Difference between revisions of "Anorectal surgery"

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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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=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
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<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
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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<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===
=== 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 08:00, 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
Unrated
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