Surgical equipment and supplies |
Heavy clamps for vascular pedicles (eg, Heaney or Zeppelin; at least four clamps should be available) |
Kelly clamps (long and short), Kocher clamps for holding tissue |
Tonsil and right angle clamps for dissection |
Hand-held retractors |
Self-retaining retractor (eg, Bookwalter) |
Electrocautery device with appropriate grounding |
Bipolar tissue sealing device, if available |
Suction cannula(s) with wall suction |
Laparotomy packs and surgical sponges |
Hemostatic agents (eg, thrombin, gelatin products, cellulose products) |
Fluids for irrigation |
Standard cesarean delivery equipment, if indicated |
Multiple sutures (eg, #0-polyglactin 910, #2-0 polyglactin 910, polydioxanone for fascial closure) |
Patient preparation |
Allen stirrups, if readily available (for access to vagina and bladder) |
Bladder catheter (3-way, if possible) |
Vaginal preparation with povidone-iodine |
Abdominal preparation (povidone-iodine or chlorhexidine) |
Pneumatic compression boots |
Laparotomy drapes, and leg drapes if stirrups are used |
Broad-spectrum antibiotics (eg, cefotetan, cefazolin, gentamicin plus clindamycin) |
Patient stabilization |
Blood products (activate massive transfusion protocol, if available) |
Uterotonic agents (use until uterine blood supply is disconnected) |
Multiple large-bore intravenous lines |
Arterial line |
Warming devices for patient and for blood products |
Rapid blood infuser, if available |
Intubation equipment |
Do you want to add Medilib to your home screen?