Surgical
Terms from the operating room and the care of surgical clients.
cryoprecipitate
kry-oh-prih-SIP-ih-tayt · sustantivo
A blood product made from plasma, rich in clotting proteins such as fibrinogen and factor VIII, given for heavy bleeding with low fibrinogen.
Entrada completadak-ree-oh-sis-toh-ry-NOS-tuh-meeAn operation that makes a new path for tears from the lacrimal sac straight into the nose, bypassing a blocked nasolacrimal duct.
damp dustingDAMP DUST-ingWiping the OR's lights, furniture and fixed equipment with a lint-free cloth and disinfectant before the first case of the day.
dantroleneMedicamentoDAN-troh-leenA muscle relaxant that acts inside muscle cells, given by IV for malignant hyperthermia or by mouth for spasticity.
dead spaceDED spaysA space that does no useful work: in a wound, a gap between layers where fluid can pool; in breathing, air that never reaches gas exchange.
debridementdih-BREED-muntThe removal of dead, damaged or infected tissue from a wound so it can heal.
debriefingdee-BREEF-ingA short team discussion at the end of an operation, before the patient leaves the room, that confirms what was done and records problems and lessons.
decontamination areadee-kun-tam-ih-NAY-shun AIR-ee-uhThe walled-off dirty area of sterile processing where used instruments and equipment are received, sorted and cleaned.
decorticationdee-kor-tih-KAY-shunAn operation that strips a thick fibrous layer, a peel, off the surface of a lung so the trapped lung can expand again.
dehiscencedee-HIS-ensThe splitting open of the edges of a wound that had been closed, such as a surgical incision.
depilatorydih-PIL-uh-tor-eeA cream or other product that removes hair from the skin chemically, without cutting it.
depolarizing muscle relaxantdee-POH-luh-ry-zing MUS-ul rih-LAK-suntA neuromuscular blocking agent that relaxes muscles by first stimulating them, then holding the muscle cells unable to respond; succinylcholine is the only one.
desiccationdes-ih-KAY-shunDrying out; in electrosurgery, contact coagulation, with the electrode touching the tissue so it dries and seals.
diathermyDY-uh-ther-meeHeat made inside tissue by high-frequency electrical energy; in eye surgery, low-power heat applied to the sclera over a retinal tear.
dilation and curettagedye-LAY-shun and kyoo-reh-TAHZHA procedure that widens the cervix and then scrapes tissue from the cervical canal and the lining of the uterus.
dilatorDY-lay-terAn instrument used to stretch or widen an opening, canal or passage in the body.
direct couplingdih-REKT KUP-lingElectrosurgical current passing from the active electrode into another metal object it touches or nearly touches, which then burns the tissue it is against.
direct currentdih-REKT KUR-untElectric current that flows in one direction only, as from a battery.
dissectdy-SEKT, or dih-SEKTTo cut apart or separate tissues carefully during surgery.
dissectiondy-SEK-shunA tear in the inner layer of an artery wall that lets blood split the layers apart; also, the cutting apart of tissue in surgery.
dissociative anesthesiadih-SOH-see-uh-tiv an-es-THEE-zhuhThe state ketamine produces, in which the patient may look awake, with eyes open, yet is unaware and feels no pain.
dockingDOK-ingIn robotic surgery, moving the patient cart into place at the bedside and attaching its arms to the ports.
donor siteDOH-ner SYTEThe place on the body from which tissue, such as skin for a graft, is taken to be moved to another site.
dorsal recumbent positionDOR-sul rih-KUM-bunt puh-ZISH-unLying on the back; in surgery, another name for the supine position, and in nursing care, on the back with the knees bent and feet flat.
dosimeterdoh-SIM-uh-terA small device, usually a badge, that measures the ionizing radiation a person receives and adds it up over time.
double glovingDUB-ul GLUV-ingWearing two pairs of sterile gloves at once, which AST recommends for every surgical procedure.
draindraynA tube or device placed in a wound or body cavity to remove fluid, blood or air.
drapedraypA sheet placed over a client, either sterile to keep an area clean around a procedure site or plain to give privacy.
dry heat sterilizationDRY HEET stair-uh-lih-ZAY-shunSterilizing with hot air, without moisture, for items that steam would harm or cannot reach, such as powders and oils.
duct of WirsungEpónimoDUKT uv VEER-sungThe main pancreatic duct, which runs the length of the pancreas and joins the common bile duct at the ampulla of Vater.
dust coverDUST KUV-erA sealed plastic bag put over a sterile package once it is cool and dry, to protect a seldom-used pack from dust and handling.
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