Endoscopic Carpal Tunnel Release

GLOVES: 6.5 Micro Indicator/6.5 Micro
Anesthesia: MAC or Block or by Choice
PREP: Chloraprep
POSITION: SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools
MEDICATIONS: 0.9% NACL IRRIGATION
1% LIDOCAINE MIXED 1:1 WITH 0.25% BUPIVACAINE W/EPI 1:200,000
INSTRUMENTS: Lead Hand, Curved Littler Scissors, Curved Tenotomy Scissors, Ragnel, Double Skin Hooks
EQUIPMENT: AM Surgical Endoscopic Carpal tunnel w/ clear cannula (not Stratos), Camera, Stryker Tower, 4-0 30° scope, light cord, 4mm blade,
SUPPLIES:
HALF SHEET
Skin Marker
Cotton Applicator
Extremity Drape
Ray-Tech
LIGHT HANDLE COVER
15 BLADE (1)
10CC SYRINGE (1)
25 GAUGE HYPO (1)
BASIN FOR NACL (1)
BIPOLAR CORD
TOURNIQUET 18”
4” ESMARK (OPEN, STERILE)
4” WEBRIL (UNDER TOURNIQUET)
SUTURES: 4-0 Monocryl and Dermabond
DRESSINGS: ADAPTIC, WET 2×2, DRY 2×2, 2″ COBAN
NOTES: BIPOLAR 15, NO BOVIE, INJECTS LOCAL OFF THE FIELD BEFORE PREPPING