Permalip Implant Preference Card

  • This Card is to be used for placement of a PermaLip implant

  • Dr. Brown:

    • Gown – XL, XL Length

    • Gloves – 8 Indicator Glove, 7.5 Biogel Glove

  • Dr. Chandler:

    • Gown – L

    • Gloves – 5.5, 6.0 if 5.5 unavailable

  • Sean Kirby PA-C:

    • Gown – XL

    • Gloves – 7.5 Indicator Glove, 7 Nonlatex Glove

  • Pre-operative Medications:

    • None

  • Intra-operative Medications

    • Ancef 2 grams IV or Vancomycin 1g IV to be administered in pre-op prior to procedure

    • Infiltration Solution (PHARMACY TO PREPARE, IN PRE-OP ORDERS):

      • NS or LR 500 mL

      • Ropivicaine 300mg

      • Clonidine 0.3mg

      • Dexamethasone 4mg

      • Epinephrine 1 Amp

  • Patient Position

    • Supine

    • The bed must be able to rotate 90 degrees

    • One pillow under patient’s knees

    • Foam pad wrapped around patient’s heel

  • Bed Attachments

    • Arm boards with purple pads underneath arms and then wrap the arms in Kerlix

  • Patient Warming

    • Blanketrol, Arctic Sun, or underbody warmer

    • IV fluid warmer

    • Sterile fluid warmer with 2L of Normal Saline

  • DVT Prophylaxis

    • Bilateral SCDs in OR. ON and working BEFORE induction of anesthesia.

  • Foley Catheter

    • No

  • Instrument Sets

    • Face Set

  • Surgical Packs

    • Face Pack

  • Surgical Prep

    • Iodine Solution 5% – approximately 100mL

  • Irrigation Solutions

    • Warmed Normal Saline (as mentioned in patient warming)

    • 1L sterile water in basin for washing instruments

    • Iodine/Antibiotic Solution:

      • Ancef 2g

      • Gentamycin 160mg

      • 100mL of full strength 10% stock providone-iodine (This is PAINT not scrub)

      • Mixed into 1L Normal Saline

  • Suction

    • Medium Suction with Yankeur tip

  • Blades

    • none

  • Bovie

    • none

  • Drains

    • none

  • Suture

    • 5-0 Monocryl on PS-2 needle x 1

  • Additional Supplies

    • Marking pen x 6

    • Paper Ruler x 2 

    • PermaLip implant to be provided by Dr. Brown

    • 18G No-Core Needle

    • 16G or 18G Fat Grafting Cannula

    • Tunneler Device or Tendon Passer

  • Dressing

    • Bacitracin ointment x 4 packets

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