| Site selection |
| Hand-held Doppler |
| Water soluble gel |
| Marking pen |
| Site preparation |
| Electric hair clipper |
| Skin preparation solution |
| Lidocaine cream 4% |
| Lidocaine 1% with 1:200,000 epinephrine |
| Bupivacaine 0.5% with 1:200,000 epinephrine |
| 1:1 mixture of Lidocaine 1% with 1:200,000 epinephrine/Bupivicaine 1% with 1:200,000 epinephrine |
| 10 mL syringe |
| 18 gauge needle to draw up medications |
| 27 or 30 gauge 1-1/4 inch needle for injection |
| Drapes and sponges |
| Sterile Mayo stand cover |
| Sterile towels, drape with central opening |
| 4 x 4 sterile gauze sponges |
| Instruments |
| Scalpel holder |
| Scalpel blade (no. 15) x 2 |
| Adson-Brown forceps |
| Skin hooks |
| Self-retaining retractor (eg, Alm, Heiss) |
| Tenotomy scissors |
| Metzenbaum scissors |
| Needle holder |
| Hemostat clamps (curved or straight) x 2 |
| Hand-held cautery (battery powered) |
| Frazier suction tip, suction tubing |
| Specimen collection |
| Ruler |
| Sterile specimen cup with formalin |
| Skin closure and dressing |
| 3-0 or 4-0 silk ties to ligate the artery |
| 4-0 or 5-0 absorable suture for skin closure |
| Tincture of benzoin |
| Skin closure strips 1/4 inch |
| Nonadherent absorbant dressing (eg, Telfa) |
| Transparent film dressing (eg, Tegaderm) |
