Positioning of the Patient Disinfection of the Operating Area

[0.9 % NaCl 500 ml, 1 % prilocaine 250 mg (equivalent to 25 ml), epinephrine 0.5 mg, 8.4% NaHCO3 5 mEq]

■ Following intubation (if the patient wishes, the operation may also be carried out under general anesthesia with laryngeal mask ventilation or by means of tumescent local anesthesia), the patient should be positioned on her back with a slightly raised upper body (30 %-40 %). The arms are approximately 75 % abducted. Attention must be paid here to any tension or pressure. We recommend using soft silicone cushions under the entire arm so that there is no nerve damage to the brachial plexus. Similarly, when operating it must be ensured that neither the operating surgeon nor the assistant leans on the arms.

■ Disinfection is carried out carefully using the colored disinfectant solution Cutasept. The sterile draping is applied in such a way that the operating area is protected from the head/neck or anesthesia area.

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