Transcription of 324 LIPOSUCTION - HIPS, THIGHS, BACK and/or ABDOMEN …
1 324 LIPOSUCTION - HIPS, THIGHS, BACK and/or ABDOMEN with or without TURNOVER Note if turnover; Patient is intubated on stretcher, foley is placed, then log-rolled on to OR tableMay be used in combination with 305 ABDOMINOPLASTY updated July 17, 2016 page 1 OPERATIVE TIME: 3-4 hours if aloneASSISTANT: YesUSUAL LOCATION: Day and Main ORICD9 CODE: ELECTIVE COSMETIC, LOCALIZED ADIPOSITYFREQUENCY: 2-3/yearCPT CODE:15877 LIPOSUCTION TRUNKANESTHESIA NOTESG eneral, ETT. Patient intubated on stretcher then turned over onto table.
2 Foam face cube for turnover. IV fluid POSITION | SETUP! Dr. C will re-enforce markings with Sharpie! [6-8] blankets for chest and axillary rolls if turnover! Use foot Plexi-pulses only if lipo knees! Use sequential teds for all others! Foley catheter - pull #12 fr separate! After LIPOSUCTION roll back to stretcher and slide back to bed w/ pillow under knee! [2] Baer huggers: upper body and lower body, 2" tapeTABLE POSITION! [6-8] blankets for chest and axillary rolls if turnoverROOM SETUP! [2] Baer huggers, upper and lower body, ! pre-warm room thermostat to 72", pre-warm OR table w/ BaerLIPOSUCTION EQUIPMENTSETUPLIPO MACHINE:! MD RESOURCE MODEL LS-2 LIPOSUCTION ASPIRATOR! Arrange tubing as sump system! Check to make sure machine is working!
3 LIPOSUCTION tubing ! [1-2] LIPOSUCTION canistersPRESSURE BAGS:! [2] pressure bags labeled A/A- at head of table ! Insert tumescent solutions into pressure bags! to be inflated to 300-400mmHg (red).NOTE: DOWNLOAD/PULL LIPOSUCTION flow sheet. PREPCHG prep set down to blue chuxDRAPINGL arge table cover over chest rolls before prep if turnoverLap chole drape, basic pack, mag pad, [1] 3/4 sheet, [1] mayo stand cover cut in half, [8] sticky paper drapes #89731 - 6 are in custom Plastic packExtra gowns when turning and changingCAUTERYNO CAUTERY; NO GROUNDING PADSUCTIONNO WALL SUCTIONSTERILE SUPPLIES! marking pen! [2-4] cysto single tubing sets, one for each pressure bag! Foley catheter #12 fr! 3-way stop cock! Dermabond!
4 LIPOSUCTION tubingSPONGESlap sponges, towelsNON-STERILE SUPPLIES[1-2] LIPOSUCTION canisters, [2-4] pressure bags labeled A and A-324 LIPOSUCTION continuedpage 2 TUMESCENT and LOCALSOLUTIONSDr. C will list how many liters ofeach will be required dependingon extent of use 1-4 liters SOLUTION FOR PRESSURE INFILTRATION:[1-2] liters Solution A containing:1 ringers 50 1 % 1:1,000[0-2] liters Solution A-minus containing:1 1:1,000[1-4] pressure bags labeled A and A minus [2-4] Single sterile cysto tubingLOCAL INFILTRATION FOR PORTAL SITES: ! [1-2] 50cc vial 1% lidocaine w/epi ! [1-2] 10cc syringes; [1-2] 25g needles 1 " NEEDLES | SYRINGES[1-2] 10cc syringes; [1-2] 25g needles 1 " fill with 1% lidocaine w/epiIRRIGATIONS aline irrigation w/ Asepto syringeMEDICATIONS[1-2] 50cc vial 1% lidocaine w/epiSETS TO OPEN :Dr C Minor set, lipo cannula and infiltration set, 5mm only to startINSTRUMENTS USED (ON MAYO STAND) O FORCEPS[2] 08 adson O SCISSORSstr Metz, Reynolds O NEEDLE HOLDERS[2] smooth Crile Wood, [2] smooth Webster O RETRACTORS none O KNIFE | BLADES[1] No.
5 15O LIPO CANNULASH unsdadt infiltration cannulasHunsdadt infiltration handle w/wrench5mm lipo cannula (blue)open other cannulas as neededNoTypeSNstatusSUTURESM[ 2-4 ]5-0 MoncrylP3Y493open 2hold 2M[ 2-4 ]5-0 fast gut PC-11915open 2hold 2M[ 1-2 ]Dermabondopen 1hold 1 DRAINSNO DRAINSDRESSINGSC ompression garment or binder at use 6" ace, 4" ace for legs - ask [hold]POSTOPERATIVERoll back on to stretcher, apply compression garmentNOTESsee also LIPOSUCTION flow sheet, local solutions sheetsee also 306 AbdominoplastyDATES MODIFIEDJul 2006, Aug 2007, July 2009, Jan 2010, Dec 2012, May 2014, Oct 2014, Nov 2015, Jul 2016
