Colectomy
Anesthesia type

General +/- Epidural

Airway

ETT

Lines and access

PIV x 1

Monitors

Standard ASA 5-Lead EKG Urine output +/- Art line

Primary anesthetic considerations
Preoperative

Full stomach precautions if acute abdomen

Intraoperative
Postoperative
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A colectomy is a surgical procedure to remove all or part of the colon. A partial colectomy (also known a segmental or hemi-colectomy) involves removing a portion of the colon, followed by the creation of an anastomosis or stoma. With more advanced disease, the entire large intestine is removed (total colectomy). Colectomies are often done lalp

Preoperative management

Patient evaluation

System Considerations
Neurologic
Cardiovascular Bowel rupture can cause sepsis or septic shock and hemodynamic instability.
Respiratory If bowel obstruction and abdominal dissension, there may be impaired diaphragmatic excursion, which could negatively impact FRC and result in more rapid desaturations. Ensure adequate preoxygenation
Gastrointestinal
Hematologic
Renal If oral intake reduced or there's been vomiting, there may be electrolyte abnormalities.
Endocrine
Other

Labs and studies

  • CBC
  • BMP / Electrolytes
  • Coags
  • Consider T&S or T&C

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

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