Pre-op Meds: Ancef or clindamycin, 8 mg Decadron
Anesthesia: general, hypotensive
Patient position: supine
Bed position: 90° surgeon away from anesthesia machine on the patient's right side
DVT ppx: compression boots on and working BEFORE induction of anesthesia
Side Table: yes, xeroform strip gauze, 2-0 prolene, scissors, forceps
Lights: surgeon headlamp
Power: yes, drill, reciprocating saw. One short reciprocating blade
Bovie Settings: 30-30 with Teflon guarded but tip
Preinjection: inject 10 mL lidocaine 1% 1/100 K epinephrine into each side
Prep: Betadine on the face, chlorhexidine in the mouth
Drapes: head draped as shown in illustration, four towels around face, and a split sheet
Instrument sets: mandibular osteotomy set
Special Instruments:
Devices/Implants: Stryker mandibular osteotomy set
Hypodermic needles: 27gauge
Syringes: 10 mL
Drains: no
Suture:3-0 chromic SH, 5-0 monocryl taper, 6-0 prolene taper
Anesthesia on field: 1% lidocaine with 1/100 K epinephrine
Dressing: job bra
Admission status: a.m. admission
Estimated time: two hours
Coding: check w surgeon
Post-op wound care:
Post-op activity restirctions:
Follow up: one week