Developmental Dysplasia of the Hip
Tracking Pixel
presents
Wheeless' Textbook of Orthopaedics

Operative Checklist


Clickable Image Map: - Trauma Systems: Neuro (see Glasgow) Cranio-Maxillo-Facial Cardiac Respiratory Renal Vascular Compartments Hepatic Coag X-rays and Template Planned Incision Consent Bone Graft Open vs Closed Reduction Anesthesia & Cardiology Consults Prophylactic ATB DVT prophylaxis Posting Blood & Cell Saver Implant Selection Positioning Table type and Flouro - Initial Orders: - NPO p Midnight x Meds - IVF D5W LR at 100 ml/hr (in stable patients use D5W 1/2 NS w/ 20 KCl) - 2 large bore IV - Foley - Monitoring; - EKG and/or Continuous Cardiac Monitoring; - Continuous Pulse Ox monitoring; - PreOp Labs: - Type & Cross 2-4 units pRBC and/or FFP - Musculoskeletal Labs: - Urinalysis - Meds (Trade Names) - Prophylactic ATB - DVT prophylaxis - Steroids: - for neurological deficits - for FES prophylaxis - Heparin 5000 units SQ q8 hrs - Insulin (1/2 NPH dose) + S.S. - Accu Check in AM and on call - Zantac - Morphine - Tetanus or Pneumovax if appropriate; - Traction: (Buck's vs. Skeletal) - Decubiti Prophylaxis: Egg Crate / Pillow and turn 20 deg q2hr - Hiboclens Shower and Bactroban to nares q12 hrs until OR - Cleocin solution 300 mg per 100 ml NS q6hr as mouth wash



Original Text by Clifford R. Wheeless, III, MD.