Difference between revisions of "Anorectal surgery"
From WikiAnesthesia
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{{Infobox surgical procedure | {{Infobox surgical procedure | ||
| anesthesia_type = | | anesthesia_type = General | ||
| airway = | | airway = Natural airway or LMA or ETT | ||
| lines_access = | | lines_access = 1 PIV | ||
| monitors = | | monitors = Standard ASA, 5 lead EKG | ||
| considerations_preoperative = | | considerations_preoperative = | ||
| considerations_intraoperative = | | considerations_intraoperative = | ||
| considerations_postoperative = | | considerations_postoperative = Very painful procedure | ||
}} | }} | ||
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| | |Pulmonary | ||
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=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> === | === Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> === | ||
=== 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]. -->=== | ||
=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> === | === Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> === | ||
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