Pre-op Meds: 10 mg decadron, 1 gram ancef, (600mg clinda if PCN allergic)
Anesthesia: General, oral tube
Patient position: supine
Bed position: Bed turned 90 degrees so surgeon is on patient's right
DVT ppx: compression boots on and working BEFORE induction of anesthesia
Side Table: NA
Lights: Headlight
Power: Drill, Stryker plating system, Stryker polyethylene orbital floor implant (in room, do not open unless asked by surgeon)
Bovie Settings: Colorado tip, set to 10/10
Preinjection: 1% lidocaine 1/100k épi
Prep: betadine paint
Drapes: 4 towels around face and split sheet
Instrument sets: FFX Stryker truam set, GUH Plastics set
Special Instruments: Desmarres retractors
Devices/Implants: Scleral shileds, Stryker fracture set with obital floow implant Porex (do not pen unless asked by surgeon)
Hypodermic needles: 27 gauge
Syringes: 10cc
Drains: NA
Suture: 5-0 monocryl-taper, 6-0 prolene taper, 4-0 monocryl taper, 6-0 or 5-0 fast gut ask surgeon as choice is incision dependent
Anesthesia on field: 1% lidocaine w 1/100k eli
Dressing: none
Admission status: 23 hour obs
Estimated time: 90 minutes
Coding:802.6, 21390 or with malar fracture 21365
Post-op wound care: ice to orbit 24 hrs, ophthalmic pntment to incisions
Post-op activity restirctions: Reduce heavy activity for 2 weeks
Follow up: 1 week