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
Adolescent Scoliosis Correction
Preop Checklist
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Preauthorisation V4100, fusion and uplift forms
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Provisional Op Date: Confirm Laminar Flow theatre, Theatre and Ward Nursing Team
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Consent appointment within 2-4 weeks
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MRI (scoliosis series- within 6 months if syrinx)
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Planning Films: Long Spine standing AP/ Lateral,
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LGI: Clinical photography and surface topgraphy (click for photography request/consent form)
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MDT discussion
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CT scan: Medacta MySpine Protocol and transfer for guides
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Theatre booking form
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HDU booking
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IOM booking
Operation Checklist
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Paeds aneasthesia/nursing
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IOM, perfusionist
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Pre assessmentBloods: G&S, FBC, UE, LFT, Coag, Vit D, Bone profile
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Consent for operation
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Consent for Research Samples [Adolescent PIS, Parent PIS, Assent, consent]
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Size 9 Biogel Indicator underglove and Eclipse glove
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Iodine hand wash, Alcohol Hand Rub
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3x EDTA (purple top) blood tubes labelled with NHS number only for research specimen
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Allen or OSI table with Jackson frame, Leg sling with 3 pillows, medium hip pads, Chest bar, C-Flex head support, Pads for face and arms
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Cell Saver
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Diathermy (Conmed or Valleylab. Not ERBE) with smoke evacuator set to Mono Cut 50 Coag 50, Bipolar 36
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Long opsite dressing for natal cleft
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2 Bair huggers
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Imaging available: Standing XR AP & Lateral, MRI scoliosis series, Bending films
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Image intensifier
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Chloraprep resistant marker pen
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Alcoholic betadine, chloraprep x2 (do not crack)
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Large drapes (do not cut in half) to square off. Large side drape for lateral II
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Ioban seal
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Screw systems:
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Xia 3 Deformity kit: Polyaxial, uniplanar, (+ extra separately packed in sizes 6.5x40 and 6.5x35), 5.5 tap,
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Standard and Custom Gold reduction tubes
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Blue reduction clamps
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- Medacta MUST Deformity system, Towers and Crickets
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Pedicle finders: smooth and sharp green gear stick and curved sharp finder
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Double ended dual stiffness pedicle feeler
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Hooks and Cross links to be available- Check from Plan
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Large 5.5mm rod holder x2, Rod cutter, 5.5 and 6.0mm Cobalt chrome and titanium rods to be available. May use prebent
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T handle screw driver
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Power screwdriver
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Sonopet & Apex/Aggressive knife attachment
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Nibblers: Large Leksell, small Leksell, Northfield gouge
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3 & 4 mm Kerrison rongeurs
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Large hammer
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6,9,12 & 16mm sharp straight osteotomes
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Blunt mayo retractors
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2x Universal containers with saline for Research specimens labelled with NHS number only
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Stryker medium and fine bone mill
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Freeze dried femoral head or Vitoss BA 10cc strips x3 to be available- open one at a time as directed
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Heavy PDS, 2/0 PDS, 3/0 monocryl
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Glue, Surgistrips, long Opsite/Mepore film & pad dressing
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Specimen, blood and copy of research consent forms (NOT operation consent form) to go for research