- This Card is to be used for a Temporal Brow Lift
- 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:
- 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
- Must rotate the bed 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.
- 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
- Bovie
- Short Protected ENT tip x 1
- Long Protected ENT tip x 1
- Set at coagulate 60 fulgurate / cut 60 pure
- Additional Supplies
- Marking pen x 6
- Paper Ruler x 2
- Dressing
- Bacitracin ointment
- Xeroform x 2
- Kerlix x 2
- 4in ACE Wrap x 2