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