최근 발전해 가고 있는 복강경 수술,다빈치 로봇 수술,마취 및 회복 영역에서의 최신 경향을 보완하였고 수술 및 마취 관련 장비는 사진을 추가하고 수술기계는 사용 빈도가 높은 기본 기계만을 수록하였다. 수술실,마취과와 회복실 간호사 그리고 간호학생들의 최신 임상간호 실무를 수행하는 데에 훌륭한 지침서가 되리라 생각한다.
서울대학교 간호대학 졸업
서울대학교 대학원 석사
가톨릭대학교 대학원박사
서울대학교병원 수술실 간호사
가천의과학대학교 초대 간호학부장(2006),간호대학원장(2008)
한국간호교육평가원 마취전문간호사 시험준비 위원장(2008~2016)
한국간호학회 용어표준화 위원장(2011~2013)
가천대학교 간호대학 학장, 간호대학원장(2014~2015)
제1장 병원감염관리와 수술 부위 감염
1. 수술 부위 감염 관리 ........................................................................................................ 17
2. 멸균, 소독과 무균술 ....................................................................................................... 34
제2장 수술실에서의 안전 및 위험요인 관리
1. 수술실의 안전관리 .......................................................................................................... 53
2. 수술간호사의 업무 ......................................................................................................... 57
제3장 봉합과 수술기계
1. 결찰과 봉합 ..................................................................................................................... 73
2. 봉합사 ............................................................................................................................. 78
3. 봉합침 ............................................................................................................................. 87
4. 수술기계 관리 ................................................................................................................. 92
5. 수술기계의 종류 ............................................................................................................ 96
제4장 수술 전 환자 간호
1. 마취 전 환자 평가 ......................................................................................................... 125
2. 수술 전 환자 교육 ........................................................................................................ 132
3. 마취 전 투약 ................................................................................................................. 134
4. 수술 전 안전 대책 ........................................................................................................ 136
제5장 수술 체위와 수술 전 피부 준비
1. 수술 체위의 결정 요소 .................................................................................................. 141
2. 수술 체위가 인체에 미치는 영향과 욕창 .................................................................... 141
제6장 마취장비와 마취감시
1. 마취의 역사 .................................................................................................................... 161
2. 마취 종류 ....................................................................................................................... 161
3. 마취장비 ........................................................................................................................ 161
4. 마취 중 환자감시 ......................................................................................................... 169
제7장 전신마취
1. 전신마취 ........................................................................................................................ 173
2. 흡입마취 ..........................................................................................................................175
3. 정맥마취 ......................................................................................................................... 181
4. 근이완제 ........................................................................................................................ 189
5. 전신마취의 실제와 간호 .............................................................................................. 194
제8장 부위마취, 신경 차단 및 국소마취
1. 부위마취와 국소마취 .................................................................................................... 197
2. 국소마취제 .................................................................................................................... 197
3. 척추마취 ....................................................................................................................... 201
4. 경막외마취 ................................................................................................................... 206
5. 안장차단 및 미추마취 .................................................................................................. 210
6. 척추-경막외 병용 마취 ............................................................................................... 210
7. 신경차단마취 .................................................................................................................. 211
8. 국소마취 ........................................................................................................................ 211
제9장 수액 및 수혈요법
1. 체액의 구성 및 조절 ..................................................................................................... 213
2. 수액요법 ........................................................................................................................ 214
3. 수혈요법 ........................................................................................................................ 219
제10장 지혈과 냉온요법
1. 지혈 ................................................................................................................................ 225
2. Medical LASER .......................................................................................................... 229
3. 전기수술 ...................................................................................................................... 235
4. 초음파 수술 장치 ......................................................................................................... 237
5. 한냉수술 ....................................................................................................................... 237
제11장 수술 후 환자 간호
1. 회복관리실 간호 .......................................................................................................... 239
2. 수술 후 간호 ................................................................................................................ 243
제12장 복강경 수술
1. 복강경 수술의 이해 ..................................................................................................... 255
2. 복강경 수술 과정 ........................................................................................................ 263
제13장 소화기계, 내분비, 유방수술
1. 부분적 위절제술(Subtotal Gastrectomy) .......................................................................... 277
2. 완전 위절제술(Total Gastrectomy) .................................................................................. 279
3. 미주신경차단술(Vagotomy) ........................................................................................... 281
4. 복강 내 세척(Peritoneal Irrigation) ................................................................................. 284
5. 담낭절제술(Cholecystectomy) ....................................................................................... 285
6. 복부 회음부를 통한 직장절제술(Mile?s operation) ....................................................... 288
7. 췌장십이지장절제술(Pancreaticoduodenectomy, Whipple?s Operation) ........................... 291
8. 충수돌기절제술(Appendectomy) .................................................................................. 294
9. 근치유방절제술(Radical Mastectomy) ........................................................................... 296
10. 갑상선절제술(Thyroidectomy) ...................................................................................... 298
11. 서혜부 탈장봉합(Herniorrhaphy) .................................................................................. 300
12. 치핵절제술(Hemorrhoidectomy) .................................................................................... 301
13. 정맥류절제술(Stripping of Varicose Vein) ..................................................................... 303
제14장 심장, 폐 및 맥관계 수술
1. 개심술(Open Heart Surgery) .......................................................................................... 307
2. 심장질환에 따른 수술 과정 ........................................................................................ 309
3. 동맥관 개존부 결찰술 ................................................................................................. 314
