Difference between revisions of "Carpal tunnel release"

Carpal tunnel release
Anesthesia type	Regional or MAC
Airway	natural airway
Lines and access	1 PIV
Monitors	standard
	Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
	Article quality
Editor rating	Unrated
User likes	0

VisualWikitext

Latest revision as of 01:06, 31 May 2022

Surgical procedure that involves cutting the transverse carpal ligament to release median nerve compression at the wrist.

Overview

Indications

Carpal tunnel syndrome

Preoperative management

Patient evaluation


System	Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Typically not required unless patient pathology dictates

Operating room setup

setup for MAC with possible sedation. Backup GA setup

Patient preparation and premedication

Regional and neuraxial techniques

Case typically performed under regional (often axillary) or MAC

Intraoperative management

Monitoring and access

1 PIV

Standard ASA monitoring

Induction and airway management

MAC with natural airway

Positioning

Supine

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Tendon/nerve laceration

Bleeding

Infection

Procedure variants


	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References

Top contributors: Mitchel DeVita

@@ Line 1: / Line 1: @@
+{{Infobox surgical procedure
+| anesthesia_type = Regional or MAC
+| airway = natural airway
+| lines_access = 1 PIV
+| monitors = standard
+| considerations_preoperative =
+| considerations_intraoperative =
+| considerations_postoperative =
+}}
+Surgical procedure that involves cutting the transverse carpal ligament to release median nerve compression at the wrist.
+== Overview ==
+=== Indications ===
+Carpal tunnel syndrome
+== Preoperative management ==
+=== Patient evaluation<!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --> ===
+{| class="wikitable"
+|+
+!System
+!Considerations
+|-
+|Airway
+|
+|-
+|Neurologic
+|
+|-
+|Cardiovascular
+|
+|-
+|Pulmonary
+|
+|-
+|Gastrointestinal
+|
+|-
+|Hematologic
+|
+|-
+|Renal
+|
+|-
+|Endocrine
+|
+|-
+|Other
+|
+|}
+=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
+Typically not required unless patient pathology dictates
+=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
+setup for MAC with possible sedation. Backup GA setup
+=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
+=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
+Case typically performed under regional (often axillary) or MAC
+== Intraoperative management ==
+=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
+PIV
+Standard ASA monitoring
+=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
+MAC with natural airway
+=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
+Supine
+=== 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. --> ===
+=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===
+== Postoperative management ==
+=== 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. --> ===
+=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===
+Tendon/nerve laceration
+Bleeding
+Infection
+== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==
+{| class="wikitable wikitable-horizontal-scroll"
+|+
+!
+!Variant 1
+!Variant 2
+|-
+|Unique considerations
+|
+|
+|-
+|Position
+|
+|
+|-
+|Surgical time
+|
+|
+|-
+|EBL
+|
+|
+|-
+|Postoperative disposition
+|
+|
+|-
+|Pain management
+|
+|
+|-
+|Potential complications
+|
+|
+|}
+== References ==
+[[Category:Surgical procedures]]