Hand and Upper Extremity Flap

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,