Bunionectomy

Bolus timing - The most stimulating time for these surgeries is typically at the very beginning when the surgeon localizes the foot. Be ready to give a propofol bolus 1-2 minutes before.

A bunion is otherwise known as a hallux valgus (HV) or hallux abductovalgus (HAV) malformation of the great toe. This condition can cause a great deal of pain. Etiology - unclear. Incidence - 23% of adults 18-65 years of age and 36% of adults over 65 years of age have this condition. The prevalence is greater among shod populations (those who wear shoes). The prevalence is 2:1 female to male.