Table Of ContentInstrumentation
Operating
for the
Room
A Photographic Manual
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Instrumentation
Operating
for the
Room
A Photographic Manual
Eighth Edition
Shirley M. Tighe, RN, BA
AD in Applied Science in Photography
Consultant for the Operating Room
Lake Havasu City, Arizona
with over 835 photographs
B978-0-323-07739-2.00130-8
10.1016/B978-0-323-07739-2.00130-8
978-0-323-07739-2
Elsevier Inc.
Copyright
3251 Riverport Lane
St. Louis, Missouri 63043
INSTRUMENTATION FOR THE OPERATING ROOM ISBN: 978-0-323-07739-2
Copyright © 2012, 2007, 2003, 1999, 1994, 1989, 1983, 1978 by Mosby, Inc., an affiliate of Elsevier Inc.
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This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information
or methods they should be mindful of their own safety and the safety of others, including parties for whom
they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration, and
contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of
their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient,
and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume
any liability for any injury and/or damage to persons or property as a matter of products liability, negligence
or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
International Standard Book Number: 978-0-323-07739-2
Executive Editor: Teri Hines Burnham
Senior Developmental Editor: Laura M. Selkirk
Publishing Services Manager: Deborah Vogel
Project Manager: Brandilyn Tidwell
Designer: Amy Buxton
Cover Designer: Ashley Eberts
Working together to grow
libraries in developing countries
Printed in the United States of America www.elsevier.com | www.bookaid.org | www.sabre.org
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To my sister, Patricia Walker; my husband, Glen Tighe; my daughter, Joni Scott;
and a close friend, Lazora Bartos, for allowing me to use photos of their surgical procedures
to show the preoperative diagnosis and postoperative results to assist in the teaching process
in some of the chapters.
Thank you very much
Love, Shirley
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Contributors and Consultants
CLINICAL EDITORS
Beth A. Waterman-Hukari, RN, BSN, CNOR
Perioperative Clinical Educator/Clinical Practice Support-Surgical Services
Legacy Emanuel Hospital & Medical Center
Portland, Oregon
Wendy M. Raynor, RN, BSN
Team Manager, Perioperative Intern Program/Perioperative Services Education
Southwest Washington Medical Center
Vancouver, Washington
NURSE/CONSULTANTS
Cynthia C. Spry, RN, MA, MSN, CNOR, CSIT
Independent Consultant, Sterilization, Disinfection, and Related Infection Prevention
New York, New York
Marcia Frieze, CEO
Case Medical, Inc.
South Hackensack, New Jersey
Pauline E. Vorderstrasse, RN, BSN
Director/Instructor Surgical Technology, Retired
Mt. Hood Community College
West Linn, Oregon
CLINICAL CONSULTANTS
Colette August Alford, RN
Coordinator, Advanced Urology
Legacy Emanuel Hospital & Medical Center
Portland, Oregon
Mary Beth Barnard, RN
Clinical Charge Nurse, ENT, Ophthalmology
Legacy Emanuel Hospital & Medical Center
Portland, Oregon
Sheryl A. Bundy, RN
Pediatric Surgical Coordinator
Legacy Emanuel Hospital & Medical Center
Portland, Oregon
Contributors and Consultants vii
Gerry J. Casale, RN
Perioperative Nurse, Retired
Aurora, Oregon
Joshua D. Dodd, RN, BSN, CNOR
Surgical Coordinator OMF/Burn/Plastic/Dental/Robotics
Legacy Emanuel Hospital & Medical Center
Portland, Oregon
Beverly J. Eagle, RN, CNOR
EENT/Plastic, Ambulatory Surgery, Retired
Portland, Oregon
Meseret Eichman, RN
General, MIS, and Bariatric Surgery Coordinator
Legacy Good Samaritan Hospital & Medical Center
Portland, Oregon
Daniela Maerz, RN, BSN, CNOR
Neurological RN Specialist
Southwest Washington Medical Center
Vancouver, Washington
Lois J. McIntosh, RN, BA, CNOR
MIS, GYN, Laser, Robotics, General Coordinator Operating Room
Legacy Emanuel Hospital & Medical Center
Portland, Oregon
Sally A. McNeil, RN, AD
Orthopedic RN Specialist
Southwest Washington Medical Center
Vancouver, Washington
Ronnie Mills, Certified Surgical Technologist
Pediatric Orthopedics and Plastics
Shriners Hospital for Children
Portland, Oregon
Denise A. Reese, RN, CNOR
Perioperative Services Clinical Educator
Southwest Washington Medical Center
Vancouver, Washington
Jack Som, RN
General RN Specialist
Southwest Washington Medical Center
Vancouver, Washington
Julie Stamper, RN
EENT/Plastic and Ambulatory Surgery
Legacy Good Samaritan Hospital & Medical Center
Portland, Oregon
viii Contributors and Consultants
Consultant to Chapter 1: Care and Handling
of Surgical Instruments
Nancy Chobin, RN
CS/SPD Educator
Saint Barnabas Health Care System
Lebanon, New Jersey
CONTRIBUTORS/CONSULTANTS
Dr. Edward B. Diethrich
Arizona Heart Institute
Phoenix, Arizona
Dr. Robert J. Goodrich
Director, Surgical Technology
Mohave Community College
Lake Havasu City, Arizona
Kia Holmes and Lydia Kasani
Case Medical, Inc.
South Hackensack, New Jersey
Dr. Christopher Kwon
Cardiovascular and Thoracic Surgeon
Lake Havasu City, Arizona
Jack W. Sanders, BA
Medical Photography/Videographer
Southwest Washington Medical Center
Vancouver, Washington
Tamara A. Schuman, RN, MS
Illustrator
Portland, Oregon
Glen E. Tighe
Photography & Computer Consultant
Lake Havasu City, Arizona
Dr. David B. Verst
Verst Spine Care
Hailey, Idaho
Intuitive Surgical, Inc.
Eric S. Heinz, da Vinci Product Manager, Instruments & Accessories
Alexis Morgan, MarCom Manager
Bill Britt, Photographer
Sunnyvale, California
Legacy Emanuel Hospital & Medical Center
Portland, Oregon
Legacy Good Samaritan Hospital & Medical Center
Portland, Oregon
Contributors and Consultants ix
