Arterio venous (av) shunt tray

aga umar tariq

1. Lecturer: Umar TARIQ MSC: OTT/ANAESTHESIA ARTERIO VENOUS (AV) SHUNT TRAY

2. ARTERIO VENOUS(AV) AND CAROTID ARTERY(CA) SHUNT TRAY Arterio venous shunt is a U shaped plastic tube inserted between an artery and a vein( usually between the radial artery and a cephalic vein) An abnormal connection between artery and vein . It may be surgically created for hemodialysis treatments

3. AV SHUNT TRAY CONTAINS 2-senn retractors 2-rake retractors 2 cushing vein retractors 2-ALM retractors 2 –tissue forceps toothed/non toothed 2-adson forceps toothed / non toothed 2- Debakey forceps 2-Gerald forceps 1 – straight mayo scissor

4. 2-metzenbaum scissors 2-castroviejo 2-potts smith 2-mixters rt angle clamp 2-needle holders 2-Debakey multipurpose clamp 2-debakey cross action bull dog clamps 4 glover bulldog clamps 4 johns hopkins bulldog clamps

5. 2-Sponge holding forceps 2-shunt clamps 2-vascular needle holders 4-towel clips piercing 2-towel clips non piercing Frazier suction tip Yankauer suction tip

6. SENN RETRACTOR Hand held double ended retractor . Used to retract primarily surface tissue. Commonly used in plastic surgeries Also used in thyroidectomy and dissection of neck tissue. This retractor has one right angled blunt end and another side three prongs rake tip. The prongs may be sharp or blunt

7. CUSHING NERVE AND VEIN RETRACTOR Hand held retractor Commonly used in intracranial or large bones and joint procedures. Also used in neuro surgeries

8. ALM Self retaining retractor Orthopedic instrument Commonly used for soft tissue retraction It h as a thumb screw which opens and locks the arms into place The arms feature outward curving prongs to hold the tissue securely 4×4 prongs blunt

9. CAROTID SHUNT CLAMPS Used to occlude the blood flow in the carotid artery during cardio thoracic procedures Designed to hold the tubes in place during vascular procedures Angled jaws Atraumatic teeth

10. Vascular needle holders Used in cardio vascular surgeries for suturing. Serrated jaws with blunt tips

11. Ryder needle holder

12. Frazier suction tip Thin instrument Used for removing fluids from confined surgical sites such as nasal cavity, lumbar , cervical regions and intracranially . This suction tube also features a thin wire that can be placed into the tube to remove any tissue that may become trapped through out the suctioning. Multiple tip sizes are available

13. YANKAUER SUCTION TIP Used in oral suctioning Used to suction oropharyngeal secretions in order to prevent aspiration. Available as stainless steel and disposable. Also used in other surgical procedures.