Difference between revisions of "Anorectal surgery"
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=== Pain management<!-- | === Pain management<!-- Surgeon will often administer local anesthetics (ex: lidocaine + bupivacaine) for intraop & postop pain control. Be mindful of total doses of multiple local anesthetics administered by anesthesia and surgery ["Safe Local" app can assist in calculations]. -->=== | ||
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Latest revision as of 07:00, 20 September 2022
Anorectal surgery
| Anesthesia type |
General |
|---|---|
| Airway |
Natural airway or LMA or ETT |
| Lines and access |
1 PIV |
| Monitors |
Standard ASA, 5 lead EKG |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative |
Very painful procedure |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Provide a brief summary of this surgical procedure and its indications here.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Generally prone or lithotomy. Many surgeons prefer prone as it gives them more anterior visualization of the field, though it is surgeon-dependent. If prone, consider ETT more strongly if concern for inability to maintain airway. Have stretcher readily available in case flipping supine is necessary emergently.
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Tony Wang, Daniel Diaczok and Chris Rishel