The specialist nature of operating department practice( Essay

The specialist nature of operating department practice( peri-operative) - Essay Example ODPs also communicate about shifting the patient in the anesthetic room and verifiy pre-operative check list about medical illnesses and allergies. They assist the anesthesist with anesthesia and stay through the surgery to maintain anesthesia. In the surgical stage, ODPs assist the surgeon during the surgery and hence scrub themselves and wear sterile gown and gloves. They are accountable for all the instruments and swabs used for the surgery. They may also act as circulation nurse to hand over extra materials to the sterilised personnel. In the recovery stage, the ODPs check the patient, manage airway, monitor vital signs, administer prescribed drugs, help patient recover from anesthesia and address to the needs of the patient until discharge to ward. Thus, ODPs have a major role to play in the surgical assessment, procedure and recovery of the patient (Nettina, 2006). In this essay, the role of ODPs in the management of a hip replacement client will be discussed through critical e valuation of literature. 65 year old Maria is a known patient of osteoarthritis of the right hip joint (name changed for confidentiality reasons). In view of distressing pain and decreased mobility because of the pain, she was posted for total hip replacement surgery. Hip replacement is a common procedure in orthopedic operation rooms. It is also known as arthroplasty. It can be total arthroplasty or hemiarthroplasty. In the former procedure, replacement of both the femoral and acetabular articular surfaces is done. This may involve either replacement of both the femoral head and neck or replacement of only the surface of the femoral head. The former is known as conventional total hip arthroplasty and the latter is known as resurfacing total hip arthroplasty. In both the procedures, replacement of the acetabulum is done. In hemiarthroplasty, replacement of the femoral head's articular surface is done without any alteration of the articular surface of the acetabulum. Replacement of t he hip joint can be done with several materials including ceramic, metal and polyethylene. Fixation of the arthroplasty can be done with materials like polymethylmethacrylate cement and screw fixation (Jacobson, 2009). Osteoarthritis is the most common indication for total hip arthroplasty in which the articular surfaces of both the acetabulum and femur is affected. On the other hand, hemiarthroplasty is done in avascular necrosis of the femoral head and displaced fracture of the femoral neck which is at increased risk of developing avascular necrosis (Jacobson, 2009). Hip joint is a ball and socket joint. The ball is formed by the head of the femur and the socket by the acetabulum, a part of the pelvis. The ends of both these bones are covered by cartilages to facilitate smooth movement. The cartilage gets damaged by arthritis which makes the joints painful and stiff (Bromhead, 2007). The components of arthroplasty for acetabulum are ceramic, cobalt-chromium metal and polyethylene. Femoral components include ceramic, metal or metal femoral stem (Jacobson, 2009). There is some evidence that use of larger femoral head component with metal-on-metal total hip arthroplasty has decreased risk of dislocation (Jacobson, 2009). The most commonly used combination for total hip arthroplasty is cobalt-chromium alloy metal femoral head that is articulated with a polythelene cup. The most common complication associated with this is wear of polyethylene followed by inflammation and osteolysis