Cleft lip


Pre-op Meds:Ancef  or clindamycin

Anesthesia:  general


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Patient position: supine

Bed position: 90°

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

Side Table: no

Lights: Overhead lights only

Power: no

Bovie Settings:  10-10

Preinjection: no pre-injection

Prep: Betadine

Drapes: four towels around head and a split sheet

Instrument sets: cleft  lip set

Special Instruments:  methylene blue, a 6700 Beaver blade, and a needle (25g to tattoo

Devices/Implants: none

Hypodermic needles: 27gauge needle

Syringes: 10 mL syringe

Drains: none

Suture: 4-0  chromatic RB – 1, 4-0 vicryl RB1, 5-0 chromic cutting, 5-0 fast gut, Dermabond,

Anesthesia on field:  yes, 1% lidocaine 1/100 K epinephrine

Dressing: none

Admission status: a. m. admit

Estimated time: one hour

Coding: ICD-9=749.00, 526.89; CPT=42200, 42235

Post-op wound care: nothing

Post-op activity restrictions: for liquid diet for three weeks, no nos  for two weeks

Follow up: one week

©2013 STEPHEN B. BAKER, MD, DDS, FACS