Final answer:
To set up a C-arm fluoroscope for a laparoscopic cholecystectomy, ensure sterility and proper alignment, adjusting settings mainly for fluoro mode, but also considering subtraction and video loops if necessary. Verify administration of antibiotics and display of essential imaging results.
Step-by-step explanation:
Setting Up the C-arm Fluoroscope for Laparoscopic Cholecystectomy
When setting up the C-arm fluoroscope for a laparoscopic cholecystectomy, it is essential to consider both patient safety and the optimal functioning of the equipment. The following precautions should be taken:
- Ensure that all components of the C-arm are clean and properly sterilized to prevent any postoperative infections.
- Align the equipment carefully to get the best possible angle for visualization without obstructing the surgical team or compromising sterility.
- Adjust the C-arm settings for fluoro mode, as this is the primary function during a cholecystectomy to check for residual stones in the biliary ducts.
- Consider the use of image subtraction if available and needed, to enhance the visibility of contrast media within the ducts.
- Set up a video loop when necessary for real-time monitoring and for reviewing the procedure postoperatively.
Additional considerations include checking that prophylactic antibiotics have been administered appropriately and confirming that all essential imaging results are displayed in the operating room.
Regarding software setup, adjust the image capture settings based on the procedure's requirements and surgeon's preferences. In general, fluoro only mode is used during cholecystectomy for checking the bile ducts for stones. If needed, settings such as subtraction or video loops can be utilized to enhance imaging quality or for procedural review.