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Procedures. Intermediate Format Breast Augmentation. Objectives. Assess the related terminology and pathophysiology of the breast Analyze the diagnostic interventions for a patient undergoing a Plan the intraoperative course for a patient undergoing
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Procedures Intermediate Format Breast Augmentation
Objectives • Assess the related terminology and pathophysiology of the breast • Analyze the diagnostic interventions for a patient undergoing a • Plan the intraoperative course for a patient undergoing • Assemble supplies, equipment, and instrumentation needed for the procedure.
Objectives • Choose the appropriate patient position • Identify the incision used for the procedure • Analyze the procedural steps for breast augmentation • Describe the care of the specimen
Surgical Intervention:Special Considerations • Patient Factors • Room Set-up • Privacy for all patients—windows covered please
Surgical Intervention: Positioning • Position during procedure • Supplies and equipment • Special considerations: high risk areas
Surgical Intervention: Special Considerations/Incision • Special considerations • State/Describe incision
Surgical Intervention: Supplies • General: Basic pack, Transverse sheet, large gowns, wet prep kit, light handles, disposamag, raytex x 2 • Specific • Suture: 4-0 Vicryl, 5-0 Vicryl, 5-0 Prolene; possibly 4-0 Nylon for implant exchange • Blades: # 15 x2 • Medications on field: Bacitracin ointment; Xylocaine 1 % w/epi 30 cc; Marcaine .5 % with epi (Do not mix) • Catheters & Drains
Surgical Intervention: Supplies cont’d • Dressings: 4x4s (two), 6 in ace wrap, patient’s bra
Surgical Intervention: Instruments • General • Specific
Surgical Intervention: Equipment • General • Specific: light source for lighted retractors
Counts • Initial • First closing • Final closing • Sponges • Sharps
Specimen & Care • Identified as • Handled: usually routine