bandage-green

Acute Limb Ischemia (Embolectomy / Thrombectomy)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : Femoral, Fascia Illiaca, Axillary, Supraclavicular
Considerations : Arterial line, Aspiration risk / Full stomach, Central line, Fluoroscopy / Xray, Off-site, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT
2MAC, Local Anesthetic
3Nerve Block, MAC
The Surgery

Recognize and stage - the six Ps plus a hand-held Doppler at the ankle or wrist separate a viable limb from a threatened one from a limb that is already dead. Loss of sensation, then loss of motor...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?