This document discusses intraoperative care during surgical procedures. Intraoperative care involves monitoring vital signs, fluid therapy, blood transfusions, anesthesia, and lab samples. The goals of intraoperative care are to maintain homeostasis, use strict sterile techniques to prevent infection, ensure the patient is securely positioned, and prevent burns from cautery. The surgical team works together, with specific sterile and non-sterile roles, to provide monitoring, emergency equipment and supplies, accurate counts, aseptic techniques, and skin preparation to keep the patient safe and comfortable during the operation.

1. INTRAOPERATIVE CARE
LECTURER:UMAR TARIQ
MSC ANAESTHESIA/OTT

2. INTRODUCTION
• Intraoperative care is patients care during an
operation and ancillary to that operation.
• Intraoperative care is provided by surgical
technicians,anaesthesia
technicians,anaesthesiologists,nurses,surgeons
all working as a team.
• The purpose of Intraoperative care is to
maintain patients safety and comfort during
surgical procedures.

3. ACTIVITIES
Monitoring of
• Vital signs
• Spo2
• Fluid therapy
• Blood transfusion
• Anaesthesia
• Retrieving samples for lab tests

4. Goals of intraoperative care are:
1. Maintain homeostasis during the procedure.
2. Strict sterile techniques to decrease the chances
of cross infection.
3. Ensuring that the patient is secure on the
operation table.
4. To prevent burns from cautery plate.
5. Hemostasis
6. Safe administration of anaesthesia

5. Intraoperative care
• Ventilation should be assessed by continuous auscultation of
breath sounds.
• Oxygenation should be monitored by continuous pulse
oximetry.
• Ecg monitoring
• Heart rate and BP should be monitored at least every five
minutes.
• Monitoring devices such as ECG electrodes,pulse oximetry
probe,BP cuff are usually applied prior to skin prepration.
• Proper positioning

6. • Emergency drugs and trays shoud be available.
• Defibilator must be available.
• Accurate count of sponges,instruments and sharps
that may become foreign bodies.
• Strict aseptic techniques must be followed at all
times.
• Sterile gowns and gloves must be worn by those
working in surgical procedures.
• Skin prepration with antiseptic solution.

7. SURGICAL TEAM
Scrub team or non sterile none
Sterile team scrub team
1. Surgeon 1.anaesthesiologist
2. Assistant surgeon 2.technicians
3. Ot technician 3.circulating nurse
4. Scrub nurse

8. THANK YOU