01 - Patient Setup

Pre-op Meds: Ancef or clindamycin, 8 mg Decadron

Anesthesia:  Oral ETT if ZMC, Orbit, frontal bone. Nasal ETT if mandible also fractured. MAP 55-60 mmHg

Patient position: Supine

Bed position: 90° surgeon away from anesthesia machine on patient's R side

Scleral shields with lacrilube

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

Side Table: As seen in image

Lights: Surgeon headlamp

Power: Rem B drill

Bovie Settings: Start w/ 10/10 & colorado tip, have guarded teflon tip on field for intra-oral approaches

Preinjection: Inject 10 mL lidocaine 1% 1/100 K epinephrine into each side

Prep: Betadine on face, chlorhexidine in mouth

Drapes:  Jaw head wrap and 4 towels around face + split sheet (see image to right)

Instrument sets: Stryker midface set, Carrol-Girrard Screw

IF THERE IS OCCLUSAL INJURY WILL ALSO NEED:

Stryker SmartLock MMF, 24G wire, 26G wire