Trigger Finger/Small Soft Tissue Hand Cases

By Dr. Kevin Han

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GLOVES:   6.5 Micro Indicator/6.5 Micro  

Anesthesia:   Light Mac and Local. For Trigger, Would like to wake up patient at end of surgery to confirm release

PREP:   Hibiclens

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

MEDICATIONS: 20 ml 1% LIDOCAINE MIXED 1:1 WITH 0.25% BUPIVACAINE W/EPI 1:200,000

INSTRUMENTS: Hand Kit (Curved Littler Scissors or Curved Tenotomy Scissors, Ragnel, and Sen Retractor x 2, Ragnel)

EQUIPMENT:   Tourniquet

SUPPLIES:  

HALF SHEET

Extremity Drape

Ray-Tech

LIGHT HANDLE COVER

15 BLADE

10CC SYRINGE (1)

25 GAUGE HYPO (1)

BIPOLAR CORD

TOURNIQUET 18”

4” ESMARK (OPEN, STERILE)

SUTURES: 4-0 NYLON P-C 3  

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

   NOTES: BIPOLAR 15, NO BOVIE, INJECTS LOCAL OFF THE FIELD BEFORE PREPPING.