APEX Foundations in Arthroscopy Basic Lectures-Operating Room Set Up and Equipment

Video Transcription

Video Summary

Dr. John F. Orwin from the University of Wisconsin-Madison provides a comprehensive overview of shoulder arthroscopy focusing on operating room setup, patient positioning, and essential equipment. He emphasizes the importance of a consistent, reproducible setup to facilitate smooth, successful procedures for surgeons and OR staff. Dr. Orwin primarily uses the modified lateral decubitus position, where the patient is tilted 20-30 degrees posteriorly on a bean bag with the arm suspended via a pulley system, enabling optimal visualization and manipulation during surgery. He also contrasts this with the beach chair position, noting its benefits and risks, particularly regarding cerebral perfusion and blood pressure control. Anesthesia typically involves general anesthesia supplemented by intrascalene blocks for pain control. The setup includes two main mayo stands for instruments and equipment, ensuring tools are accessible and hygienically handled without cluttering the patient or floor. Key tools include a 30-degree arthroscope, interchangeable cannulas, shaver systems, radio frequency devices for hemostasis, and fluid pumps (preferably hand-controlled). Dr. Orwin stresses knowing your equipment well, adapting techniques learned during training, and collaborating effectively with the OR team for troubleshooting. The overarching message is that success in shoulder arthroscopy depends more on the surgeon’s skill and preparation than on specific equipment brands or models.

Asset Caption

Dr. John Orwin

Keywords

shoulder arthroscopy

operating room setup

patient positioning

modified lateral decubitus position

beach chair position

arthroscopic equipment

anesthesia techniques