Download Abdominoplasty – Calobrace

C at h e t e r
P l a c e m e n t
T e c h n i q u e
Brad Calobrace, M.D.
Abdominoplasty
Plastic Surgeon
Calobrace Plastic Surgery Center and Jewish Hospital
Louisville, KY
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The information herein is provided for educational purposes and represents the surgical technique used by Dr. Calobrace. Catheter
placement is intended for guidance only and is subject to the individual expertise, experience and school-of-thought of the surgeon
placing the catheter. Always refer to the drug manufacturer’s prescribing information when administering any drug with the ON-Q® Pain
Relief System. This protocol is not to be construed as a specific recommendation of I-Flow® Corporation.
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Sample Protocol
Pump Used: PM025: 270 ml x 4 ml/hr (dual; 2 ml/hr/site)
(2) 5 inch ON-Q® Soaker® catheters
Drugs in Pump: Local anesthetic of physician’s choice.
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Catheter Placement: Two catheters are placed, one on each side of the midline in the rectus subfascial space. Each catheter is
threaded under the fascia with an 8 inch ON-Q introducer needle in 3 to 4 passes.
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Alternative Catheter Placement: Place introducer needle with sheath retrograde from inside the upper abdominal flap and
through the skin of the upper abdomen. Remove the needle and place the catheters through the sheath anterograde from
outside in. Then pull the sheath out over the catheter. Tunnel along the introducer needle and sheath from just below the level
of the umbilicus to the upper abdomen (on each side) in the rectus subfascial position. Remove the needle and place the
catheter through the sheath. Remove the sheath.
Postoperative Bolus Technique: A bolus dose of local anesthetic may be administered with consideration given to total daily
dose delivered and patient’s clinical status.
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Wound Closure and Catheter Securement Technique: The catheters are secured with Steri-Strips™ and coiled under an
occlusive dressing.
CAUTIONS
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Additional Post-Op Pain Medications: Additional pain medication may be utilized including narcotics, Oxycodone (Percocet®)
and muscle relaxants (Robaxin®) PRN.
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• Patient may experience loss of motor control or feeling at and around the surgical area. Physician should instruct patient on appropriate measures to
follow to avoid patient injury.
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• Medications used with this system should be administered in accordance with instructions provided by the drug manufacturer. Surgeon is responsible for
prescribing drug based on each patient’s clinical status (e.g., age, body weight, disease state of patient, concomitant medication(s)).
• Vasoconstrictors such as epinephrine or adrenaline are not recommended for continuous infusions.
• Refer to ON-Q Pump Directions for Use for full instructions on using the ON-Q Pain Relief System.
www.solann.se
[email protected]
08 583 560 60
1303755B Page 1 of 2
Abdominoplasty
Fig. 2. Insert first catheter through
sheath of introducer needle and
peel away.
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Fig. 1. Insert introducer needle
through skin below subcutaneous
tissue.
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These images are for general guidance only and are not to be construed as a specific recommendation of I-Flow® Corporation.
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puncture site
Fig. 4. Insert second catheter through
sheath of introducer needle and
peel away.
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Fig. 3. Insert longer needle and
weave in and out through rectus
sheath.
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Placement
Percocet is a registered trademark of Endo Pharmaceuticals, Inc. • Robaxin is a registered trademark of Schwarz Pharma • Steri-Strip is a trademark of 3M Healthcare.
I-FLOW CORPORATION
20202 Windrow Drive
Lake Forest, CA 92630
Phone: 800-448-3569/949-206-2700
www.iflo.com
ON-Q IS INDICATED FOR:
• Significantly better pain relief
than narcotics alone
• Significantly less need
for narcotics
Rx only
I-Flow, ON-Q and Soaker are registered
trademarks of I-Flow Corporation. Redefining
Recovery is a trademark of I-Flow Corporation.
© 2009 I-Flow Corporation. All rights reserved.
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