What Really Happens In The Operating Room скачать в хорошем качестве

What Really Happens In The Operating Room

http://drkimfacialplastics.com/ This is the presentation "what happens in the OR". Now unfortunately if you let your imagination get away from you, you might think its all kind of chaos and pandemonium is happening in the OR. In reality this is not what typically happens in most situations. We must remember that what happens in the OR is just one point in the continuum of care for the rhinoplasty patient. And in terms of what I can do as a surgeon to make sure the rhinoplasty goes well. I have to think of everything that leads up to the surgery as part of OR experience. Abraham Lincoln had a famous quote "If I had 8 hours to chop down a three, I would spend 6 sharpening my axe" and it's the same thing it's all in the preparation. This slide shows the lifelong journey of a surgeon. The patient might come in for a consultation but may not realize all the things that have gone previous to that appointment to make sure that that surgeon is a capable and competent individual. The development of skills, the development of the reputation and then the first point of contact. And between that point and the surgery so much is going on with the consultation, managing expectations, developing a reputation, planning the surgery, screening, reviewing the night before the surgery and all the check listed items that are conducted during the day. Following the surgery there are a whole list of other follow up items that can ensure the patient is in a good place to maximize the chance that the outcome will be good. The surgeon is really executing a complicated task which is demanding of ones mind and body. This requires experience, judgment and skill on the part of the surgeon but it also requires a lot of focus, stamina and hand eye coordination. And like success in sport, I think success in surgery really come from preparation in lots of things. As a sports fan I like these analogies, practice is important, repetition, owning your skills, studying the game (really analyzing the individual as well as general principles that guide you in surgery), taking care of your body, preventing injury, making sure your optimal going into a particularly long case and approaching the challenge with intensity, not taking it lightly and being very serious and ready for game time. I think it is really important to put our patients in a favorable mental and emotional state so I check in before and after surgery, I try to be very welcoming to invite the opportunity for questions to put them at ease. I think its very important to demonstrate compassion to patients, particularly in the vulnerable moments before surgery. When we are using a team of assistants during surgery. In addition to the surgeon the operating team includes, the nurse, the scrub tech who assists the surgeon, an anesthesiologist and a recovery nurse. It is really critical that if the surgery is to go well that you have a team that is familiar with everything that you are doing and we call this the A team . This is my A team. These two girls work with me for the majority of my cases, they know all my preferences. Because of that they know exactly what to do to make sure the chips are staked in our favor so that the surgery goes well. In those situations where I am not able to use my normal team