I’ll be handling Christy’s question in two parts. Part one today.
A bullet grazes my hero’s brain. He’s taken to the hospital where he has an intracranial hematoma.Would he be in a medically induced coma after this? If so, for how long? When do doctors decide to take someone out of a medically induced coma? What would a victim be like after the fact? Sedated? When would they know the extent of the injuries?
Prince Charming, a man who thinks she’s hilarious–but only when she’s not trying to be. Christy’s a self-proclaimed klutz, an avid music lover who’s known for spontaneously bursting into song, and a road trip aficionado. She’s only won one contest in her life–and her prize was kissing a pig (okay, okay… actually she did win the Daphne du Maurier Award for Excellence in Suspense and Mystery for her book Suspicious Minds also).
I’m pleased to have Amitha Knight back who will be hosting a medical question today and tomorrow about surgeries. Today, she covers the general surgical timeline and what the patient’s process is through the OR. On Friday, she’ll cover more in depth about brain surgeries.
Could you, in as short as possible, give me an overview of what happens during such a surgery. The big picture and any suggestions you could give me that would make the scenes believable.
- The patient is wheeled into the sterile operating room (OR) and transferred to the operating table. Everyone in the room (besides the patient) is required to wear a face mask, a hair covering of some kind, scrubs, and shoe covers.
- The anesthesiologist sedates the patient (sometimes this is started in the pre-op area). During some brain surgeries, the patient is kept awake for portions of the surgery (so they can monitor the patient’s brain functions by having the patient do different things during surgery) while in others, the patient is intubated and kept under general anesthesia the entire time.
- The patient is positioned appropriately for the surgery. Parts of the body that aren’t being operated on are covered up. The patient’s head is shaved (or at the very least the part that they are operating on I should think).
- Meanwhile the surgical team “scrubs in” (i.e. they go to a separate room attached to the OR to thoroughly clean their hands/arms up to the elbows and then return to the OR where they are helped by surgical technicians and nurses into sterile gowns and gloves, all the while making sure not to touch anything that isn’t sterile). Sterile coverings (which are usually all blue) are draped everywhere so that people who are “scrubbed in” don’t accidentally touch non-sterile things. People who aren’t “scrubbed in” aren’t allowed to touch anything in the sterile field. Keeping things sterile and clean is key.
- The surgical area is “prepped” (i.e. cleaned).
- Surgeons and surgical techs do a “time out” and double check the patient’s name and the procedure being done and the area being operated on.
- The first incision is made.
- The surgery is performed. Tools are all counted by the surgical tech. (During long surgeries, this may happen several times throughout.)
- The surgical site is “closed” i.e. stitches are put in, the wound is dressed.
- The patient is wheeled to the post-operative area (“post-op”).
Amitha Knight is a former pediatric resident turned writer of middle grade and young adult fiction. She’s also a blogger, a book lover, an identical twin, and a mom. Follow her on twitter @amithaknight or check out her website: http://www.amithaknight.com/.