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Mayo stand
- #3 or 7# with 15 blade
- Debakey
- Skin Hooks
- Green or Vein Retractor
- Weitlander
- Adson toothed
- 2 Crile CRVD
- 2 Mosquitoes CRVD
- 5 Metz
- 2 Allies and or Babcock
- RT. Angle
- Tonsil with Silk loaded and straight Mayos
drapes
half sheet, turban, sticky drape
2 Triangle towels to square off incision site.
Head and Neck drapes or 2 U drapes and 2 split drapes.
towel roll for neck extension
timeout
marker, 5cc 1% lidocaine 5cc 0.5% marcaine with epi
cut
#15 for transverse incision, 2x raytecs
dissect
DeBakey + metz
hemostasis
bovie, ties, hemoclips, etc
traction stitch
0 / 2-0 / 3-0 silk pop-off with tonsil clamp and straight mosquito
retract
skin hooks, green, vein, army-navy, mahoner, weitlaner
deep retract
sternocleidomastoid and fascia
load sponge stick
identify vessels and nerves
vessel loops, tonsil clamp
divide isthmus and lobes
allis or babcock with #15
hemostasis
retrieve specimen
forceps and telfa into cup, 3 qs
irrigate
close
remember irrigate
2-0 Vicyrl muscle
4-0 Monocryl skin
mastisol and steristrips // dermabond, 4×4 or Telfa, tegaderm