Sunday, November 14, 2010

FPC Surgery Team

The trip ended up well, and the FPC Surgery team wants to comment on the current status of the O.R. with special comments for ENT type procedures:

The ENT clinic saw 72 people of which 22 had surgery.  We did mostly T and A's with ages from 4 to 31.  We did one nasal case, turbinate reductions.  Twelve potential surgery cases were also seen, including  4 tympanomastoidectomies, 2 nasal polyposis, 1 septoplasty, and a thyroglossal duct cyst all remain waiting for surgery.

For ENT surgeons, I recommend bringing your own surgical instruments, suction cauteries or other electrosurgical hand pieces, and grounding pads.  In fact it is somewhat easier to tell you what is there and working: anesthesia machine, suction, and the bovie.

For the recovery room, I would bring anti-emetics such as zofran and non-narcotic pain meds such as toradol, tramadol, tylenol and motrin with liquid formulations when indicated.  We had two working pulse oximeters and a nebulizer in the RR as well.

Current needs for O.R.:

Suction cautery handpieces and grounding pads
spinal needles
Marcaine
red rubbers and nasogastric tubes
10 cc pre-filled saline flushes
IV angiocaths, 24, 22, and 20g
4 x 4 sterile guaze
1 liter NS bottles and IVF's
oral antibiotics: Amoxil, Augmentin, Clindamycin, azythromycin

Again, for other major surgeries other than T and A's, ENT surgeons should bring all instruments and associated drugs/supplies including an otological drill.  The Storz microscope is still there and in working condition.

Matt Speyer

1 comment:

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