Small Animal Surgical Emergencies. Группа авторов

2.25–2.27). Surgical grade colored vinyl tape is an acceptable method used to easily identify which instruments belong to each set, although it is imperative to follow the manufacturer's instructions for use precisely and to confirm that the product can sustain sterilization. An eye utility set consisting of basic instrumentation required for draping the patient (Box 2.28), the surgical approach, and a bowl for irrigation, should be used for all operative procedures, in addition to the main procedure set.

Box 2.22 Instruments and Supplies for Initial Wound Management

       Routine soft tissue instrument set

       Blunt probe (Figure 2.32)

       Sterile, water‐soluble gel

       Copious amounts of sterile lavage (sterile, isotonic, and buffered)

       35–60‐ml syringe, and 19‐gauge needle

       Wound cleansing antiseptics (0.05% chlorhexidine, povidone‐iodine 0.1–1%)

       Passive drains

       Active closed suction drains

       Contact layer dressings^a

       Umbilical tape

       Vacuum‐assisted wound closure (Figure 2.33)

       Bandaging material

       Culturettes

^a The contact layer dressing will vary depending on the phase of wound healing. See Chapter 56 for specific dressing recommendations.

Figure 2.32 Blunt probe.

Figure 2.33 Materials used for vacuum‐assisted wound closure.

Box 2.23 Preoperative Periocular Surgical Preparation

       Lab coat

       Clippers

       Pair of exam gloves

       Plastic specimen cups (3)

       Rinse bottle of 0.9% saline (NaCl)

       Rinse bottle of dilute povidone‐iodine solution (10 ml povidone‐iodine to 500 ml NaCl)

       Rinse bottle of dilute baby shampoo (50 : 50 mixture with NaCl)

       Cotton tip applicators (20)

       Cotton balls (30)

Box 2.24 Final Sterile Periocular Surgical Preparation

       Metal bowl

       Metal cannula (23‐ or 25‐gauge)

       3 × 3 gauze (10)

       Pair of sterile gloves

       Two packets of 10% povidone–iodine swab stick (threes)

       250 ml bottle sterile 0.9% NaCl (single use)

       10 ml syringe with needle

Figure 2.34 Equipment for preoperative periocular surgical preparation.

Figure 2.35 Sterile preparation kit used to aseptically cleanse the patient's upper and lower eye lids, and conjunctival fornixes, and to irrigate the ocular surface prior to the start of an intraocular surgical procedure. Note that non‐sterile personnel will tear open and hold the distal end of the swabstick packet to allow the sterile individual preparing the patient to grab each of the swabsticks as needed.

Box 2.25 Intraocular Instrument Set

       Foerster iris tissue forceps

       Bishop–Harmon forceps

       Colibri corneal utility forceps

       Harms tying forceps (curved, straight)

       Barraquer curved needle holder

       Castroviejo needle holder (straight, locking)

       Castroviejo tissue forceps

       Tenotomy scissors (curved, straight)

       Westcott scissors (blunt, sharp)

       Barraquer eyelid speculums (multiple sizes)

       Castroviejo corneal section scissors (left, right handle)

       Lens loop

       Muscle hook

       Utrata forceps

       Vannas capsulotomy scissors (curved, straight)

       Beaver® blade handle

       Lens folding forceps

       Jewelers forceps

       Cannula (23 gauge)

      Box 2.26 Extraocular Instrument Set

       Foerster iris or Bishop–Harmon forceps

       Colibri corneal utility forceps

       Stevens tenotomy scissors (curved, straight)

       Westcott scissors

       Barraquer eyelid speculums (small, large)

       Castroviejo needle holder (straight, non‐locking)

       Heath/Lambert chalazion forceps

       Desmarres Chalazion forceps

       Jaeger lid plate

       Graefe fixation forceps (locking, non‐locking)

       Jewelers