Nerve and Vascular Repair Extremity


 

Dr. Han Nerve and Vascular Repair Extremity

 

GLOVES:   6.5 Micro Indicator/6.5 Micro  

 

Anesthesia:   General or by Choice. 3000-5000 units IV Heparin on stand-by

 

PREP:   Hibclens

 

POSITION:   SUPINE, OR Bed, Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools. Ask-May need to drape another extremity for donor sites

 

MEDICATIONS: 0.9% NACL IRRIGATION

Heparin Solution 5000 units in 500 ml 0.9 NS

Warm Irrigation or Fluid Warmer

3% Papaverine Undiluted (hold)

 

INSTRUMENTS: Plastic Surgery Soft Tissue Tray (Curved Littler Scissors, Curved Tenotomy Scissors, Fine Adson Pickup with Teeth), Lead Hand or Tupper Hand Retactor, Hand Kit (Smooth Jacobson Forceps or McCabe Facial Nerve Dissector, Freer Elevator, Cottle Elevator, Baby Mixter Right Angle)

 

EQUIPMENT:   Bipolar, Tourniquet, Bovie, Micro-Instruments and GEM Micro Clip Applier and Clips (Do Not Open), Microvascular Clip Tray, Microscope Available Outside,

 

SUPPLIES:  

HALF SHEET

Suction

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (3)

#6900 Beaver Blade

10CC SYRINGE (1)

25 GAUGE HYPO (1)

30G Anterior Chamber Irrigation Cannula

Lone Star Elastic Retractors

BASIN FOR NACL (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

4” WEBRIL (UNDER TOURNIQUET)

CLIP APPLIER 106781 MULTI SMALL

CLIP APPLIER 106781 MULTI Medium

VESSEL LOOPS MINI

Neurosurgial Patties 1/2” x 1”

Cellulose Eye Spears

Microsurgical Background

SUTURES: Ask. 8.0 Ethilon BV 130-4 4-0, and 9.0 Ethilon BV-130-4 Chromatic, 4-0 and 5-0 NYLON and 3-0 Monocryl

DRESSINGS:   ADAPTIC, WET 4X4, DRY 4X4, 4" WEBRIL or 4" Cast Paddings, 4" PLASTER, 3"/4" ACE WRAP, SLING (IF BLOCKED), Cotton  

 

NOTES: Ask. May need Axogen Products (Nerve Allograft). Tisseel Fibrin Glue,

 

LAST UPDATED:  8/27/2018

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