Arthroscopic Shoulder Surgery

Anesthesia

• Interscalene block with general anesthesia (preferred) or sedation

• No paralysis

• No foley catheter

• 2 gm Cefazolin (if PCN allergy, 1 gm Vancomycin)

• Irrigation fluid with Epinephrine (0.33 mg/L)

Positioning

• Beach chair position, Spyder arm holder, padded leg cushion

• OR bed turned 30° from anesthesia (i.e. turned "slightly")

• Foot-control electrocautery (Ambient MegaTurbo Vac) and shaver (4.5 mm S&N Incisor Elite Premium straight)

• One non-sterile 1015 drape 

• Two sterile U-drapes with additional 3M Steri-Drape U-Pouch

Surgery

• Equipment

  • Arthroscopy tower

  • Shoulder arthroscopy instruments with 30° and 70° scopes

  • Power drill

• Cannulas

  • 7 mm threaded cannula x 2

• Implants

  • Newton-Wellesley Hospital

    • Rotator cuff repair

      • Arthrex swivelock 4.75 mm anchor x 4

      • 2mm Fibertape x 2 (can be one Fibertape and one Tigertape)

      • 18G spinal needles x 2

      • Suturelasso passing instruments with looped Nightnal wire

  • Norwood Hospital

    • Rotator Cuff Repair

      • S&N 5.5mm Healicoil PK anchor (x3) w/ one Ultratape and one Ultrabraid suture (product #72203984)

      • S&N 5.5mm MultiFix S Ultra (x2) anchor (product #72290001)

      • S&N 2.8mm Q-fix all-suture anchor disposable kit (product #25-2800)

      • S&N Firstpass ST suture passer

      • S&N AccuPass 70° Upbend

Closure

• 2-0 Vicryl x 1

• 1/2" steri-strips cut in half (6 total)

• 4x4 gauze with foam tape about the shoulder

• Shoulder brace/sling will be brought by the surgeon

• Discharge home

Resources

• Coming soon

Position with the surgical side closer to surgeon (right shoulder above)

Norwood:  7.5 bio x 2

NWH:  7.5 bio, 8.0 bio

This card can be used as the "base" for every arthroscopic shoulder procedure.  Particular of each case are stated below.