Registered Nurse Anesthetist Case Study

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is a small triangular space located at the porta hepatis. The common bile duct is a small structure, shaped like a tube that joins at the common hepatic duct and the cystic duct.
9. When placing the clips along the cystic duct, use the gallbladder as a landmark. Place two clips distally and one clip proximally. Distal means away from the point of attachment or a central point of the body. Proximal, the opposite of distal, is near to the center of the body or point of attachment.
10. Sever the duct, but be mindful to prevent vascular injury.
11. In the same manner, place two clips distally along the cystic artery and one proximally.
12. Separate and cauterize the cystic artery and any collateral arteries.
13. Using the L-Hook, dissect …show more content…
The anesthesia is either given through the IV or by way of injection. Anesthesia will not be given until the patient reaches the operating room.
The Certified Registered Nurse Anesthetist (CRNA) or anesthesiologist will meet with the patient and will do a concise physical assessment. Upon the assessment, the patient will list several things, all the drugs they use daily, any allergies, and prior issues with anesthesia. At that point the CRNA or anesthesiologist will decide which medications to administer in the operating room.
Once the patient reaches the operating room, they will be transferred to the operating table. They will be strapped down to the table, so they do not fall during the procedure. After the anesthesia has taken affect, the patient’s skin is cleansed from the nipple line to the pelvic region. The entire area is cleansed in case the surgeon has to open the patient and perform an abdominal cholecystectomy. When the skin has dried after the cleanser has been applied, the patient is draped with a one-time use, sterile drape, to keep any contaminants off the surgical

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