Debridement Lower Extremity

By Dr. Kevin Han
GLOVES: 6.5 Micro Indicator/6.5 Micro
Anesthesia: General or By Choice
PREP: Hibiclens.
POSITION: SUPINE, Patient on Stretcher or his own hospital bed, Lower Extremity Drape, Sitting Stools, SCD on and working prior to induction on uninvolved leg
MEDICATIONS: 0.9% NACL IRRIGATION 3L
0.25% BUPIVACAINE W/EPI 1:200,000
INSTRUMENTS: Plastic Surgery and Orthopedic Large Bone Tray, Debridement Set (Rongours, and Curettes)
EQUIPMENT: Tourniquet
SUPPLIES:
HALF SHEET
Suction
CULTURE TUBE and Swabs
CYSTO IRRIGATING SET with 3L 0.9% NaCL
Lower Extremity Drape
Ray-Tech
Surgical Laps
LIGHT HANDLE COVER
10 BLADE (3)
10CC SYRINGE (1)
25 GAUGE HYPO (1)
Plastic BASIN LARGE SINGLE
BIPOLAR CORD
BOVIE with protected tip
4” ESMARK (OPEN, STERILE)
4” WEBRIL (UNDER TOURNIQUET)
¼ inch iodoform packing strip
SUTURES: 3-0 Prolene and 3-0 Monocryl and 3.0 PDS (Do not Open)
DRESSINGS: ADAPTIC or Xeroform, WET 4X4, DRY 4X4, 4″ WEBRIL or 4″ cast padding, 3″/4″ ACE WRAP, 4″ Kerlex, Jones Cotton
NOTES: BIPOLAR 15, BOVIE with protected tip, If Large Wound, have VAC with medium sponge in the room (Do not open)