![]() ![]() Transnasal Endoscopic Orbital DecompressionĭICTATION OF EVENTS: The patient was brought into the operating room and identified by name and medical record number. GETA, general mask, local)Įndoscopic Transphenoidal Pituitary Surgery In addition to the describing the surgical narrative, most operative notes include these additional entries, but this may vary according to specific institutional preferences:ĪNESTHESIA: _ (e.g. These are only examples and all dictations must be adapted to the particular encounter. ![]() Remember, operative notes carry significant medicolegal implications and it is your responsibility to document accurate and clear notes that reflect the specific details of your procedure. Please also refer to our Surgical Video Atlas, Podcast, and 3D Temporal Bone Atlas for related content. We have compiled a list of common dictation examples to get you started. ![]() ABOUT: Particularly when just starting residency, dictating efficient and concise operative notes can be somewhat daunting. ![]()
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