Finger Amputation

By Dr. Kevin Han

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GLOVES:   6.5 Micro Indicator/6.5 Micro  

Anesthesia:   General or Choice  

PREP:   Hibclens.  

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

MEDICATIONS: 0.9% NACL IRRIGATION

1% LIDOCAINE if MAC and Local (Pre-Inject)

Otherwise Plain 0.25 Marcaine or 0.5% Marcaine whichever is available at end of case.

INSTRUMENTS: Lead Hand, Soft Tissue/Small Bone Set (Curved Littler Scissors or Curved Tenotomy Scissors, Baby Holman Retractors, Bone Cutter, Ronguer), Sagittal Saw and Saw Blade (Available, Do Not Open)

EQUIPMENT:   Tourniquet

SUPPLIES:  

HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (2)

10CC SYRINGE (1)

25 GAUGE HYPO (1)

BASIN FOR NACL (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

4” WEBRIL (UNDER TOURNIQUET)

SUTURES: Ethilon 4-0 PC3

DRESSINGS:   ADAPTIC, WET 4X4, DRY 4X4, 2″ COBAN    

   NOTES: BIPOLAR 15, NO BOVIE,