01 - Patient Setup

NO RELAXATION NEED 4 TWITCHES FOR FACIAL NERVE

Pre-op Meds: Ancef or Clindamycin, Tranexemic acid

Anesthesia:  GETA wired or sutured w/ 0 silk to 1st premolar if no crown

Patient position: Supine, 1 arm tucked

Bed position: Turn 90°

DVT ppx:  Compression boots on - working BEFORE induction of anesthesia

Side Table: None

Lights: Headlight and Fiberoptic lighted retractors-both Aufrecht and larger facelift

Power: No

Bovie Settings: Colorado tip, 20/20; Bipolar that activates when tips touch (Stingray) 10

Preinjection: None

Scleral shields with lubricant

Prep: Use Mayo stand drapes under head to prep entire head with betadine running into drape. Betadine ophthalmic soap to wash hair, rubber bands to braid hair anteriorly, staples hold hair down posteriorly.

Drape: 2 blue towels on half sheet. This goes under pt head. Top towel is to be brought around pt head and stapled so it is well behind ears. Then 4 towels around head, then split sheet. Split sheet is placed with mesentary around ETT TO AVOID TENTING AND RESTRICTING HEAD MOVEMENT.