Open reduction internal fixation

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Open reduction internal fixation
Anesthesia type
Airway
Lines and access
Monitors
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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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 Other trauma-related injuries

Labs and studies

  • CBC
  • BMP
  • Type and Screen

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

  • Consider foley placement if expecting surgical blood loss to better monitor hemodynamics
  • If ORIF on upper extremity, consider BP cuff placement in lower extremities

Induction and airway management

Positioning

  • Potential head away
  • Potential 90 degrees rotation
  • Left lateral (if operating on RUE) or right lateral position (if operating on LUE)

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

  • PACU

Pain management

Potential complications

Procedure variants

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

References