Pec Flap Set up

Anesthesia
General with single lumen tube
+/- a-line

Positioning
Arms tucked
Shoulder roll

Prep
Chin to umbilicus
Chlorhexidine

Instruments
Major tray
Rongeurs
Curettes
Andrew morris suction
Ligasure – maryland xp – medium

Closure
24 fr Blake drain x 2-3
3-0 vicryl swedged X 4
2-0 nylon cutting needle X 4
Large VAC sponge/VAC machine

Chest tube stitches

4×4 and tape