Bilateral breast reduction

GLOVES: 6.5 Micro Indicator/6.5 Micro.
ANESTHESIA: General, Ancef, Clindamycin if PCN ALLERGY, SCD’S on and working before induction, ET Tube or Flexible LMA only (NO REGULAR LMA)
PREP: CHOLORAPREP BREAST BILATERAL, PREP CHIN TO UMBILICUS; Q-TIP TO UMBILICUS, TUCK 1 STERILE BLUE TOWEL ALONG EACH SIDE, LEAVE TOWELS TUCKED @ SIDE AFTER PREP. DO NOT SCRUB OFF MARKINGS.
POSITION: Regular OR Bed, SUPINE, PILLOW UNDER KNEES, FOAM UNDER HEELS, TOWELS, BLUE CHUX. MAKE SURE BED SITS PATIENT UP TO 60 DEGREES (Hips at Bed Crease) , WILL SIT PT UP INTRA-OP, ARMS TUCKED, PALMS DOWN. PADDED ELBOWS, WRISTS, HANDS. DONUT FOR HEAD. (4 ABD pads to pad elbow and wrist)
MEDs: 1000ML NACL (IRRIGATION)
1% XYLOCAINE WITH EPI 1:100,000 (On Sterile TABLE) (30ML)
INSTRUMENTS: MAJOR PLASTIC SET, Nipple Cookie Cutters/areola marker (38 and 42)
EQUIPMENT: BOVIE (40, 40, BLEND 3) x2 machines, BAIR HUGGER (LOWER), SCALE for Breasts Weight, Sitting Stools on right and left side of patient available
SUPPLIES:
- STAPLER (OPEN)
- Marking Pen x 2
- Ruler
- #10 BLADE (2)
- Surgical Laps (OPEN)
- 2 Bovie and machines with unprotected tips
- 25 GAUGE HYPO (2)
- 7FR, 15FR OR 19 FR BLAKE DRAINS (2, AVAILABLE)
- JP BULBS (2, AVAILABLE)
SUTURES:
- 3-0 PDS SH (2) (AVAILABLE)
- 3-0 MONOCRYL PS-2 (4) (OPEN)
- 4-0 MONOCRYL PS-2 (2) (OPEN)
- 5-0 FAST ABSORBING PC-1 (AVAILABLE)
- 2-0 SILK FS (2, AVAILABLE FOR DRAIN STITCH)
DRESSINGS: One MEDIUM TEGADERM PER DRAIN, DERMABOND x 2, ABD PADS x 4, Post Op Surgical Bra, Fluffs x 2 pack,
NOTES: EVERYTHING OFF FOOT OF BED (BOVIE, SUCTION, LIGHT SOURCE). Set up for 2 Surgeons/2 separate Bovie Machines
Need to weigh Breasts and write weight down for surgeon
Breasts to Pathology and note to pathology to weigh the breasts.
Bilateral breast reduction