bandage-green

Damage Control Laparotomy for Abdominal Trauma

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 1-2 hours (average)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : High Blood Loss, Aspiration risk / Full stomach, Arterial line, Central line

Anesthetic Approaches

1GETT
The Surgery

Midline laparotomy on a warmed table - the patient is prepped from thighs to neck and the abdomen opened, and opening it releases the tamponade that has been limiting the bleeding. Four-quadrant...

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