bandage-green

Abdominoperineal Resection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Trendelenburg, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum
Considerations : Arterial line, High Blood Loss, PONV, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

1GETT, Epidural
2GETT, Nerve Block
3GETT, TIVA, Propofol Drip
The Surgery

Positioning and setup - modified lithotomy in Allen or Yellofins stirrups so the abdomen and perineum are both prepped into one field, allowing the abdominal and perineal teams to work in sequence or...

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