REVISED AS OF OCTOBER 2016

OTORHINOLARYNGOLOGY KARDEX
OTORHINOLARYNGOLOGY SURGERIES

1. CALDWELL LUC

2. CLOSED REDUCTION OF NASAL BONE FRACTURE

3. CLOSED REDUCTION OF NASAL BONE FRACTURE with MANDIBULAR

FRACTURE

4. ENT THYROIDECTOMY

5. EXCISION PRE-AURICULAR SINUS

6. INCISION & DRAINAGE

7. LARYNGOSCOPY (RIGID OR FLEXIBLE)

8. MASTOIDECTOMY

9. FUNCTIONAL ENDOSCOPIC SINUS SURGERY(FESS)

10. SUBMUCOUS RESECTION (SMR)

11. NASAL POLYPECTOMY

12. MYRINGOTOMY

13. TONSILLECTOMY

14. TRACHEOSTOMY

15. TYMPANOPLASTY

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

OTORHINOLARYNGOLOGY CONSULTANTS OTORHINOLARYNGOLOGY RESIDENTS

Consultants Name Gloves Size Residents Name Gloves Size
1. ABES, GENEROSO 6 1/2 1.
2. BARRIENTOS, BERNARDITO 7 2.
3. BARRIENTOS, CLYDINE 6½
3.
4. BAUTISTA, ARISTON 7
5. CABUNGCAL, ARSENIO 7½ 4.
6. CEDENO, JOSEPH RAY RICHARD 7 5.
7. CHIONG, CHARLOTTE 6½ 6.
8. CHUNG- SANTOS, MA. REBECCA C. 6½
9. DE GUZMAN, NOEL Jr. 7
10. FERNANDEZ, RICARDO 7½
11. GAHOL, JOSE MARI 8
12. GUZMAN, PATRICIO 7
13. IBAY, EMMANUEL 7
14. KANAPI, HENRY 7½
15. LAGOS, MARIA THERESA MARTA 6½
16. LAO, LEONCIO 7
17. LLAMANZARES, TEODORO P. 7
18. LLAMAS, EUSEBIO ANTONIO 7½
19. LOPA, RAMON ANTONIO 7½
20. NAVARRO, ROMAN 7
21. NEPOMUCENO, JOSE APOLLO JR. 7
22. ONGSIAKO, RAMON JUAN 7½
23. PUNO, MA. PATRICIA 6½
24. REYNES, MA. CORAZON 6½
25. SAMSON, AURELIO 7
26. SANTOS, AMANDO VIRGILIO 7½
27. SANTOS, EDWIN 7
28. SANTOS, MA. ROSA 7
29. SARMIENTO, VICTORIA 6½
30. SEVILLA, JAIME 7½

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

GENERAL REMINDERS

 Check batteries of Heine headlights prior usage. Charge them accordingly

 Maintain self and sterile field sterile until patient is Anaesthesiology Team confirmation,
especially during: TRACHEOSTOMY, TONSILLECTOMY and THYROIDECTOMY
cases
 Standard Local Anaesthesia (LOCAL) (5cc NSS + 5cc Lidocaine + 0.1 Epinephrine)

GENERAL DOCTOR'S PREFERENCES

Dr. Lopa
 Handle personal instruments with utmost care
 Do not throw away shuds of his intruments (included in counting)
 Prepare a separate mayo table for his personal intruments

Dr. Cedeno
 Has personal headlight
 Usual sutures Vicryl 4 RB1, Prolene 5 BV1

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

CALDWELL LUC CLOSED REDUCTION OF NASAL BONE

FRACTURE
Pack: Minor Pack
Blue Towels (2) Pack: Cyst Pack

Set: BB CALDWELL Set: none

Minor + Caldwell luc set (OLD)
Anaesthesia: local/ Sedation
Anaesthesia: GA + LOCAL
Supplies:
Supplies: Cast (fiber glass) 2’’ /3’’
Blade 15 4x4x10 plain OS
4x4x10 Raytec Lubrisafe
Nasal strips Cottonballs
20 cc syringe Wadding Sheet 4"
G18 hypo
Specimen cups OIC Specials:
10cc syringe Sharps
G25 / 27 needle Ash Forceps (curved/ straight)
PNSS Bayonet
F. 12 or F. 14 Nelaton Nasal Speculum
Betadine
Gloves Misc:
Cautery pen and pad Merocel 4 cm or 8 cm
Nasal strips
OIC Specials: Mupirosin ointment
Minispecials
Light handles Standby:
Heine headlight
Sutures: 20cc syringe
Chromic 3/0 or 4/0 (standby) G18 hypodermic needle
Suction tube
Misc:
Surgicel or Gelfoam

