Download Breast Reduction – Brou

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.
Breast Reduction
Plastic Surgeon
Cosmetic & Reconstructive Plastic Surgery
Oklahoma City, Oklahoma
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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.
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Sample Protocol
Pump Used: PM015-A: 270 ml x 4 ml/hr (2 ml/site),
(2) 2.5 inch ON-Q® SilverSoaker® catheters.
Drugs in Pump: Local anesthetic of physician’s choice.
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Pre-Incision Infiltration: Inject local anesthetic into each breast and into each axilla. Consideration should be given to the total
daily dose delivered and patient’s clinical status when determining total volume of local anesthetic administered.
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Catheter Placement: The introducer needle is inserted inferior and medial. The antimicrobial Soaker catheter is threaded through
the introducer and pulled across the bottom of the breast pocket, slightly tucking it under the subcutaneous tissue on top of the
pectoral muscle. Drains are also placed in each breast in the most inferior part of the breast.
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Wound Closure and Catheter Securement Technique
The catheters are coiled and secured with Steri-Strips™ and Tegaderm™.
Additional Postoperative Pain Medications: Percocet® and Phenergan® as needed.
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CAUTIONS
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Other Notes: With ON-Q, postoperative medications are reduced, and length of stay is reduced.
• 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
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Breast Reduction
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
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Catheter placement
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Catheter securement
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.
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