Carpal tunnel release
Anesthesia type

Regional or MAC

Airway

natural airway

Lines and access

1 PIV

Monitors

standard

Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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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