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basic steps:
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mayo stand
#3 knife handle with 11 blade
18 g. Spinal needle
20 or 30 cc syringe filled with NACL
10 cc syringe for local
Skin marker
2x raytec
camera, light cord, scope, shaver
insufflation tubing x 3
1 to outflow, 1 to extremity bag, 1 to shaver
A Scope Set
Straight hemostat, Probe, trocar
draping, other notes
non sterile tourniquet + clear drape → circulator
slide on stockinette to mid shin, wrap in coban → time stops
2x U-drapes, under and above
extremity drape
non-op leg: leg drape
will have lots of cords to manage
white balance camera
timeout, first steps
marker, local, 20mL of saline w/ spinal needle, #11
portal establishment
arthroscope trocar and cannula
further portal establishment
pass spinal needle, and saline if needed
blade
hemostat or blunt trocar to dilate tract
dx arthroscopy
pass hook probe
debridement
pass shaver
everything is removed (what does CST do?)
suction out fluid from joint
close
4-0 nylon
xeroform, 4x4, towel, drapes down, abd, ace – non sterile brace applied after drapes down