Draping Materials

• 6 strips ioban
  • 2 for CK sleeves (3 fingers width)
  • 4 for securing towels
• 7 blue towels
  • 4 towels for draping
  • 3 for suctions
• Blue abdominal drape
• ¾ sheet x 2
• Pocket drape (3M 6658)
• C-armor
• C-Arm Showercap
• Suction x 4
  • 1 in C-armor
  • 2 in pouch drape
  • 1 for bumper
• Instrument pouch x1 (1018)
• Irrigation tubing (cysto tubing)
• 8 Allis clamps
• Light cord to say "ND" (extra long)
• Stryker camera (384 is #1, cleaned)
• L2-3 or higher: need >2 needles for counting-18 gauge

Draping Steps

• Start with down sheet, 1 cm below the 10x10
• Start with bottom blue towel – one 1 cm cranial to down sheet
• Top blue towel
• Lateral blue towel on opposite side first with 4 cm ioban, bring extra ioban down onto down drape
• Other lateral blue towel with 4 cm ioban on surgery side, use extra ioban for down drape
• Lap drape with circumferential pockets for irrigation – go slightly lateral to surgery side to allow for TF approach, if also IL make sure you can still see the midline
• C-arm cover - opposite side of C-arm
• Throw off suctions towards suction machine - will have three with tips cut off and clamps
  • Measure suctions by putting into most south part of drape so X-ray does not see, clamp to towel, ensure suction holes are not covered
• Cut 2 small holes in cranial part of pocket drape to feed suctions on each side through, C-armor suction does not go through hole
• One suction in C-armor, one in each side of pocket drape (3 total)
• Pocket for Triggerflex on opposite side of surgeon on patient’s shoulder blade
• Secure suctions with right white Velcro
• Secure Triggerflex +/- drill with left Velcro
  • Measure Triggerflex and drill by putting ends into south white Velcro/on Mayo stand
• Assembling drill
  • Lubricate drill bit with mineral oil
  • Put handpiece in open position
  • Connect handpiece to motor
  • Twist handpiece until it locks into place
  • Insert drill bit
  • Twist handpiece to closed position
  • Twist support tube to lock down
  • Press foot pedal slowly to test drill
• Attach light cord
• Attach stopcock to southmost outflow of scope
• Attach irrigation to stopcock
• Scope condom for TF
  • Cut a small hole in the top of the condom and put on base - this should go to about 1 inch past connection for the black cord
• White balance camera (Hold W) and make sure zoom is good, check quality
• Make sure laser on field with towel over cord
• Last special clamp on Mayo
• C-arm shower cap
• If retractor: put on retractor clamp onto clamp on bed
  • Arm of retractor should have flat face facing out
  • Angle second arm 45 degrees