Hand and Upper Extremity Flap

By Dr. Kevin Han

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GLOVES:   6.5 Micro Indicator/6.5 Micro  

Anesthesia:   LMA or by Choice  

PREP:   Hibiclens

POSITION:   SUPINE, Patient on OR bed with hand table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools,

MEDICATIONS: 0.9% NACL IRRIGATION

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

INSTRUMENTS: Plastic Surgery Soft Tissue Tray (Curved Littler Scissors, Curved Tenotomy Scissors, Fine Adson Pickup with Teeth), Lead Hand, Hand Kit,

EQUIPMENT:   Bipolar, Tourniquet, Bovie, Micro-Instruments and GEM Micro Clip Applier and Clips (Do Not Open)

SUPPLIES:  

HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE (3)

#6900 Beaver Blade

10CC SYRINGE (1)

25 GAUGE HYPO (1)

BASIN FOR NACL (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

4” WEBRIL (UNDER TOURNIQUET)

CLIP APPLIER 106781 MULTI SMALL-DO not Open

CLIP APPLIER 106781 MULTI Medium -Do not Open

VESSEL LOOPS MINI

SUTURES: 4-0 Chromatic, 4-0 and 5-0 NYLON

DRESSINGS:   ADAPTIC, WET 4X4, DRY 4X4, 4″ WEBRIL or 4″ Cast Paddings , 4″ PLASTER, 3″/4″ ACE WRAP, SLING (IF BLOCKED), Cotton  

NOTES: BIPOLAR 15,