{"id":179,"date":"2022-11-24T17:46:20","date_gmt":"2022-11-24T17:46:20","guid":{"rendered":"https:\/\/perioperative1002.slc-courses.ca\/?p=179"},"modified":"2025-01-06T16:23:27","modified_gmt":"2025-01-06T16:23:27","slug":"module-2-d-endoscopic-and-minimally-invasive-instrumentation","status":"publish","type":"post","link":"https:\/\/perioperative1002.slc-courses.ca\/?p=179","title":{"rendered":"Module 2: D. Endoscopic and Minimally Invasive Instrumentation"},"content":{"rendered":"\n<h2>Endoscopic and Minimally Invasive Instrumentation <\/h2>\n\n\n\n<p>Endoscopy is a minimally invasive procedure where a small lumen, typically a flexible endoscope with a lens and light source, is inserted into the body to clearly show a cavity or structure for therapeutic or diagnostic purposes. Diagnostic endoscopy such as upper and lower gastrointestinal gastroscopy and colonoscopy, and bronchial\/lung visualization, typically takes place in an endoscopy suite. Other areas where minimally invasive diagnostics and procedures take place are cardiac catheterization labs and radiology departments. Although these areas are usually staffed with specifically trained nurses and technicians, the operating room also performs various endoscopic procedures that perioperative nurses must learn. <br><em>(Cromb, 2019) <\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83e\udde9 Practice Activity <\/h5>\n\n\n\n<p><strong>Complete the activity by dragging the text block into a drop zone. Select &#8220;Check&#8221; when you feel confident in your answer(s).<\/strong><\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-14\" class=\"h5p-iframe\" data-content-id=\"14\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 2: Scopes\"><\/iframe><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3>Endoscopic and Minimally Invasive Instrumentation <\/h3>\n\n\n\n<div class=\"wp-container-3 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\">\n<p>When scopes are used inside the abdominal cavity, there is internal anatomy that must be considered for safety purposes. Although nurses are not performing surgery, they must have a thorough knowledge of anatomy <a id=\"post-179-_Int_phRpLdzW\"><\/a>to anticipate untoward events. <\/p>\n\n\n\n<p>See the image example. For a Laparoscopic <a id=\"post-179-_Int_7gNL49CI\"><\/a>Cholecystectomy, the surgical team needs to be able to visualize the gallbladder under the liver without injuring any of the abdominal organs. <\/p>\n\n\n\n<p>For all laparoscopic procedures, basic instruments are required to make incisions, insufflate the abdomen, and close the incision postoperatively. Perioperative nurses set up both a minor \u2018opening\/closing\u2019 set as well as a laparoscopic set. Because laparoscopic procedures may need to be converted to open incisions, ORNAC standards (2021) recommend a full count of instrumentation at the outset of surgery. <\/p>\n<\/div>\n\n\n\n<div class=\"wp-container-2 wp-block-column\"><div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-15\" class=\"h5p-iframe\" data-content-id=\"15\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 2: Laparoscopic\"><\/iframe><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-container-6 wp-block-columns\">\n<div class=\"wp-container-4 wp-block-column\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"BASIC SET UP: LAP CHOLECYSTECTOMY\" width=\"580\" height=\"326\" src=\"https:\/\/www.youtube.com\/embed\/7_VEFp7XeIE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-container-5 wp-block-column\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Laparoscopic Cholecystectomy\" width=\"580\" height=\"435\" src=\"https:\/\/www.youtube.com\/embed\/ecQCvZb9qUA?start=1&#038;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption><em>Watch this optional video which demonstrates step by step how laparoscopic instruments are used to remove a gallbladder.<\/em><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83d\udcfd\ufe0f AORN CINEMED VIDEO <\/h5>\n\n\n\n<p>Navigate to the <a rel=\"noreferrer noopener\" href=\"https:\/\/cine-med.com\/aornonline\/index.php\" target=\"_blank\">AORN Cine-Med website<\/a>&nbsp;and make sure that you are logged in before clicking on the link below. <\/p>\n\n\n\n<ul><li>Download the included Study Guide to follow along. <\/li><li><a href=\"https:\/\/cine-med.com\/aornonline\/overview.php?cat=7&amp;id=2031\" data-type=\"URL\" data-id=\"https:\/\/cine-med.com\/aornonline\/overview.php?cat=7&amp;id=2031\" target=\"_blank\" rel=\"noreferrer noopener\">Minimally Invasive Surgery<\/a><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Endoscopic and Minimally Invasive Instrumentation Endoscopy is a minimally invasive procedure where a small lumen, typically a flexible endoscope with a lens and light source, is inserted into the body to clearly show a cavity or structure for therapeutic or diagnostic purposes. Diagnostic endoscopy such as upper and lower gastrointestinal gastroscopy and colonoscopy, and bronchial\/lung [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"templates\/template-content.php","format":"standard","meta":[],"categories":[11],"tags":[],"wf_post_folders":[4],"_links":{"self":[{"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/179"}],"collection":[{"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=179"}],"version-history":[{"count":19,"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/179\/revisions"}],"predecessor-version":[{"id":802,"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/179\/revisions\/802"}],"wp:attachment":[{"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=179"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=179"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=179"},{"taxonomy":"wf_post_folders","embeddable":true,"href":"https:\/\/perioperative1002.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fwf_post_folders&post=179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}