a treatment, and as an aspect of treatment, for many conditions, including: </li></ul><ul><li>Physical trauma , e.g. wounds </li></ul><ul><li>Anatomical Abnormalities </li></ul><ul><li>Disorders of function </li></ul><ul><li>Inflammation </li></ul><ul><li>Ischaemia and infarction </li></ul><ul><li>Metabolic disorders </li></ul><ul><li>Neoplasia </li></ul><ul><li>Other abnormalities of tissue growth, e.g. cysts , hyperplasia or Organ hypertrophy , as well as some cancers , if caught early enough </li></ul><ul><li>Deformity and heavy scarring . </li></ul><ul><li>Brain damage and nerve damage </li></ul>
  3. 3. A.OMPHALOCELE B. GASTROSCHIZIS C.TUMOR D. ATRESIA ANI
  4. 4. DSTC-Indonesia
  5. 6. Unit Kolonoskopi sarana, prasarana, asesori, kolonoskop
  6. 17. ROBOTIK LAPAROSCOPI
  7. 19. <ul><li>Antiseptics ( Greek αντί, against , and σηπτικός, putrefactive ) are antimicrobial substances that are applied to living tissue / skin to reduce the possibility of infection , sepsis , or putrefaction . They should generally be distinguished from antibiotics that destroy microorganisms within the body, and from disinfectants , which destroy microorganisms found on non-living objects. Some antiseptics are true germicides , capable of destroying microbes ( bacteriocidal ), whilst others are bacteriostatic and only prevent or inhibit their growth </li></ul>
  8. 20. <ul><li>Aseptic Technique </li></ul><ul><li>The goal of aseptic technique is to reduce the possibility of microbial. </li></ul><ul><li>Components of successful aseptic technique include: </li></ul><ul><ul><li>Preparation of the patient </li></ul></ul><ul><ul><li>Preparation of the surgeon </li></ul></ul><ul><ul><li>Sterilization of instruments and supplies </li></ul></ul><ul><ul><li>Appropriate surgical technique </li></ul></ul><ul><ul><li>Anesthesia and intra-operative monitoring </li></ul></ul><ul><ul><li>Antibiotic usage </li></ul></ul><ul><ul><li>Postsurgical care </li></ul></ul><ul><ul><li>Record keeping </li></ul></ul>
  9. 21. Sterilization of instruments and supplies <ul><li>All instruments and supplies that come in contact with the surgical site must be sterile. A number of options are available to sterilize surgical equipment and supplies. </li></ul><ul><li>Autoclave - Relies on pressurized steam, is extremely reliable, and cost effective. However, instruments must be durable (e.g., stainless steel) and the process is relatively slow, from 15 to 60 minutes. Instruments are typically wrapped or sealed in packs that are opened as needed on the day of surgery. </li></ul><ul><li>Ethylene oxide - A gaseous sterilant that requires specialized containment equipment. This is a good sterilization method for supplies that cannot tolerate high heat such as plastics and catheters. It is more costly than autoclaving and typically is performed overnight. </li></ul>
  10. 22. <ul><li>Cold sterilant solutions (hypochlorite, glutaraldehyde, etc.) - Generally, cold sterilants must have prolonged contact time (15 - 60 minutes) to sterilize surgical equipment. In addition, the instruments must be rinsed completely with a sterile solution like saline to prevent tissue irritation. Note: Alcohol is not a sterilant. </li></ul><ul><li>Hot bead sterilizer - This device is a small tabletop unit, approximately 6 x 6 x 8 inches. The appliance heats a small container of Pyrex beads to approximately 250 C and can sterilize the tips of metal surgical instruments in 10-20 seconds. It is very useful for sterilizing instruments between rodents when performing multiple surgeries. </li></ul><ul><li>Pre-sterilized items - Many instruments and supplies can be purchased in sterilized packaging. Such items must be used prior to the label expiration date. </li></ul>
  11. 23. <ul><li>Sterile gloves must be used for all procedures. Prior to donning gloves, the surgeon must scrub the hands and forearms with a disinfectant soap for a minimum of 3 minutes, followed by drying with a sterile towel. </li></ul><ul><li>A new pair of sterile gloves must be worn for each patient. </li></ul><ul><li>A cap, face mask, shoe covers and sterile gown must be worn for all survival large animal surgeries. </li></ul>Preparation of the surgeon and Nurse
  12. 24. <ul><li>Sterile procedure for opening </li></ul><ul><li>Instruments </li></ul><ul><li>Organization </li></ul><ul><li>Secondary Pack </li></ul>PhyGen Surgical Packs Revised 7/12/01
  13. 25. Start with a Sterile Pack
  14. 26. Notice the edges, pull top edge away from you first, then, pull nearest edge toward you.
  15. 30. Secondary Pack -Purpose, to have the minimal amount of sterile equipment so that only the tips of the instruments need to be dry sterilized -Notice the silk suture for the muscle are already pre-swaged -there are ties, plugs, syringes, 2x2’s -most importantly, a sterile trochar
  16. 31. Topics Preoperatif Aseptic Techniques
  17. 32. Preoperative Concerns <ul><li>Surgical Areas </li></ul><ul><li>Support Area </li></ul><ul><li>Two Preparation Areas </li></ul><ul><li>Operating Area </li></ul><ul><li>Postoperative Area </li></ul><ul><li>Disinfecting vs. Sterilization </li></ul>
  18. 33. Preoperative Concerns <ul><li>Instrumentation </li></ul><ul><li>Disinfection of Instruments </li></ul><ul><ul><li>Alcohols </li></ul></ul><ul><ul><li>Chlorine </li></ul></ul><ul><ul><li>Chlorohexidines </li></ul></ul>
  19. 34. Preoperative Concerns <ul><li>Sterilization of Instruments </li></ul><ul><ul><li>Physical Methods </li></ul></ul><ul><ul><ul><li>Autoclave </li></ul></ul></ul><ul><ul><ul><li>Dry Heating </li></ul></ul></ul><ul><ul><ul><li>Ionization Radiation </li></ul></ul></ul><ul><li>Sterilization of Instruments </li></ul><ul><ul><li>Chemical Methods </li></ul></ul><ul><ul><ul><li>Gas </li></ul></ul></ul><ul><ul><ul><li>Chlorine </li></ul></ul></ul><ul><ul><ul><li>Hydrogen Peroxide </li></ul></ul></ul><ul><ul><ul><li>Aldehydes </li></ul></ul></ul>
  20. 35. Preoperative Concerns <ul><li>Self </li></ul><ul><li>Scrubbing </li></ul><ul><ul><li>Clothes </li></ul></ul><ul><ul><li>Hands and Arms </li></ul></ul><ul><li>Gowning </li></ul><ul><li>Gloving </li></ul>
  21. 36. TERIMAKASIH

×