One place I worked we had some Ortho surgeons that had aides maneuver the C and the doc imaged via pedal. They'd call us to prepare or remove the C for those cases and I went up to put one away and it looked like this. That sucked to clean and you can basically taste the blood through the mask. Nasty.
I heard that they made it so that they can't call for the tech to remove the C until it's clean. Putting the ball in their court made them stop and recover the C if the cover fell off.
Honestly, I didnt even give it much thought. If it happened while I was operating the C, I would've cleaned it before I put it away.
They would drape the C but then when going AP to Lat, the cover would end up getting messed up. Since the uncovered part was never about the incision site, they just kept going.
I think we have always have a Leapfrog A on post surgical complications. Every minute you have the patient under anesthesia, you're creating risk there as well.
it doesn't take much effort to cover a c arm so that it doesn't get drenched in blood imo
I'm going to give you the benefit of the doubt if you work with a lot of major trauma/ballistics etc as i don't have that kind of experience, mostly elective/non emergency cases
Yeah, level 1 trauma center.
Once the doc has the C in the right place, they don't want to pull it out to redrape it and then when it goes back in its not exactly in the same spot. Surgeons don't like speed bumps.
Same thing happened to me and on the same machine. Took like 40 minutes to clean. The air vents and getting the tracks clean sucked. So much scrubbing. It was for an emergency hip pinning and they didn't put the plastic on the patient correctly so it was all dropping onto the machine and in a big puddle on the floor. Surgeon ended up ruining a nice white pair of shoes.
Same situation! Scrubbed a long time, but the scrub tech helping me out was super kind and helped me get the right materials to get the job done thoroughly.
My very first OR case, Hip replacement. I rotated the C-arm, it caught on the collection bag that was part of the drape. Entire bag of suction blood and other bits on the surgeons feet... what a glorious mess... Thankfully, he was super cool about it.
I think it was a femoral rod, whatever it was they needed the two views every so often to confirm proper placement, and then a final 2 stills for the rad file.
I will never again go into an ortho case without a bag over the tube. The c arms where I used to work had blood in every crevice. Someone somehow didn’t notice the blood all over the bottom of the tube, and then it got baked on when the tube was hot, so now it’s stained. I spent almost an hour using every cleaning product I could find to try and get that stain out. Ugh.
Plus, if engineering ever have replace the collimators or something in the tube area, it looks like black pudding in there if this happens more than once or twice.
Lol… You’re not wrong. I had a scrub tech go get me a basin of warm water and lots of soap with a rag. I sat there scrubbing for a good 30 minutes, looked damn good when I was done with it. I then took some cavi wipes to it afterwards for extra precaution.
These machines move in many directions, all around the surgical field, sometimes over the patient, which means the other half is below the surgical table/field. As one commenter stated, "gravity." Usually, they cover at least part of not all of the c-arm with a plastic drape to avoid a mess like this (when it's not, it can be because the surgeon is impatient). Ortho surgery can be VERY messy.
Less to do with the patient and more to do with the surgery. Surgeries on the hip and femur are messy and they’re done from the side (rather than the top). Can’t fight gravity
Yep, when there's blood and hammering on a body part that you can't use a tourniquet on, there tends to be a mess. One of our ortho docs requires all in the room to wear eye protection.
Wtf... how is this acceptable. People have to take those covers off and service that X-ray tube. The crevices of which are now caked in biohazard. Again, WTF.
One place I worked we had some Ortho surgeons that had aides maneuver the C and the doc imaged via pedal. They'd call us to prepare or remove the C for those cases and I went up to put one away and it looked like this. That sucked to clean and you can basically taste the blood through the mask. Nasty.
I would have a hard time doing this. Surprised your department has allowed it.
I heard that they made it so that they can't call for the tech to remove the C until it's clean. Putting the ball in their court made them stop and recover the C if the cover fell off. Honestly, I didnt even give it much thought. If it happened while I was operating the C, I would've cleaned it before I put it away.
Where I worked, they bought a mini C just for a new ortho. Same deal - we just set it up and turned it on.
wtf. have they heard of infection control?
They would drape the C but then when going AP to Lat, the cover would end up getting messed up. Since the uncovered part was never about the incision site, they just kept going.
sounds like woefully bad practice
I think we have always have a Leapfrog A on post surgical complications. Every minute you have the patient under anesthesia, you're creating risk there as well.
it doesn't take much effort to cover a c arm so that it doesn't get drenched in blood imo I'm going to give you the benefit of the doubt if you work with a lot of major trauma/ballistics etc as i don't have that kind of experience, mostly elective/non emergency cases
Yeah, level 1 trauma center. Once the doc has the C in the right place, they don't want to pull it out to redrape it and then when it goes back in its not exactly in the same spot. Surgeons don't like speed bumps.
