Cubital Tunnel and Carpal Tunnel

GLOVES:   6.5 Micro Indicator/6.5 Micro  

Anesthesia:   General or By Choice

PREP:   Hibiclens

POSITION:   SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools,

MEDICATIONS: 30 ml 1% LIDOCAINE MIXED 1:1 WITH 0.25% BUPIVACAINE W/EPI 1:200,000

Tisseel (or a Type of Fibrin Glue) (Do Not Open)

INSTRUMENTS: Hand Kit (Curved Littler Scissors, Curved Tenotomy Scissors, Ragnel, and Sen Retractor x 2, RETRACTOR ARMY/NAVY, RETRACTOR RAKE SHARP (3 PRONG), 7” 3/4-Weitlander x 2, RatTooth Pick up, Mosquitos)

EQUIPMENT:   Tourniquet

SUPPLIES:  

HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (2)

10CC SYRINGE (1)

25 GAUGE HYPO (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

CLIP APPLIER 106781 MULTI SMALL (For Cubital Tunnel Only)

SUTURES: 4-0 NYLON P-C 3, 3-0 Monocryl, 4-0 Monocryl, 4-0 Vicryl (Ask)

DRESSINGS:   ADAPTIC, WET 4X4, DRY 4X4, 2″ COBAN, LARGE TEGADERM, 3″ & 4″ ACE, 4″ Kerlex

NOTES: ¼ inch Penrose Drain, Sterile Towel bump with 4″ Coban, BIPOLAR 15, NO BOVIE, INJECTS LOCAL OFF THE FIELD BEFORE PREPPING