Breast augmentation


Pre-op Meds: Ancef 1 g, Cipro if PCN allergic

Anesthesia: GA

Patient position: supine

Bed position: staright from anesthesia

DVT ppx:  compression boots on and working BEFORE induction of anesthesia

Side Table: none

Lights: fiberoptic lighted retractors, headlight

Power: NA

Bovie Settings: 30/30

Preinjection: 1% lido w 1/100k epi

Prep: Chloraprep

Drapes: towels and body sheet

Instrument sets: breast set

Special Instruments: extended Bovie tip, lighted retractors

Devices/Implants: Breast impalnst and sizer brought by surgeon

Hypodermic needles: 27 gauge

Syringes: 10cc

Drains: NA

Suture: 2-0 monocryl, 3-0 monocryl, Dermabond

Anesthesia on field: Exparel

Dressing: Telfa, Tegaderm, Kling, Ace 6" x 2

Admission status: SDS

Estimated time: 90 minutes

Coding:

Post-op wound care: shower AM, rewrap Ace after shower

Post-op activity restirctions: No heavy activity for 3 weeks

Follow up: 1 week

©2013 STEPHEN B. BAKER, MD, DDS, FACS