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: local anesthesia, alcohol wipe, large gloves, 4x4s, Scleral shild(s), Erythromycin ointment
IF THERE IS AN OCCLUSAL INJURY WILL ALSO NEED: xeroform strip gauze, 2-0 prolene, scissors, forceps to suture in nasal RAE
Preinjection: inject 10 mL lidocaine 1% 1/100 K epinephrine into each side
Lights: surgeon headlamp
Power: yes, drill
Bovie Settings: start with 10/10 & colorado tip, have gaurded teflon tip on field for intra-oral approaches
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: Stryker midface set, Carrol-Girrard Screw
IF THERE IS OCCLUSAL INJURY WILL ALSO NEED: Stryker SmartLock MMF, 24G wire, 26G wire (scrub tech please pre-stretch the wires)
Special Instruments: clear plastic self retaining lip retractor
Devices/Implants: Stryker midface set
Hypodermic needles: 27gauge
Syringes: 10 mL
Drains: no
Suture: 3-0 chromic SH, 5-0 PDS taper, 6-0 Fast
Anesthesia on field: 1% lidocaine with 1/100 K epinephrine
Dressing: erythromycin ophthalmic ointment
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