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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 Juan Brou, M.D. Abdominoplasty Plastic Surgeon Cosmetic & Reconstructive Plastic Surgery Oklahoma City, Oklahoma nn AB The information herein is provided for educational purposes and represents the surgical technique used by Dr. Brou. 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. So la Sample Protocol Pump Used: PM048-A: 400 ml x 4 ml/hr (dual; 2 ml/site) (2) 10 inch ON-Q SilverSoaker® catheters Drugs in Pump: Local anesthetic of physician’s choice. ta Pre-Incision Infiltration: Local anesthetic ak Catheter Placement: Two introducer needles are inserted superior to the umbilical level. Both catheters are threaded through the introducer sheaths and pulled down lateral to the plication across the rectus sheath. The introducer sheaths are split off to the left and the right at the place of incision. The drain is placed between the two catheters. nt Catheter Securement: Catheters are coiled and secured with Steri-Strips™ and Tegaderm™. Additional Postoperative Pain Medications: Percocet® and Phenergan® as needed. nf CAUTIONS or m at io n, ko Other Notes: With ON-Q there is better pain control and high patient satisfaction. • 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. Fö ri • 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 1304773C Page 1 of 2 Abdominoplasty These images are for general guidance only and are not to be construed as a specific recommendation of I-Flow® Corporation. So la nn AB Puncture site Fö ri nf or m at io catheter securement n, ko nt ak ta catheter placement Phenergan is a registered trademark of Wyeth Pharmaceuticals • Percocet is a registered trademark of Endo Pharmaceuticals, Inc. • Steri-Strip and Tegaderm are trademarks 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 less need for narcotics • Significantly better pain relief than narcotics alone Rx only I-Flow, ON-Q and SilverSoaker are registered trademarks of I-Flow Corporation. Redefining Recovery is a trademark of I-Flow Corporation. © 2009 I-Flow Corporation. All rights reserved. 1304773C Page 2 of 2