30 Vascular and Microvascular Surgery
CHAPTER LESSON PLANS & OBJECTIVES
Lesson 30.1: Anatomy, Case Planning, Techniques, and Pathology
- 1. Identify key anatomical features of the peripheral vascular system
- 2. Discuss diagnostic procedures of the vascular system
- 3. Discuss specific elements of case planning in vascular surgery
- 4. Describe surgical techniques used in vascular and microvascular surgery
- 5. Discuss vascular pathology
Lesson 30.2: Common Surgical Procedures
- 6. List and describe common vascular procedures
Classroom Preparation
Lesson 30.1: Anatomy, Case Planning, Techniques, and Pathology
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 1. Identify key anatomical features of the peripheral vascular system
- 2. Discuss diagnostic procedures of the vascular system
- 3. Discuss specific elements of case planning in vascular surgery
- 4. Describe surgical techniques used in vascular and microvascular surgery
- 5. Discuss vascular pathology
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 30.1: Anatomy, Case Planning, Techniques, and Pathology
STUDENT PREPARATION (1 hr)
| 1 | READ – Chapter Heading(s) • Introduction • Surgical Anatomy • Structure of Blood Vessels • Arteries • Arterioles and Capillaries • Veins • Circulatory Pathways • Systemic Circulation • Pulmonary Circulation • Blood Pressure • Major Arteries • Thoracic Cavity • Head • Upper Extremities • Abdomen • Lower Limbs • Major Veins • Portal Circulation • Lymphatic System ANSWER – Workbook • Chapter 30 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 2 | READ – Chapter Heading(s) • Diagnostic Procedures • Arterial Plethysmography • Doppler Scanning • Arteriography and Angiography • Intravascular Ultrasonography ANSWER – Workbook • Chapter 30 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 3 | READ – Chapter Heading(s) • Vascular Instruments • Clamps • Scissors • Forceps • Retractors • Suction • Tunneler • Case Planning • Sutures • Exposure and Control of Blood Vessels • Vascular Grafts • Drugs • Microvascular Surgery • Room Preparation and Team Position • Magnification of the Surgical Field • Microvascular Instruments ANSWER – Textbook • Review Questions 3, 6, 8, 10, 11 ANSWER – Workbook • Chapter 30 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 4 | READ – Chapter Heading(s) • Techniques in Vascular Surgery • Endarterectomy • Vessel Anastomosis • Graft Tunneling • Endovascular Techniques • Access • Anesthesia • Imaging • Microvascular Surgery • Microvascular Instruments ANSWER – Textbook • Review Questions 1, 2, 7, 9, 12, 13 ANSWER – Workbook • Chapter 30 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
| 5 | READ – Chapter Heading(s) • Pathology of the Arterial System • Pathology of the Venous System • Vascular Disease ANSWER – Textbook • Review Questions 4, 5 ANSWER – Workbook • Chapter 30 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 30.1: Anatomy, Case Planning, Techniques, and Pathology
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 1 | ANATOMY: SLIDES 4-6 | • Introduction • Surgical Anatomy • Structure of Blood Vessels • Arteries • Arterioles and Capillaries • Veins • Circulatory Pathways • Systemic Circulation • Pulmonary Circulation • Blood Pressure • Major Arteries • Thoracic Cavity • Head • Upper Extremities • Abdomen • Lower Limbs • Major Veins • Portal Circulation • Lymphatic System |
| 2 | DIAGNOSTICS: SLIDE 7 | • Diagnostic Procedures • Arterial Plethysmography • Doppler Scanning • Arteriography and Angiography • Intravascular Ultrasonography |
| 3 | CASE PLANNING: SLIDE 8 | • Vascular Instruments • Clamps • Scissors • Forceps • Retractors • Suction • Tunneler • Case Planning • Sutures • Exposure and Control of Blood Vessels • Vascular Grafts • Drugs • Microvascular Surgery • Room Preparation and Team Position • Magnification of the Surgical Field • Microvascular Instruments |
| 4 | SURGICAL TECHNIQUES: SLIDE 9 | • Techniques in Vascular Surgery • Endarterectomy • Vessel Anastomosis • Graft Tunneling • Endovascular Techniques • Access • Anesthesia • Imaging • Microvascular Surgery • Microvascular Instruments |
| 5 | PATHOLOGY: SLIDE 10 | • Pathology of the Arterial System • Pathology of the Venous System • Vascular Disease |
Learning Activities (choose one or more to equal 50 min)
| 1 | DISCUSS (30 min) • Discuss the anatomical structures of the vascular system. Appropriate Settings: Traditional/online/flipped classroom |
| 2 | DISCUSS (30 min) • Discuss the common diagnostic procedures of vascular surgery with the class. Appropriate Settings: Traditional/online/flipped classroom |
| 3 | DEMONSTRATE (50 min) • Demonstrate the specific elements of case planning. Include setting up a room and instruments. Appropriate Settings: Traditional classroom |
| 4 | DISCUSS (30 min) • Before class, select several (perhaps a dozen) characteristics of various grafts (e.g., “a graft that is tunneled,” “graft that must be rinsed before use,” and “graft with an identification number”). Write each characteristic on its own sticky note. On the board, make columns for types of grafts (e.g., synthetic, bovine, autograft, and banked). Give each note to a different student and have the students place their notes in the appropriate column on the board. As a class, discuss whether each note has been placed correctly. Appropriate Settings: Traditional classroom |
| 5 | DISCUSS (30 min) • Discuss the pathology for different vascular diseases and surgical procedures with the class. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
At times, an in situ saphenous femoropopliteal bypass is used as a surgical alternative to a synthetic graft to bypass a diseased femoral artery. Why would the surgeon select an in situ bypass rather than a synthetic one?
