Pre-op Meds: Ancef or clindamycin
Anesthesia: general or IV sedation
Patient position: supine
Bed position: 90°
DVT ppx: compression boots on and working BEFORE induction of anesthesia
Side Table: none
Lights: OR overhead lights
Power: no
Bovie Settings: 10 – 10, Colorado tip
Preinjection: bleph solution or 1% lido w 1/100k epi
Prep: Betadine
Drapes: four towels and a split sheet
Instrument sets: blepharoplasty/oculoplastics set
Special Instruments: SCLERAL SHIELDS placed before prep with lubricant
Devices/Implants: none
Hypodermic needles: 27 gauge needle
Syringes: 10 mL syringe
Drains: none
Suture: 4-0 monocryl taper RB1, 6-0 fast gut cutter, 5-0 fast gut cutter, derrmabond
Anesthesia on field: general or IV sedation
Dressing: topical ophthalmic antibiotic ointment and ice packs
Admission status: SDS
Estimated time: 30 minutes upper, 1 hr lower, 90 minutes both
Coding:
Post-op wound care: iced sponges to eyes and topical antibiotic ointment
Post-op activity restirctions: l light activity for two weeks
Follow up: one week