4. 심막루술(Pericardiostomy) .............................................................................................. 315
5. 폐엽절제술(Pulmonary Lobectomy) ................................................................................ 316
6. 폐절제술(Pneumonectomy) ............................................................................................ 318
7. 늑막박피술(Decortication) ............................................................................................... 319
8. 색전절제술(Embolectomy) ............................................................................................ 320
9. 종격경 검사(Mediastinoscopy) ....................................................................................... 321
제15장 신경계 수술
1. 두개골절개술(Craniotomy) ............................................................................................. 323
2. 두개골성형술(Cranioplasty) ............................................................................................ 325
3. 척추궁절제술(Laminectomy) ......................................................................................... 326
4. 뇌하수체절제술(Excision of Pituitary) ............................................................................ 328
5. 뇌실 복막 측로술(Ventriculo-Peritoneal Shunt) ............................................................. 328
6. 경피적 내시경 추간판 제거술(Percutaneous Endoscopic Discectomy: PED) ............... 330
제16장 근 골격계 수술
1. 척추 융합술(Spinal Fusion) ............................................................................................ 333
2. 전 고관절 치환술(Total Hip Replacement Arthroplasty) ................................................. 336
3. 슬건근 이동술 (Transfer of Hamstrings Muscle) ............................................................ 339
4. 반월연골절제술(Meniscectomy) ................................................................................... 340
5. 아킬레스건 신장수술(Elongation of the Tendo Achilles) ................................................ 342
6. 삼중관절 고정술(Triple Arthrodesis) ............................................................................. 343
7. 사지 절단술(Amputation) ............................................................................................... 344
제17장 비뇨기계 및 남성생식기계 수술
1. 근치 방광절제술(Radical Cystectomy, Bricker?s Operation) .............................................. 347
2. 신장절제술(Nephrectomy) ............................................................................................. 350
3. 신절석술(Nephrolithotomy) ............................................................................................. 352
4. 요관절석술(Ureterolithotomy) ......................................................................................... 354
5. 요관방광문합술(Ureteroneocystostomy) ........................................................................ 355
6. 전립선절제술(Prostatectomy) ........................................................................................ 358
7. 정계 정맥류절제술(Varicocelectomy) ............................................................................. 361
8. 정관 문합술(Vasovasostomy) ........................................................................................ 362
9. 고환고정술(Orchiopexy) ................................................................................................ 363
10. 요도성형술(Urethroplasty) ............................................................................................ 364
제18장 여성생식기계 수술
1. 복식 전자궁절제술(Total Abdominal Hysterectomy, TAH) ............................................... 367
2. 복식 근치 자궁절제술(Radical Abdominal Hysterectomy, Wertheim's Operation) ........... 369
3. 질식 전자궁절제술(Vaginal Total Hysterectomy, VTH) ................................................... 372
4. 복강경을 이용한 자궁절제술 ...................................................................................... 374
5. 제왕절개술(Caesarean Section, C/S) ............................................................................. 375
6. 난관성형술(Tuboplasty) .................................................................................................. 377
7. 난관 재문합술(Reanastomosis of the Fallopian Tube) ...................................................... 378
제19장 눈수술
1. 눈수술에서의 마취 ........................................................................................................ 381
2. 눈수술에서의 일반적 수술 후 간호 ............................................................................ 381
3. 백내장 유화술과 인공후방 수정체 삽입술 ................................................................ 382
4. 안근수술 ...................................................................................................................... 384
5. Scleral Buckling ......................................................................................................... 386
6. 유리체절제술(Vitrectomy) ............................................................................................. 387
7. 안구적출술(Enucleation) ................................................................................................ 388
8. 안구내용물 적출술(Evisceration) .................................................................................. 390
9. 안와 골절(Blow Out Fracture) ......................................................................................... 391
제20장 인후두, 귀, 코 수술
1. 구개 성형술(Palatoplasty) ............................................................................................... 393
2. 완전 후두절제술(Total Laryngectomy) .......................................................................... 395
3. 편도절제술 및 선절제술(Tonsillectomy & Adenoidectomy) ............................................ 397
4. 고실 유양돌기절제술(Tympanomastoidetomy) .............................................................. 398
5. 점막하조직절제술 ....................................................................................................... 400
6. 부비동 내시경 수술(Endoscopic Sinus Surgery, ESS) ................................................... 401
제21장 소아 수술
1. 소아 복강경 수술 ......................................................................................................... 405
2. 복강경 유문근층 절개술(Pyloromyotomy) .................................................................... 405
3. 장중첩증 정복술(Reduction of Intussusception) ............................................................ 406
4. 간소장문합술(Hepaticoenterostomy) .............................................................................. 407
5. 듀아멜절제술(Duhamel's Operation) .............................................................................. 409
6. 메켈씨 게실절제술 ........................................................................................................ 411
7. 선천성 횡격막 탈장 정복술(Reduction of Diaphragmatic Hernia) ................................... 412
8. 항문성형술(Anoplasty) ................................................................................................... 414
제22장 성형수술
1. 교정과 절제(Revision and Excision) ................................................................................. 417
2. 변연절제술 및 소가절제술(Debridement and Escharotomy) .......................................... 417
3. 피부이식(Skin Graft) ....................................................................................................... 418
4. 피부 찰상법(Dermabrasion) .......................................................................................... 420
5. 안검성형술(Blepharoplasty) ............................................................................................ 421
6. 유방 성형술(Mammoplasty) ........................................................................................... 422
7. 추피 성형술(Rhytidectomy) ............................................................................................ 423
제23장 수술 및 마취 관련 약물 .......................................................................................... 427
제24장 수술실 환경 .................................................................................................................. 455
■ References ........................................................................................................................ 461
