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team@ortho.boston

Arthroscopic Shoulder Surgery

Anesthesia
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Interscalene block with general anesthesia (preferred) or sedation
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No paralysis
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No foley catheter
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2 gm Cefazolin (if PCN allergy, 1 gm Vancomycin)
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Irrigation fluid with Epinephrine (0.33 mg/L)
Positioning
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Beach chair position, Spyder arm holder, padded leg cushion
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OR bed turned 30° from anesthesia (i.e. turned "slightly")
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Foot-control electrocautery (Ambient MegaTurbo Vac) and shaver (4.5 mm S&N Incisor Elite Premium straight)
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One non-sterile 1015 drape
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Two sterile U-drapes with additional 3M Steri-Drape U-Pouch
Surgery
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Equipment
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Arthroscopy tower
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Shoulder arthroscopy instruments with 30° and 70° scopes
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Power drill
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Cannulas
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7 mm threaded cannula x 2
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Implants
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Newton-Wellesley Hospital
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Rotator cuff repair
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Arthrex swivelock 4.75 mm anchor x 4
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2mm Fibertape x 2 (can be one Fibertape and one Tigertape)
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18G spinal needles x 2
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Suturelasso passing instruments with looped Nightnal wire
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Norwood Hospital
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Rotator Cuff Repair
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S&N 5.5mm Healicoil PK anchor (x3) w/ one Ultratape and one Ultrabraid suture (product #72203984)
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S&N 5.5mm MultiFix S Ultra (x2) anchor (product #72290001)
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S&N 2.8mm Q-fix all-suture anchor disposable kit (product #25-2800)
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S&N Firstpass ST suture passer
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S&N AccuPass 70° Upbend
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Closure
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2-0 Vicryl x 1
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1/2" steri-strips cut in half (6 total)
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4x4 gauze with foam tape about the shoulder
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Shoulder brace/sling will be brought by the surgeon
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Discharge home
Resources
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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.
