1. operation theatre
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Transcript of 1. operation theatre
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What is Operation Theatre?
Dr Tridip Dutta BaruahAsst Prof, Deptt Of General Surgery,
MGMCRI
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How to describe???
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Is It?????
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Or…….
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Evolution Of OT
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Modern OT: inside view
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OPERATION THEATRE: WHAT IS IT?
Complex environment of varying degree of sterility, integrating surgical and
anesthetic equipment for the safe conduct
of Surgery
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Ideal location
Location:• All OTs in an OT complex• Emergency• Blood bank• Radiology• Intensive care unit• Central sterile supply department• Laboratory
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Types of OT• Based on Sterility– Ultra sterile (CTVS, Transplant OT)– Sterile– Septic
• Based on construction– Modular – Non modular
• Based on timing of surgery:– Routine – Emergency
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OT DESIGN
• No standard design exists• Must conform to basic parameters so as to
maintain the sterile OT environment• Zones in the OT based on sterility– Sterile/ultra sterile– Clean – Protected– Disposal
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Sterile zone
• Operating suite• Sterile preparation area• Scrub station• Gowning area• Anesthesia induction areaOT attire mandatory in this area
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Clean zone
• Sterilization area• Store area• Preoperative area/room• Post operative recovery area/room• OT Staff & Doctor’s roomsOT attire mandatory in this area
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Protective zone
• Changing rooms• Reception area• Waiting area• Trolley bayOT attire not mandatory in this area
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Disposal zone
• Dirty utility area• Disposal corridorOT attire mandatory in this area
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OT SUITE REQUIREMENTS
• Central AC: 20-22 deg centigrade• Humidity:50-60%• Positive pressure ventilation• Air change: 20 times/hr with recycled air; of which 5 times with fresh air• HEPA filter of “S” class• Laminar air flow through diffuser• General Lighting: Cold light, even distribution, varying intensity• Operating light: Ceiling mounted, cold light, shadow less focusable beam• Medical gas pipeline: Anesthesia gas, Air, Oxygen & Suction• Power supply: Uninterrupted (UPS) and generator back up (safety)• Earthing: All electrical equipment (safety)• Fire safety: Fire/smoke detectors. Fire hydrants & extinguishers (Safety) • Power switches: Away from Operating area (Safety)
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Floor/Wall/Ceiling• Floor:
– Non slippery, antistatic, non reflective, non porous, water, stain and fire resistant.
– Seamless • Walls:
– Same quality as the floor– Seamless – Usually stainless steel
• Ceiling– Same quality as floor– Usually stainless steel– Diffuser for laminar air flow– Mounting for lights
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Advantages?
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OT doors
• Wide doors:– sound proof, – non reflective surface,– radiation resistant– fire resistant.
• Sliding type of door• Glass cut out for visibility
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Scrub station
• For sterile hand wash• Types: Stainless/ Granite/Marble/ Cement• Gradient of basin forward and downwards• Gradient towards outlet• Hot water mixing: automatic or manual• Non splashing taps; possible to change direction• Elbow/ Foot or Infra Red operated taps• Soap dispenser: Manual/automatic
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Scrub Station
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Sterile preparation area
• Sterile bins storage• Sterile instrument tray storage• Preparation of operation sets
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Thank u