Microsurgical techniques have been applied to cranial,spinal,and peripheral nerve operations.Each time the surgeon must look away and then back to the surgical field,open wound time and anesthesia time are increased while the surgeon becomes reoriented to the field.A nursing action,in the scrub person role,directed toward assisting the surgeon in efficiency and expediting the microsurgical procedure would be to:

Question

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Use of the microscope restricts the surgeon's field of vision and mobility; therefore,the scrub person and surgical assistant must be actively engaged in the procedure and must be proficient.The operative field,unless video monitoring is available,cannot be seen.Surgical personnel must understand the surgical procedure and the corresponding anatomy,know the names and uses of all microinstruments,and be proficient at passing the instruments to the surgeon without delay.Each time the surgeon must look away and then back to the surgical field,open wound time and anesthesia time are increased while the surgeon becomes reoriented to the field.Therefore,the assistance the scrub person gives the surgeon saves time and directly benefits the patient.

Microsurgical Techniques Have Been Applied to Cranial,spinal,and Peripheral Nerve Operations