VATS Decortication Set-Up

Bed Position

  • Table with bean bag – draw sheet under, regular sheet over
  • Bed Position – slide to head
  • Arm board, and right angle arm holder – bracket on lower rail
  • Suction tubing for the bean bag
  • Neptune suction on highest setting

Anesthesia

  • Double lumen tube, or bronchial blocker
  • Bronchoscope – GlideScope (purple)
  • +/- Arterial Line Foley

Equipment

  • Scope – 10mm 30 degree ( have 5mm 30 degree in room)
  • Ports – 12mm X 3CO2 tubing
  • Standard suction tubing and yankauer
  • Suction irrigator with irrigation set up
  • Maryland Grasper
  • Wavy Grasper

  • 10mm Metal Suction
  • Thoramets Set
  • Sponge stick without sponge
  • Curettes – in the room, don’t open
  • Pleurevac canisters – one double, one single
  • Culture tube

Sutures

  • 0 Vicryl UR 6
  • 0 Silk chest tube stitches X 3
  • 4-0 Monocryl X 2
  • Dermabond
  • Chest Tubes
  • 32 straight X 1
  • 32 bent X 1
  • 24 Blake X 1 – need 5:1 connector

Chest Tube Dressings

  • 4X4 gauze
  • Medipore Tape