Pre-op Meds: Ancef or clindamycin
Anesthesia: general, midline oral RAE tube
Patient position: supine, hip roll, neck roll
Bed position: 90°
DVT ppx: compression boots on and working BEFORE induction of anesthesia
Side Table: hip bone graft table to remain sterile and separate from facial table
Lights: surgical headlamp for faith
Power: none
Bovie Settings: two bovies, one for face and one for hip.
Preinjection: Inject hip prior to prepping with 1% lidocaine 1/100 K epinephrine. 27gauge needle on a 10 mL syringe
Prep: chloraprep on the hip, Betadine on the face
Drapes: four towels around hip stapled. Four towels around face and of split sheet with a hole cut out for the hip.
Instrument sets: Cleft palate instrument set
Special Instruments:#9 periosteal elevator, Castroviejo forceps.
Devices/Implants: None
Hypodermic needles: 27gauge
Syringes: 10 mL syringe x2. One for face and one for hip
Drains: none
Suture: Face: 5-0 vicryl on P2 needle, 4-0 vicry RB1, 4-0 chromic RB-1. Hip: 0 vicryl on a CT1 needle, 3-0 monocryl on RB1 and 4-0 monocryl on cutting needle.
Anesthesia on field: 10 mL lidocaine epinephrine on a 27gauge needle and a 10 mL syringe for injection into the face
Dressing: Hip dressing: Steri-Strips, Telfa, and Tegaderm
Admission status: a.m. admission
Estimated time: 90 minutes
Coding: ICD-9 is 526.89, 749.12, 749.00
Post-op wound care: avoid water submersion to hip for 10 days. Full liquid diet for two weeks.
Post-op activity restirctions: Light activity as tolerated
Follow up: two weeks