Wednesday, October 2, 2013

Day-Bailes tapered locking suction tube system: Review.

Day-Bailes tapered locking suction tube system - recommended.

Pros: I particularly like this suction system which we have been using for around two years. It balances well in the hand, is malleable and is good for doing precise work.
The scrub nurse can switch the cannulas pretty fast and there is a wide range of sizes.

Cons: One needs to get used to the extra stuff that sits on the web space. This may not be so useful for extra dural work.

Downtime/Repairs: None so far
Institute where it was used: Jipmer, Pondicherry.

Price: Around INR 30 k.


Vendor's website: http://www.mizuho.com/day-bailes-locking-suction-tubes





























Specifications( if you need to put in a tender)

Balanced handpiece (Flat teardrop suction handle with safety coupling and  suction tube handle) which can be kept between thumb and forefinger space for a attaching a range of suction cannulas.

Balanced handpiece (Flat teardrop suction handle with safety coupling cannulas) should be of the following sizes (3 to 12 french, each in following lengths - Short: 7.6 cm Medium: 9.5 cm Long: 11.4 cm Extra long: 13.3 cm. Also multihole tube type each 5, 7 and 9 french (all suction cannulas [43 numbers] should preferably come in its own case). The suction cannulas have to be pre-bent 30 degrees, malleable and rotatable and should have the ability to change tubes without discarding hand piece.

Recommendation levels possible: Highly recommeded, Recommended, Not recommended.
Conflict of interests/disclosures: none.

Why Microneurosurgery?



This picture was photographed to scale. The size of the human head at the level of the posterior fossa is compared to the human hand. Ergo, microneurosurgery!

The other day one of the anesthesia residents asked why neurosurgeons use an operating microscope. This picture shows the comparative dimensions of the posterior fossa with respect to the human hand. It's now easy to understand that tight spaces require magnification to get rid of "small tumors" especially when such tumors are enveloped by eight cranial nerves and four critical vessels.