Discussion Guidelines: Often in patients with extensive or advanced peripheral vascular disease, circulation is still inhibited (as compared with circulation in patients without vascular disease) after bypass. Often, less blood flow is required to maintain patency in an in situ graft. This should result in a more successful bypass.
Classroom Preparation
Lesson 30.2: Common Surgical Procedures
INSTRUCTOR PREPARATION
Textbook Objectives Covered
- 6. List and describe common vascular procedures
National Standards Covered
- • See the Fuller 8e/AST Core Curriculum Mapping Guide on Evolve instructor resources.
Classroom Preparation
Lesson 30.2: Common Surgical Procedures
STUDENT PREPARATION (1 hr)
| 6 | READ – Chapter Heading(s) • Endovascular Procedures • Angioplasty • Central Venous Line • Intraoperative Angiography • Insertion of a Vena Cava Filter • Endovascular Aneurysm Repair (EVAR) • Open Vascular Procedures • Vascular Access for Renal Hemodialysis • Thrombectomy • Carotid Endarterectomy • Abdominal Aortic Aneurysm (Open) • Aortobifemoral Bypass • In Situ Saphenous Femoropopliteal Bypass • Femoropopliteal Bypass ANSWER – Workbook • Chapter 30 PREPARE – Evolve Student Resources • Mock Certification Exam • Review Questions |
50-Minute Lesson Plan
Lesson 30.2: Common Surgical Procedures
LECTURE OUTLINE (50 min)
| POWERPOINT SLIDES | CHAPTER HEADING(S) | |
| 6 | PROCEDURES: SLIDES 12-14 | • Endovascular Procedures • Angioplasty • Central Venous Line • Intraoperative Angiography • Insertion of a Vena Cava Filter • Endovascular Aneurysm Repair (EVAR) • Open Vascular Procedures • Vascular Access for Renal Hemodialysis • Thrombectomy • Carotid Endarterectomy • Abdominal Aortic Aneurysm (Open) • Aortobifemoral Bypass • In Situ Saphenous Femoropopliteal Bypass • Femoropopliteal Bypass |
Learning Activities (choose one or more to equal 50 min)
| 6 | DISCUSS (50 min) • Discuss common surgical procedures of the vascular system. Include special considerations, potential complications, and the differences in microvascular surgery. Appropriate Settings: Traditional/online/flipped classroom |
Critical Thinking Question
Why does removing a thrombus during a thrombectomy or bypass have the potential for
complications?
Discussion Guidelines: A thrombus is a stationary blood clot in the arterial or venous system that blocks blood supply distal to it. An embolus is a blood clot or other organic debris that is free-floating in the vascular system. Once the surgeon starts to move the thrombi with the catheter, they become mobile and are then classified as emboli. The risks of thrombectomy are the same as moving emboli because the two are so closely related at the time the thrombi are being removed.
Assessments
Chapter 30: Vascular and Microvascular Surgery
ASSESSMENTS BY OBJECTIVE
| 1-6 | Workbook • Chapter 30 Evolve Instructor Resources • Test Bank • Create a quiz using ExamView; sort by objective. Evolve Student Resources • Mock Certification Exam • Review Questions |
| All | Elsevier Adaptive Quizzing • Chapter 30 – Graded quizzes (Mastery Levels 1, 2, and 3) |
