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PATIENT PREPARATION
Hair RemovalClip after patient has been stabilized under
anesthesia•Appearance of the clip
•Clipping at a 90° angle gives a sharp, straight edge
•2 clipper blade widths in every direction
Hair RemovalProper hand position
•Use a #40 blade andhold in a pencil grip
•Consult the doctor for clipping margins
•General rule of thumb for orthopedic procedures is to shave one joint above and one joint below the proposed incision site.
Next Steps
• Vacuum hair
• Express bladder
Surgical Site Preparation• Antiseptics-The skin of the patient cannot be
“sterilized”• Scrub product: A soap or detergent base–Povidone-iodine – bactericidal, virucidal,
fungicidal, fungistatic• Diluted 50:50 with tap water• Low tissue toxicity• Inexpensive• Stains
–Chlorhexidine gluconate-bactericidal, virucidal, fungicidal• Diluted 60:40 with tap water• Low tissue toxicity• More expensive• Does not stain• Residual activity
Surgical Site Preparation• Rinsing agents – remove the detergents– Common agent is 70% isopropyl alcohol• Alcohol coagulates proteins so is contraindicated in open
wounds and mucous membranes• Inexpensive, readily available• Increases residual activity of chlorhexidine• Contributes to hypothermia
– Sterile water or sterile saline can be used as an alternative• No antibacterial effects
• Applicators– Gauze, cotton-tipped applicators, cotton balls, spray
bottle
Surgical Site Preparation
• Special Male dog preparation•Dilute povidone-Iodine solution1:9
•Dilute chlorhexidine 1:20
Patterns for Scrubbing• Target– Create a small contact surface with the gauze
square– Start at the incision site and work outward in a
circle until the hair is reached– Alternate between chlorhexidine and alcohol
at least 3 cycles
• Orthopedic• Perineal• Possible reactions: clipper and chemical
Secure Patient to Table
Sturdy, flexible cordFour stays on surgical table
Secure Patient to Table
Abdominal surgery
Secure Patient to Table
Castration in a dog
Dorsal recumbencyOr modifiedDosal recumbency
Castration in a cat
Secure Patient to Table
Secure Patient to Table
Orthopedic and extremity surgery
Secure Patient to Table
Tail and perianal surgery
Secure Patient to Table
Back surgery
General rulefor shaving forback surgeryis 2 vertebrae above and 2 vertebrae belowthe proposed incisionsite
Final (Sterile) Surgical Site Preparation
Solutions (Paint)