Anorectal Malformation Repair (Imperforate Anus)
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Prone, Jack-Knife, arms extended and flexed (superman)
Time : 4+ hours (very long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Relaxant to intubate, then allow it to recede so the sphincter complex still responds when the surgeon maps it.
Considerations : Arterial line, Aspiration risk / Full stomach, Neonatal resuscitation / NICU standby
Anesthetic Approaches
1GETT, Epidural
2GETT
The Surgery
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?