IACUC Learning Module - Surgery

IACUC Learning Module - Surgery, Anesthesia - Vertebrate Species

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Surgical Instruments

Sterilization kills or renders inactive all microbial organisms. The common methods used are steam heat, ethylene oxide gas or chemicals. Any item used for survival surgery must be sterilized: instruments; materials and devices such as catheters, flow probes, or electrodes; and all fluids used for flushing or injection. Special care is needed to ensure that multi-dose vials of drugs are not contaminated.

Packs of sterile instruments or materials that are to be stored for more than a week, should be double wrapped in packaging which is impermeable to water. The date of sterilization should be clearly marked on the outer wrapper. Expiration dates vary with packaging materials, but a general guideline is two months from the date of sterilization. Commercially available plastic dust covers will extend the shelf life to 6-12 months.

Preparation and Sterilization of Surgical Instruments

  • Gas Sterilization – is used to sterilize materials that can not withstand high temperatures. Items are placed in an autoclavable bag then sealed in the special plastic bag provided, along with a dosimeter and a gas sterilant ampule.

The bag is placed in the gas sterilizer, and the exhaust hose is place inside the bag. The bag is sealed with a twist tie, then the ampule is broken through the bag. The door is sealed. After 14 hours the bag is removed and ready to use for surgical procedures.

  • Cold Sterilization – is used when gas or steam sterilization is not possible, but sterilization is required.
  • Cidex is a liquid chemical sterilant and a high level disinfectant for such objects as anesthesia equipment, rubber, most stainless steel instruments, plastic, most dental equipment and many types of metals. Materials must be kept in the solution for 10 hours to eliminate all microorganisms.
    • Wear gloves, a mask and goggles to protect your hands, eyes and respiratory system from splash or inhaling of Cidex because it can be toxic. Use forceps to remove materials from container and rinse thoroughly.
    • Other commonly used chemicals include: glutaraldehyde, phenols, and chlorine dioxide. But all have serious drawbacks: glutaraldehyde is mutagenic, phenols are corrosive and both require special disposal procedures; chlorine dioxide has a short sterilizing useful life (1 day) and is corrosive to metals.
    • All chemical agents require rinsing with sterile solutions prior to tissue contact.
    • Review the manufacturers’ recommendations regarding effectiveness of chemical sterilizing agents.
    • Steam Sterilization - is used to autoclave metals and materials that can withstand high temperatures of at least 250°F for at least 15 minutes.
    • Temperature and time will vary with each individual autoclave.

    Instruments for Rodent Surgery - Either Single or Repetitive

    All instruments used in survival rodent surgeries must be steam or gas sterilized (this can be done by Biotechnical Support Services for a fee) prior to each group of surgeries (biological indicator monitoring of sterilizer effectiveness is advisable).

  • Instruments must be kept on sterile non-porous drapes during use.

  • Instruments must be cleaned of blood and debris by brushing or wiping with sterile water or saline and sterile gauze sponges between surgeries.

  • If contamination has occurred, instruments must be placed in a chemical agent or a glass bead sterilizer for the appropriate period of time for the method used to be effective (or the instrument pack replaced by a new sterile instrument pack).

  • If a chemical agent is used, instruments must be rinsed with sterile water or saline before being used on the next animal.

  • Surgical gloves and blades should be changed between each animal or after contamination.

  • Following surgery all instruments must be thoroughly cleaned and preferably placed in an ultrasonic cleaner and rinsed.

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    Last updated: 10/17/08 gea