Page 96 - Radiology Book

lacerations
lacerations
Laceration Scalp
Anesthesia
Suture Size and Type
Remove
Face
1% Lidocaine with Epinephrine. Consider regional block
· S: 4-0 or 5-0 Nylon · D: 3-0 or 4-0 Vicryl · S: 5-0 or 6-0 Nylon · D: 5-0 Vicryl
6-8 days
3-5 days, follow with steristrips - face
Lips
· S: 5-0, 6-0 or 7-0 - Nylon · D: 5-0 - Vicryl
Ears Nose
1-2% PLAIN lido or eld block
S: 6-0 - Nylon
· S: 6-0 - Nylon
5 days, follow with steristrips
Eyebrows
1% Lido with Epinephrine
· D: 5-0 - Vicryl
· S: 4-0 or 5-0 - Nylon
3-5 days
Chest/Abdomen
1% Lido with Epinephrine
8-10 days
· D: 3-0 or 4-0 - Vicryl
The purpose of a suture closure is to approximate divided tissue to enhance wound healing.
Back
12-14 days
Approximate, don’t strangulate.
Supplies
· Anesthetic (Lido ±Epinephrine) · Drapes
· Box of 4x4 gauge
· 25 or 27 gauge needle
· Betadine or hibiclens
· Gloves
· Suture kit / Suture
· Irrigate with normal saline (100 mL/cm of wound)
Tetanus Prophylaxis
See Immunizations section for more information
Southfield16
SutureS