0113 388 2230
Mr Almas Khan FRCSEd(Tr&Orth)
Expert and specialist spine care
for children and adults
world class spine care for adults and children in yorkshire
Microsdiscectomy
Preop Checklist
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Preauthorisation V2542
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Provisional Op Date
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Consent appointment within 2-4 weeks
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MRI (within 6 months)
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Standing lumbar spine X-ray
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Theatre booking
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? HDU booking
Theatre Checklist
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Bloods: G&S, FBC, UE, LFT, Coag, Vit D, Bone profile
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Consent for operation
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L5S1 or Lordotic L4/5: Maquet table, Oswestry pads or Wilson Frame
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Other Levels: Allen or OSI table with Jackson frame with chest bar, 2 regular hip pads, foam pads for arms, Leg sling with pillows, long dressing for natal cleft
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Bair hugger
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Imaging: Standing XR AP & Lateral lumbar spine, MRI within the last 6 months
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Image intensifier from beginning to mark level
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Chloraprep resistant marker pen
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Alcoholic betadine, chloraprep x2
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2 black 4-inch spinal needles
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Square drape. Large side drape for lateral II if using Allen/OSI table
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Ioban seal
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Fenestrated sucker
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2,3 & 4 mm Kerrison rongeurs
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Caspar retractors.
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Obese patients: 80/85mm Caspar retractor , as well as long Watson-Cheyne and long nerve root retractor
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Microscope
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(to be available in case of durotomy: medium and large dural clips, dural opposer, haemopatch, tisseel)
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20cc Leuer slide syringe, warm saline wash
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Epidural catheter primed with injectable saline, 100 micrograms fentanyl in 2 cc syringe, 5cc injectable saline in separate syringe, 2 bayonet forceps
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J needle PDS, 2/0 PDS, 3/0 monocryl
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Liquiband/Cyanoacrylate glue to be available
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Surgistrips, Mepore film & pad dressing