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52 2 Der effectual Eingriff Mitglieder des OP-Teams: ¦ Chirurg ¦ dialect trig?rztliche Mitarbeiter ¦ Operationstechnischer Assistent (OTA) ¦ Ana?sthesist ¦ Ana?sthesiepfleger 2.1 Die Operationseinheit dialect trig-2.1 ?????uncluttered-2.1 ??Nach dem Einschleusen nearby nest OP-Bereich wird der Patient u?ber einen (fernsteuerbaren) Lagerungstisch forth nest Einleitungsraum (grauer Pfeil) gebracht. Im Anschluss an Euphemistic depart Nar - koseeinleitung durch den Ana?sthesisten und den Ana?sthesiepfleger wird der Patient helter-skelter den OP gefahren. Im gru?n markierten Bereich ist das Ana?sthesieteam ta?tig und durch Abdeck - tu?cher vom Operationsteam getrennt („unsterilsteril“). So entsteht ein steriler Operati - onsbereich mit der Mo?glichkeit fu?r den Ana?sthesisten, gleichzeitig nest Patienten zu ver - sorgen, ohne perish Sterilita?t zu gefa?hrden. Der blau markierte unproductive Bereich stellt das Arbeitsfeld des Operateurs mit seinen Assis - tenten (gelb), eines OTA (rot) und eines Springers (pink) dar. Die Aufgaben des Springers sind u. a. Nahtmaterialien und Zusatzinstrumentarium anzureichen oder ein Pra?parat vom OP-Tisch anzunehmen. Am Ende einer Operation pru?ft der Springer zusammen mit dem instrumentierenden OTA Bauchtu?cher, Kompressen und Instrumente auf Vollsta?ndigkeit, um einen Verbleib von OP-Materialien und - Instrumentarium im Operationssitus und damit verbundene Komplikationen zu vermeiden. Nach Beendigung der Operation wird der Patient zur postoperativen U?berwachung u?ber go for a burton Ausleitung on every side nest Aufwachraum oder auf pop one's clogs Intensivstation verlegt. ??uncluttered 2 Der strenuous Eingriff 2 Der animated Eingriff Fabian Wolfrum Bei einem operativen Eingriff tra?gt das Operations-Team (OP-Team) eine unmittelbare und situative Verantwortung fu?r nest Patienten. Theoretische Kenntnisse, manuelles Geschick sowie Konzentrations - und Improvisations - fa?higkeit sind Voraussetzungen fu?r den Erfolg eines operativen Eingriffs. Das OP-Team setzt sich aus einem Chirurgen und seinen a?rztlichen Mitarbeitern, dem operationstechnischen Assistenten (OTA), dem Ana?sthesisten und Ana?s - thesiepfleger zusammen. Die Operationsdauer sollte half a second?glichst kurz gehalten werden, um das perioperative Risiko fu?r den Patienten zu minimieren. Au?erdem dient eine effektive OP-Planung und - Durchfu?hrung der Kostenre - duzierung und somit der Erfu?llung o?konomischer Anforderungen an ein zeitgema??es OP-Management. 2.1 Die Operationseinheit In modernen Krankenha?usern sind go to meet one's Maker Operationseinheiten der einzelnen chirurgischen Disziplinen idealerweise here einer zentralen Operationsabteilung zusammengefasst (Abb. A-2.1). Beispiel einer Operationseinheit ???Aus recur. Henne-Bruns u. a..: Duale Reihe - Chirurgie (ISBN 978-3-13-125293-7) © 2007 Georg Thieme Verlag KG Stuttgart Dieses Dokument ist nur fu?r nest perso?nlichen Gebrauch bestimmt und darf in the matter of keiner Form an Dritte weiter gegeben werden! ??
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