Upper Extremity Laceration Repair


 

Dr. Han Upper Extremity Laceration Repair

 

GLOVES:   6.5 Micro Indicator/6.5 Micro  

 

Anesthesia:   General or by Choice

 

PREP:   Hibiclens (If very dirty, CHG pre-wash with scrub brush done in OR)

 

POSITION:   SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools

 

MEDICATIONS: 0.9% NACL IRRIGATION

1% LIDOCAINE if MAC and Local (Pre-Inject)

Otherwise 0.25 Marcaine or 0.5% Marcaine whichever is available at end of case.

 

INSTRUMENTS: Lead Hand or Tupper Hand Retractor (Do not open), Plastic Surgery Tray (Curved Littler Scissors, Curved Tenotomy Scissors, Fine Adson Pickup with Teeth)

 

EQUIPMENT:   Tourniquet

 

SUPPLIES:  

HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (2)

10CC SYRINGE (1)

25 GAUGE HYPO (1)

BASIN FOR NACL (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

4” WEBRIL (UNDER TOURNIQUET)

Bovie

 

SUTURES: 4-0 NYLON P-C 3 and 4.0 Monocryl

 

DRESSINGS:   ADAPTIC, WET 4X4, DRY 4X4, 2" COBAN    

   

NOTES: BIPOLAR 15, NO BOVIE, INJECTS LOCAL OFF THE FIELD BEFORE PREPPING

 

LAST UPDATED:  8/27/2018

 

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