Pre-op Meds: Ancef or Clinda
Anesthesia: GETA wired or sutured w 0 silk to 1st premolar if there is no crown
Patient position: supine, one arm tucked
Bed position: turn 90 degrees
DVT ppx: compression boots on and working BEFORE induction of anesthesia
Lights: Headlight and Fiberoptic lighted retractors
Bovie Settings: colorado tip, 20/20; Bipolar that activates when tips touch (Stingray) 10
Pre-Prep Injection: none
Prep: Chlorhexidine in hair, iodine on face. After prep, hair in ponytail
Drapes: head drape (3/4 drape & 2 blue towels down after prep, wrap head in superficial most blue towel, staple, towel off face, split sheet
Instrument sets: Spear facelift tray
Special Instruments: Fiberoptic lighted retractors
Special supplies on field: Methylene Blue with marking pen
Devices/Implants: Tumescent cannulas and machine
Anesthesia on field: 500cc Tumescent (300mL NS, 30mL 1% lidocaine, 2mL of 1:1000 epi), 27 gauge w 1% liodocaine 1/100k epi 20cc
Drains: 10 Blake
Suture: 4-0 Ethibond on SH taper needle, 2-0 PDS on SH, 3-0 Monocryl on SH, 4-0 Monocryl on SH, 5-0 Monocryl on SH, 4-0 chromic gut, 6-0 prolene
Dressing: Antibiotic ointment, xerofrom strip gauze, ABD x 3, Kling x 2, Coban 4", Jawbra to go
Admission status:TBD
Estimated time: 4 hours
Coding: CPT=15829, ICD-9=v50.1
Post-op wound care:dressing off next day and switched into jaw bra
Post-op activity restrictions:
Follow up: next day