bandage-green

Distal Lower Extremity Bypass (Tibial / Pedal)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 4+ hours (very long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Femoral, Fascia Illiaca, Adductor Canal, Saphenous, Sciatic, Popliteal
Considerations : Arterial line, Fluoroscopy / Xray, Aspiration risk / Full stomach, Tourniquet, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT
2Epidural
3CSE
The Surgery

Target selection - preoperative duplex, CT angiography or catheter angiography identifies an inflow artery at or above the groin and the best distal target: below-knee popliteal, posterior tibial,...

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