Standby:
0° and 30° endoscope
Surgical drills with burrs (ENT diagnostic)
Heine headlight

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

CLOSED REDUCTION OF NASAL BONE ENT THYROIDECTOMY

FRACTURE with MANDIBULAR FRACTURE
Pack: Lap Pack
Pack: Lap Pack
Blue Towel Set: BB THYROIDECTOMY
Thyroidectomy Set
Set: BB THYROIDECTOMY
Thyroidectomy set (OLD) Anaesthesia: GA + LOCAL

Anaesthesia: GA + LOCAL Supplies:

Blade 10, 15
Supplies: 4x8x10 Raytec
Blade 15 Specimen cups
4x4x10 raytec Cautery
Specimen cups Suction tube
Cautery Pen and Pad Gloves
Suction tube Peanut
PNSS ET Marker
30 cc syringe and G18 STERILE WATER in pitcher

Suture: OIC Specials:

Silk 3-0 round Sharps
Nylon 4-0 Bobcock
Vicryl 4-0 SH NC
SB
OIC Specials: LH
Sharps Baby mixter
PNST PNST
LH Medium debakey
Ash Forceps (curved/ straight)
Bayonet Sutures:
Nasal Speculum Silk strands 2-0/3-0/4-0
One sided mouth gag Vicryl 4-0
Freer Chromic 3-0

Misc: Standby:
Merocel 4 cm or 8 cm Steri-strips 1/2 or 1/4
Mupirosin ointment Plain OS
Tegaderm small/medium
Standby: Intertulle
Heine headlight Penrose ¼ or Minivac
BB SMR Elastic bandage 2”
SMR (OLD)

SAME PATTERN WITH THE FOLLOWING

CASES:
1. NECK DISSECTION
2. PAROTIDECTOMY
3. EXCICION OF NECK MASS >4CM
4. TYMPANOPLASTY
5. SISTRUNK
6. PARATHYROIDECTOMY

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

EXCISION PRE-AURICULAR SINUS INCISION & DRAINAGE

Pack: Cyst Pack Pack: Cyst pack / X-pack

Set: BB CYST Set: Cyst set / Minor set

Anaesthesia: LOCAL Anaesthesia: LOCAL

Supplies: Supplies:
Blade 15 Blade 15, 11
4x4x10 Raytec 4x4x10 Raytec
Suction Tube Specimen cups
Specimen cups PNSS ET
10cc syringe + G25 hypo Gloves
PNSS 30cc syringe + G18 hypo (for flushing)
Gloves 10 cc and G25 (for local)

OIC Specials: OIC Specials:

NST Pitcher
Minispecials Sharps
Sharps Light handles
Light Handles Needle counter
Curette

Sutures:
Vicryl 4-0
Nylon 4-0

Standby:
Plain OS
Extra towels and Drawsheet
Culture tube
Cautery
Yankauer
Asepto
Soaking pan
Kidney basin

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

LARYNGOSCOPY (RIGID OR FLEXIBLE) MASTOIDECTOMY

Pack: Clean sheet Pack: Major Pack

X-Pack
Set: BB MASTOIDECTOMY
Set: BB DL BB TYMPANOPLASTY
Laryngoscope (ENT Diagnostics) BB MINOR
Mastoidectomy+Tympanoplasty+Minor (OLD)
Anaesthesia: GA/ Sedation
Anaesthesia: GA + LOCAL
Supplies:
Pl. 4x4x10 Supplies:
Specimen cups Blade 15
Sterile vial 4x4x10Raytec
PNSS PNSS in Pitcher
Gloves Gloves
Lubrisafe Suction tube
Xylocaine spray Cautery
G 18 syringe Sterile Stockinette 2”
Cotton balls Sterile Rubberbands
Specimen cups
Standby: Tongue depressor (wooden)
Sterile vial if with biopsy 10cc syringe + G18 hypo
Epinephrine Cotton balls
Light source
OIC Specials:
Microscope
Sharps
Minispecials
Light handles
Needle counter
Drill and burrs (ENT Diagnostics)

