Minimally invasive plate fixation in the treatment of distal tibial fractures with


, Surgical methods, position, anesthesia and surgery with the requirement to answer questions raised by patients at the same time inform the surgeon when surgery can be heard using the electric knife, electric drill, hammer, when the sound of bone surgery operation is the normal sound, without fear of tension; for emergency surgery patients,abercrombie and fitch sale, nurses should patiently explain, in order to enhance patient confidence and security to overcome the disease, to stabilize the mood, take the initiative with the surgery. 2.2 Instruments and materials to prepare the environment (1) equipment to prepare: According to the limbs, orthopedic surgery, general notice to prepare for surgical instruments and fixation devices and supporting equipment, electric knife, electric drill, C-arm x-ray machine, and cross-checked instruments and screws, rapid surgery with surgery to prevent delayed due to lack of supporting equipment operation time required to debug a variety of surgical instruments, to ensure fully functional normal. (2) to prepare the environment: sterile demanding orthopedic surgery, we have taken on the basis of conventional treatment measures to strengthen disinfection, preoperative objects table, wipe surface with a chlorine disinfectant, ozone air sterilization machine disinfection cycle 2h, and then disinfect the morning surgery 2h, meet sterility requirements. 2.3 Intraoperative Nurse with co-2.3.1 (1) warm reception of patients, preoperative antibiotics 30min to help anesthesiologists to complete puncture and epidural anesthesia monitoring equipment to connect and establish intravenous access. (2) position placement: patient supine, keeping sheets flat against the skin crushed. Deposited plate affixed to the thigh muscle where the muscle fullness. (3) intraoperative closely observed to maintain infusion smooth, accurate implementation of the doctor's advice, to assist intraoperative x-ray, and make a radiological protection, control of visitors, strict supervision of aseptic technique. The higher number of bleeding, check and make blood transfusion. (4) security escort patients back to the ward, and detailed shift. 2.3.2 Devices with nurses (1) be familiar with the method proposed surgical plan in advance 30min wash, check the required use of materials, equipment and special equipment will be used separated, counted the number of instruments and dressings, the order placed by surgery, convenient access, the late stage of the equipment, temporarily covered with a sterile one, in order to reduce the exposure device. (2) the right to pass the initiative under the surgical procedure surgical instruments, anesthesia satisfaction, routine disinfection of draping the operative field paste incision film, after the completion of a fixed, accurate inventory of equipment, after dressing, wash the wound, then place the drainage tube drainage bag, followed by suturing the incision , dressing. 3 Discussion 3.1 'skilled surgery nurses must be familiar with the equipment operative procedures, understand and use the name of the device, surgery initiative, with the tacit understanding, to shorten the operation time, to ensure smooth operation. 3.2 Intraoperative psychological care of patients with epidural anesthesia has been in a sober state, disease and surgery can lead to anxiety and irritability in patients with psychological,nike free tilbud, traveling nurses more caring, patient, close observation of changes in vital signs,moncler outlet, especially blood pressure and respiratory changes, timely care of patients during surgery may encounter situations; the foresight to guide, to enable patients to prepare themselves to achieve effective communication with patients take the initiative to shorten the operative time,ugg boots sale, and achieve better results by clinical observation, where the communication effective, the patient can easily cope with surgery, especially in the end of surgery, inform patients of the surgery was very successful, can effectively eliminate the concerns of patients with heart, and transferred its attention to reducing anxiety and fears. 3.3 Prevention of infection to ensure the quality and use of sterile surgical material between the quality of the environment, strict sterilization operation, preoperative 30min prophylactic use of antibiotics to control the visitors, in order to prevent infection, infection prevention is to ensure the operation The key to success. 3.4 Prevention of lower extremity vascular and nerve injury also traction over blood vessels, nerve injury, manifested as deep vein thrombosis and the common peroneal nerve injury, so even after surgery to observe the foot's blood circulation and nerve function,ugg pas cher, anti- excessive traction. [
,],[