Upper Extremity Laceration Repair

GLOVES: 6.5 Micro Indicator/6.5 Micro
Anesthesia: General or by Choice
PREP: Hibiclens (If very dirty, CHG pre-wash with scrub brush done in OR)
POSITION: SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools
MEDICATIONS: 0.9% NACL IRRIGATION
1% LIDOCAINE if MAC and Local (Pre-Inject)
Otherwise 0.25 Marcaine or 0.5% Marcaine whichever is available at end of case.
INSTRUMENTS: Lead Hand or Tupper Hand Retractor (Do not open), Plastic Surgery Tray (Curved Littler Scissors, Curved Tenotomy Scissors, Fine Adson Pickup with Teeth)
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)
Bovie
SUTURES: 4-0 NYLON P-C 3 and 4.0 Monocryl
DRESSINGS: ADAPTIC, WET 4X4, DRY 4X4, 2″ COBAN
NOTES: BIPOLAR 15, NO BOVIE, INJECTS LOCAL OFF THE FIELD BEFORE PREPPING