Standby:
PNST
Gelfoam
Surgicel
Intertulle
Inoflox Otic drops
Pl. 4x4x10
Surgicel
Bonewax

Sutures:
Chromic 3/0
Vircyl 2/0 3/0
Nylon 4/0

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

FUNCTIONAL ENDOSCOPIC SINUS MYRINGOTOMY

SURGERY(FESS)
SUBMUCOUS RESECTION (SMR) Pack: Cyst Pack
NASAL POLYPECTOMY
Set: Myringotomy Set
Pack: Minor Pack
Anaesthesia: Sedation
Set: BB FESS
BB NASAL POLYPECTOMY Supplies:
BB MINOR Specimen cups
FESS+Nasal Polypectomy + Minor Set (OLD) Suction tube
Gloves
Anaesthesia: GA + LOCAL PE (polyethylene) Tube
Long cotton apps.
Supplies: PNSS
4x4x10 Raytec Cotton
Specimen cups Sterile Stockinette 2”
Suction tube Sterile rubber band
10cc syringe
G25 / G27 needle OIC Specials:
PNSS Myringotomy knife
Nasal strips Earpicks
Gloves PNST
Drixine nasal drops
Cotton balls Misc:
Cutasept Epinephrine ( for epi ball)

OIC Specials: Standby:

Sharps/ Minispecials Microscope
Light handles
PNST
Light source & Scope c/o Technician

Misc:
Merocel 4cm or 8cm
Bactroban ointment

Standby:
Heine headlight
Kolibri
Microdebrider
Video
BB SMR
SMR (OLD)

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

TONSILLECTOMY TRACHEOSTOMY

Pack: Minor pack Pack: X-pack

Set: BB TONSILLECTOMY Set: Tracheostomy set

Tonsillectomy set (OLD)
Anaesthesia: GA+ LOCAL
Anaesthesia: GA + LOCAL
Supplies:
Supplies: Blade 15, 11
4x4x10 raytec 4x4x10 Raytec
Tonsil balls Cautery
Blade 12 Specimen cups
Suction tube Suction tube
Specimen cups (2) PNSS
Hydrogen peroxide 10 cc syringe (2)
PNSS KY jelly/ lubrisafe
Cautery Tracheostomy Tube (fenestrate or non
Gloves fenestrated)

OIC specials: OIC specials:

Sharps Sharps
NC NST
LH NC
NST LH
Bipolar cord and tip
ENT groove tongue blades SUTURES:
Silk 2-0/3-0 cutting
SUTURES:
Chromic 3-0/4-0 STAND BY:
Nelaton F12
*If with adenoidectomy prepare ADENOID
RETRACTOR, ADENOTOME

DOCTOR'S PREFERENCES
Dr. Cedeno
Mostly uses Coblator

Dr. Ibay
Mostly uses Harmonic Ace

OCTOBER 2016
 REVISED AS OF OCTOBER 2016

TYMPANOPLASTY

Pack: Minor Pack

Set: BB TYMPANOPLASTY
BB MINOR
Tympanoplasty+Minor set (OLD)

Supplies:
Shaver
Blade 15
4x4x10 raytec
Specimen cups
Cautery pen and pad
Suction tube
Wooden tongue depressor (2)
Gloves
PNSS
PNST
Sterile Stockinette (2)
Sterile Rubberband (2)

OIC specials:
Sharps
Needle counter
Light handle
PNST

Suture:
Nylon 4-0

Standby:
Gelfoam
Surgicel
Intertulle
Inoflox Otic drops
Pl. 4x4x10
Surgicel
Bonewax

OCTOBER 2016