Info

□ Fig. 9.16. Disinfecting the fractured extremity under longitudinal tension

Practical tip: in the case of several open fractures, each fracture must be treated as described above. However, it is important that the procedure is only performed for one injury at a time, and that completely new cleaning utensils are used after every extremity. Parallel preparations can result in an unwanted exchange of germs between the individual injuries.

As a rule, a tourniquet is not applied in the case of fractures with damaged soft tissues, even for injuries to the distal extremity. After these measures, the patient is brought into the operating theatre. Self-adhesive drapes are applied for preoperative disinfection of the skin. Finally, this is followed by definitive disinfection and sterile covering of the injured extremity (□ Figs. 9.15-9.17).

To optimise these procedures, the preparations can be carried out by several »teams« depending on human resources. But this is usually only possible in centres. This can help to avoid disadvantages for the patients such as hypothermia and further blood loss.

□ Fig. 9.16. Disinfecting the fractured extremity under longitudinal tension

□ Fig. 9.17. The third swab is taken from the wound after the operation has begun

Was this article helpful?

0 0

Post a comment