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This Card is to be used for lower extremity reconstruction with the following:
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ALT free flap
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Latissimus free flap
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Gracilis free flap
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Radial Forearm free flap
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Dr. Brown:
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Gown – XL, XL Length
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Gloves – 8 Indicator Glove, 7.5 Biogel Glove
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Dr. Chandler:
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Gown – L
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Gloves – 5.5, 6.0 if 5.5 unavailable
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Sean Kirby PA-C:
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Gown – XL
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Gloves – 7.5 Indicator Glove, 7 Nonlatex Glove
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Pre-operative Medications:
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Lovenox 40mg to be injected in preop prior to rolling to OR to be injected in thigh
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Intra-operative Medications
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Ancef 2 grams IV or Vancomycin 1g IV to be administered in pre-op prior to procedure
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Infiltration Solution (PHARMACY TO PREPARE, IN PRE-OP ORDERS):
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NS or LR 500 mL
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Ropivicaine 300mg
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Clonidine 0.3mg
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Dexamethasone 4mg
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Heparin Solution (PHARMACY TO PREPARE, IN PRE-OP ORDERS:
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Heparin 10000 units in 500mL normal saline – place in 10mL syringe with 24 angiocath tip
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Papaverine 30mg/mL – 2mL in 3mL syringe – have in room but do not open
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Patient Position
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Supine
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One pillow under patient’s knees
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Foam pad wrapped around patient’s heel
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Bed Attachments
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Arm boards with purple pads underneath arms and then wrap the arms in Kerlix
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Patient Warming
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Blanketrol, Arctic Sun, or underbody warmer
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IV fluid warmer
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Sterile fluid warmer with 2L of Normal Saline
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DVT Prophylaxis
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Bilateral SCDs in OR. ON and working BEFORE induction of anesthesia.
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Foley Catheter
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Yes – have tubing run down leg and secured in SCD
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Instrument Sets
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DIEP Set
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Microsurgery Set
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Body Set
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Surgical Packs
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DIEP/Micro Pack
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Body Pack
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Surgical Prep
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Chloraprep x 5 – place in fluid warmer prior to use
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Please use Iodine paint if open wound is present
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Irrigation Solutions
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Warmed Normal Saline (as mentioned in patient warming)
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1L sterile water in basin for washing instruments
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Iodine/Antibiotic Solution:
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Ancef 2g
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Gentamycin 160mg
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100mL of full strength 10% stock providone-iodine (This is PAINT not scrub)
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Mixed into 1L Normal Saline
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Suction
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When under the microscope, turn one suction system to low suction power
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Blades
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10 x 4
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15 x 1
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11 x 1
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Bovie
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Short Protected ENT tip x 2
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Long Protected ENT tip x 1
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Set at coagulate 40 fulgurate / cut 40 pure
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Bipolar x 2
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Will need two BOVIE and two BIPOLAR for case
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Drains
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15Fr Round JP drain, on trocar if available x 3
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100mL bulb suction x 3
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Additional Supplies
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Marking pen x 6
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Paper Ruler x 2
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Eight (8) AA batteries for the Flow Coupler Black Box
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Flow Coupler Black Box
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Flow Couplers, Sizes 2.0, 2.5, and 3.0 (must keep minimum of two of each)
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Regular Coupler Devices, Sizes 1.5, 2.0, 2.5, 3.0, 3.5 (must keep minimum of two of each)
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Lonestar x 2
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Weck Cel x 1 pack
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Merocel x 1 piece
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Bulldog Vessel Clamps – one single and one double
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Synovis Microsurgery Background
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8-0 Nylon Suture x 3, Mfr#2808G
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Dressing
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Mastisol x 4
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1 inch steri strips x 3 packs
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Xeroform x 2
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Kerlix x 2
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4in ACE wrap x 2
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Have cast cart with 4in plaster wrap and soft roll wrap in room