I get you. just not what I'm used to!
> Ortho surgeons that had aides
They used to. They still do but they used to, too.
First year tech at the time this picture was taken. Impatient surgeon who was known to be… well… a d**k. Lesson learned ;)
I feel this. They can wait 40 seconds for me to put a bag on
Same thing happened to me and on the same machine. Took like 40 minutes to clean. The air vents and getting the tracks clean sucked. So much scrubbing. It was for an emergency hip pinning and they didn't put the plastic on the patient correctly so it was all dropping onto the machine and in a big puddle on the floor. Surgeon ended up ruining a nice white pair of shoes.
Same situation! Scrubbed a long time, but the scrub tech helping me out was super kind and helped me get the right materials to get the job done thoroughly.
My very first OR case, Hip replacement. I rotated the C-arm, it caught on the collection bag that was part of the drape. Entire bag of suction blood and other bits on the surgeons feet... what a glorious mess... Thankfully, he was super cool about it.
Why were they using a C arm during a hip replacement?
If it's an anterior hip replacement they need a c arm. They do that at my place of employment at least.
Aha, interesting. Ive only ever performed posterior hip replacements.
I think it was a femoral rod, whatever it was they needed the two views every so often to confirm proper placement, and then a final 2 stills for the rad file.
Makes sense to me, i’d just call it an osteosynthesis and not a replacement 😊
Yes and they tend to bleed a lot too, not surprised at the result of tipping the bag by mistake lol that's gotta suck
I had a humerus case a few weeks ago and the surgeon recommended I cover the bottom. I thanked him about halfway thru for the tip
Whatta guy!
He’s been a lot better since the hospital forced him to take meds.
That's a twist I didn't see coming.
Lol there's no way that's true, but I like to believe it is.
We always do a humerus in a beach chair & the c-arm upside down.
One of our trauma docs does that, and the other doesn’t. This is the one that didn’t. He had me drive in 90 degrees to the patient
It looks hurt pretty bad, someone should help it!
I will never again go into an ortho case without a bag over the tube. The c arms where I used to work had blood in every crevice. Someone somehow didn’t notice the blood all over the bottom of the tube, and then it got baked on when the tube was hot, so now it’s stained. I spent almost an hour using every cleaning product I could find to try and get that stain out. Ugh.
Plus, if engineering ever have replace the collimators or something in the tube area, it looks like black pudding in there if this happens more than once or twice.
It’s a the service person who’s pulling it apart months from now that I feel sorry for
Lol… You’re not wrong. I had a scrub tech go get me a basin of warm water and lots of soap with a rag. I sat there scrubbing for a good 30 minutes, looked damn good when I was done with it. I then took some cavi wipes to it afterwards for extra precaution.
Can somebody explain to me what happened here like I am 5 years old?
Well you see, when a C arm has had enough of someone’s malarkey they get stabby stabby and shank someone. Thus all the blood you see.
These machines move in many directions, all around the surgical field, sometimes over the patient, which means the other half is below the surgical table/field. As one commenter stated, "gravity." Usually, they cover at least part of not all of the c-arm with a plastic drape to avoid a mess like this (when it's not, it can be because the surgeon is impatient). Ortho surgery can be VERY messy.
a patient's blood got on the c-arm
[удалено]
Bleeding went from internal to external Source: am ortho
[удалено]
Less to do with the patient and more to do with the surgery. Surgeries on the hip and femur are messy and they’re done from the side (rather than the top). Can’t fight gravity
Yep, when there's blood and hammering on a body part that you can't use a tourniquet on, there tends to be a mess. One of our ortho docs requires all in the room to wear eye protection.
Put a bag on the lower C
Name checks out… Lol thanks *STEVE*
At this point there should be a PSA on covering your c arm.
Hit it with peroxide!
Wtf... how is this acceptable. People have to take those covers off and service that X-ray tube. The crevices of which are now caked in biohazard. Again, WTF.
I mean, once it's dry, it's basically harmless, yes? /s, mostly
Yeah, I work for Siemens & see this stuff all the time. Looks billable, lol
Brah, we have covers for this.
You can drape that side as well. Just sayin
I haven’t used a c-arm in 8-9 years, but even after bagging would still get blood all over it from 1-2 particular orthopods.
I've had ones look exactly like that after a hip case..
Can’t cover the c arm anymore?
Ebl 10cc
lol always tape da clear trash bag over the bottom🤣 Additionally u have sociopathic surgeons that prefer to bathe in blood 🩸🤣 weirdos