Nerve and Vascular Repair Extremity

GLOVES: 6.5 Micro Indicator/6.5 Micro
Anesthesia: General or by Choice. 3000-5000 units IV Heparin on stand-by
PREP: Hibclens
POSITION: SUPINE, OR Bed, Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools. Ask-May need to drape another extremity for donor sites
MEDICATIONS: 0.9% NACL IRRIGATION
Heparin Solution 5000 units in 500 ml 0.9 NS
Warm Irrigation or Fluid Warmer
3% Papaverine Undiluted (hold)
INSTRUMENTS: Plastic Surgery Soft Tissue Tray (Curved Littler Scissors, Curved Tenotomy Scissors, Fine Adson Pickup with Teeth), Lead Hand or Tupper Hand Retactor, Hand Kit (Smooth Jacobson Forceps or McCabe Facial Nerve Dissector, Freer Elevator, Cottle Elevator, Baby Mixter Right Angle)
EQUIPMENT: Bipolar, Tourniquet, Bovie, Micro-Instruments and GEM Micro Clip Applier and Clips (Do Not Open), Microvascular Clip Tray, Microscope Available Outside,
SUPPLIES:
HALF SHEET
Suction
Extremity Drape
Ray-Tech
LIGHT HANDLE COVER
15 BLADE (3)
#6900 Beaver Blade
10CC SYRINGE (1)
25 GAUGE HYPO (1)
30G Anterior Chamber Irrigation Cannula
Lone Star Elastic Retractors
BASIN FOR NACL (1)
BIPOLAR CORD
TOURNIQUET 18”
4” ESMARK (OPEN, STERILE)
4” WEBRIL (UNDER TOURNIQUET)
CLIP APPLIER 106781 MULTI SMALL
CLIP APPLIER 106781 MULTI Medium
VESSEL LOOPS MINI
Neurosurgial Patties 1/2” x 1”
Cellulose Eye Spears
Microsurgical Background
SUTURES: Ask. 8.0 Ethilon BV 130-4 4-0, and 9.0 Ethilon BV-130-4 Chromatic, 4-0 and 5-0 NYLON and 3-0 Monocryl
DRESSINGS: ADAPTIC, WET 4X4, DRY 4X4, 4″ WEBRIL or 4″ Cast Paddings, 4″ PLASTER, 3″/4″ ACE WRAP, SLING (IF BLOCKED), Cotton
NOTES: Ask. May need Axogen Products (Nerve Allograft). Tisseel Fibrin Glue,