PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
Versión: 1

NAME STUDENT: MARIA CODE: 01200021063 NIVEL DE

PAULA MENDEZ ROMERO PRÁCTICA: III

NAME TEACHER: PRACTICE SCENARIO: NOTE:

GLENDA/LIDY INSTITUTE OF HEART

SPECIALTY: SURGEON: Dr. Fabio DATE: 13/09/2023

Cargiology

NAME OF PATIENT: Pepito Perez CLINICAL RECORD NUMBER: PATIENT AGE:

SURGICAL PROCEDURE:
MYOCARDICAL REVASCULARIZATION

SURGICAL INSTRUMENTATION PROCESS

1. PLANNING STAGE:

1.1. Surgical Objective: (Make description)

Myocardial bypass surgery (MRS), also called coronary bypass surgery, is a medical procedure to improve
blood flow to the heart. It may be needed when the arteries that supply blood to the heart tissue, called coronary
arteries, are narrowed or blocked.

1.2. Anatomy and physiology: (Make graph and description).

 The left coronary artery (ICA). The left main coronary artery supplies blood to the left side of the heart
muscle (the left ventricle and left atrium). The left main coronary artery divides into two branches:

 The left anterior descending artery is a branch of the left coronary artery and supplies blood to the
anterior portion of the left side of the heart.

 The circumflex artery that arises from the left coronary artery and surrounds the heart muscle. This
artery supplies blood to the outer and posterior areas of the heart.

 The right coronary artery (RCA). The right coronary artery carries blood to the right ventricle, right
atrium, sinoatrial node (SA node), and atrioventricular node (AV node), which regulate heart rate. The
right coronary artery divides into smaller branches, including the right posterior descending artery and
the acute marginal artery.
 PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
Versión: 1

 The internal saphenous vein, also called the main saphenous vein, begins on the dorsum of the foot,
runs along the anterior surface of the internal malleolus upwards along the anterior internal surface of
the thigh, becoming anterior until reaching the inguinal area where, in the triangle of Scarpa, empties
into the common femoral vein.

1.3. Check list:

 PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
Versión: 1

INSTRUMENTAL MECIAL SUTURES GRUGS AND

EQUIPMENT/DEVICES SOLUTIONS
 CORONARYEQUI  CLOTHING  PROLENE 7/0  HEPARIN
PMENT(VASCULA PACKAGE OF3/8 CIRCLE  SOLUTION
R BASKET)  ELECTROBISTURI VASCULAR SALINE
 SEPARATOR  RUBBER SUCCIN  PROLENE 6/0  INFLITATION
MAMMARY  BISTURI BLADE 15 OF3/8 CIRCLE BUPIVACAINE
 FINE (3) VASCULAR 0,5%
INSTRUMENTAL  BISTURI BLADE 13MM
DR GIRALDO 11(1)  SILK 0 OF ½
 STERNAL  COOPER TUBE OF CIRCLE 26
SEPARATOR  ASEPTOJERINGE MM
(FINOCHETO)  VENIPUNCTURE  PROLENE 4/0
 EXTRACORPORE  RADIOPAQUE GAZE OF½ CIRCLE
AL EQUIPMENT ROUND RB-
 TUBE OF THORAX 34
(MCE) 117 MM
 ANTEROGRADECAR
 RECIPROCATIN  POLYESTER
DIOPLEGIA
SAW 2/0 OF½
CANNULA
 PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
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2. ETAPA DE ORGANIZACIÓN:
2.2. Patient Position (Name and Graphic):
a. Arrangement of reserve and May tables:
 PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
Versión: 1

2.3. Location of the Surgical Team (make chart):

 PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
Versión: 1

3. EXECUTION STAGE:

a) Anesthesia (write the type of anesthesia):

 General anesthesia

b) Incision (write the type of approach and the name of the incision):

 Sternal incisión and Femoral

c) Surgical Process (Describe the main steps of the medical surgical technique with the instruments to be used).

Access to the heart: The surgeon makes an incision in the chest with the scalpel handle and reciprocating saw
to access the heart. This can be done through the breastbone (open heart bypass surgery).

Preparation of the artery or vein: A vein or artery, usually from another part of the patient's body (such as the
saphenous vein or the internal mammary artery), in this case it was both, is selected to use as a graft. This is
prepared and conditioned for use.

Creating the graft: The surgeon connects the graft to the aorta and then to the blocked or narrowed coronary
arteries, creating a new path for blood. This diverts blood around blockages, improving blood flow to the heart.

Blood flow tests: Tests are done to make sure the grafts are working properly and providing adequate blood
flow to the heart.

Closure and recovery: Once the procedure has been completed, the incision in the chest and sternum is closed
with ACIFLEX and the patient is transferred to the intensive care unit for post-operative recovery.
 PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
Versión: 1

FORMATO DE INFORME SEMANAL DE LA PRACTICA FORMATIVA

FORMATO RECORD DE ASISTENCIA A CIRUGIA - PRACTICA FORMATIVA
IQX-FT-024-UDES

FIRMA ESTUDIANTE: ________________________ FIRMA DOCENTE: __________________________

CONTROL DE CAMBIOS

FECHA DE
VERSIÓN DESCRIPCIÓN DEL CAMBIO RESPONSABLE
APROBACIÓN

Lizeth Guiza
Coordinadora de Prácticas
00 Versión de Prueba 25/11/2015

Elimina del encabezado la fecha de la

implementación del formato, según
disposición de la alta dirección consejo Erika Grandas Ardila
superior. Coordinadora de prácticas
01 Eliminación pie de página por 03/08/2022
modificación en procedimiento control de
documentos y registro.
 PROGRAMA DE INSTRUMENTACION QUIRURGICA

PLANEAMIENTO QUIRURGICO FORMATIVA

IQX-FT-003-BUC
Versión: 1