Tags | Ethicon Cardiothoracic

CARDS

STEP 2 - Changing the angle of the needle versus the needle holder

The hand is and remains in the previously described relaxed and supported (5th finger) position. The hand has a needle holder in the previously described fashion. The scholar places in front of him a cross with the main axes of a watch identified and 12 hours at the top. The normal axis of the needle holder should be the 04:30 axis. The index finger (finger nr 2) is parallel with the needle holder and allows fine position adjustme...

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STEP 2 - Technical tips (1/2)

The scholar should learn to change the relationship between needle and needle holder by pushing against the needle with a closed forceps. The learning process will guide the scholar to move the needle, first in a horizontal plane, later in all planes, so that the position of the needle is always optimal. The hand and needle holder do not move, maybe the fingers. Open the needle holder and move with the ...

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STEP 2 - Essential elements to remember from STEP 1

Essential elements to remember from step 1 Keep the shoulders down in a relaxed position. Keep the elbows against the body in a relaxed position. Bring the angle of the elbow to 90 ° and adjust the height of your seating so that this is obtained. Relax and support the wrist with a sponge, avoid any dorsi flexion, any ante flexion, any pronation and any supination. ...

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STEP 2 - From a two dimensional to a three dimensional world

The relationship of the needle and needle holder will change at each step. First rotate the needle in the horizontal plane, resulting in the needle tip making a complete circle with the upwards pointed tip. If we master this exercise we can move to the next exercise.Move the needle so that it can point in ANY direction. The needle point will now make a complete ball and not just a circle.

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STEP 2 - Handling errors

In this video, the scholar rotates the needle holder and not the needle. This movement is impossible in reduced airspace and the fixed relationship between needle and needle holder will increase trauma at entry into tissue. You should not use this movement.

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STEP 2 - Material Resources for this step

A Seat Preferably changeable in height. A table or platform Normal table height. One Castroviejo type needle holder Preferably with rounded handle, 23 cm long, with or without lock or ratchet). One pair of forceps 1-2 mm thick points 18 cm long, preferable similar in length and shape as the needle holder. A white sheet of paper with a black cross. A sponge or hand wash towel

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