Pre-op Meds: Ancef or Clindamycin
Anesthesia: GETA with nasal RAE see head drape below
Patient position: Supine
Bed position: turned 90 degrees
Side Table: blue towel to wrap hair, 2" inch silk tape, 2-0 prolene, small xeroform, needle driver, scissors, 10mL syringe with 1% lido with epi, 25G needle
Lights: headlight
Power: Elan-E for reciprocating saw & drill
Bovie Settings: protected tip, 20/20
Pre-Prep Injection: 10mL 1% lido with epi
Prep: Chloraprep hair, Iodine on face, chlorhexidine in mouth
Drapes: towel off face, split sheet
Instrument sets: Orthognatic
Special Instruments:
Devices/Implants: Splint from Medical Modeling (Dr. Baker to bring). Splint does not come sterile. Place splint in cup of chlorhexidine on the field.
Stryker orthognathic set
Hypodermic needles on field: 25G
Syringes: 10mL
Drains: none
Suture: 3-0 Chromic on RB-1
Anesthesia on field: 1% Lidocaine with epi
Dressing: none
Admission status: Admit
Estimated time: 2 hours
Coding:
Post-op wound care: Full liquid diet x 1 week or longer if in MMF, Chlorhexidine swish and spit qAC & HS and PRN
Post-op activity restrictions:
Follow up: 1 week