During cutting the tissue, bleeding points are caught with the help of?

BCCL kharkhanda Staff Nurse - 2015

Medical & Surgical Nursing

Easy

Appeared in: BCCL kharkhanda Staff Nurse - 2015

Explanation

Artery forceps, also called hemostats, are specifically designed to grasp and compress blood vessels to stop bleeding.
Textbook sources confirm that various types of artery forceps (e.g., Adson, Kelly, Crile) are used for hemostasis and to occlude bleeding before ligation.
They feature a locking mechanism (ratchet) that allows them to be clamped in place, freeing the surgeon's hands for other tasks like suturing or cauterization.
The jaws of artery forceps have fine serrations that provide a secure grip on the vessel wall without slipping.

Option B: Allis' forceps have sharp, interlocking teeth designed for firmly grasping tough tissues. Using them on a blood vessel would cause tearing and worsen the bleeding.
Option C: Lane's forceps are large, heavy-duty instruments used in orthopedic surgery. They are designed to hold bone fragments and are far too bulky and traumatic for clamping delicate blood vessels.
Option D: Babcock's forceps are atraumatic, meaning they are designed to hold delicate tissues without causing damage. Their gentle, non-crushing grip is not strong enough to effectively clamp a bleeding vessel.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification and Use of Common Surgical Instruments as background academic context rather than a clinical decision trigger.
For a scrub or circulating nurse, rapid and accurate identification of surgical instruments is a critical patient safety competency. Providing the correct instrument promptly enhances surgical flow and reduces operative time.
Handing the surgeon the wrong instrument, such as a traumatic Allis forceps instead of an artery forceps for a bleeder, can lead to tissue damage, increased blood loss, and surgical complications.
What if? If the bleeding is from a large, major vessel (e.g., the femoral artery), standard artery forceps may be insufficient. In this case, the surgeon would require a larger, more robust vascular clamp, such as a DeBakey or Satinsky clamp, to safely occlude the vessel.

How to Approach the Question

First, identify the core task described in the question: 'catching bleeding points'. This action directly relates to the surgical principle of hemostasis (stopping blood flow).
Next, analyze the names of the instruments provided in the options. The name 'Artery forceps' is a strong clue, as it directly references a type of blood vessel.
Recall or deduce the primary function of each instrument. Artery forceps are for clamping vessels. Allis forceps are for grasping tissue. Babcock forceps are for holding delicate organs. Lane's forceps are for holding bone.
Finally, match the required action (clamping a bleeding vessel) with the instrument specifically designed for that purpose. Artery forceps is the only logical and correct choice among the options.

Concept Tested & Keywords

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E6 Nursing Brunner Adult Health 3SA Vol 1 Part 1 pp. 78-80, 79-81