Site selection |
Hand-held Doppler |
Water soluble gel |
Marking pen |
Site preparation |
Electric hair clipper |
Skin preparation solution |
Lidocaine cream 4% |
Lidocaine 1% with 1:200,000 epinephrine |
Bupivacaine 0.5% with 1:200,000 epinephrine |
1:1 mixture of Lidocaine 1% with 1:200,000 epinephrine/Bupivicaine 1% with 1:200,000 epinephrine |
10 mL syringe |
18 gauge needle to draw up medications |
27 or 30 gauge 1-1/4 inch needle for injection |
Drapes and sponges |
Sterile Mayo stand cover |
Sterile towels, drape with central opening |
4 x 4 sterile gauze sponges |
Instruments |
Scalpel holder |
Scalpel blade (no. 15) x 2 |
Adson-Brown forceps |
Skin hooks |
Self-retaining retractor (eg, Alm, Heiss) |
Tenotomy scissors |
Metzenbaum scissors |
Needle holder |
Hemostat clamps (curved or straight) x 2 |
Hand-held cautery (battery powered) |
Frazier suction tip, suction tubing |
Specimen collection |
Ruler |
Sterile specimen cup with formalin |
Skin closure and dressing |
3-0 or 4-0 silk ties to ligate the artery |
4-0 or 5-0 absorable suture for skin closure |
Tincture of benzoin |
Skin closure strips 1/4 inch |
Nonadherent absorbant dressing (eg, Telfa) |
Transparent film dressing (eg, Tegaderm) |
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