bandage-green

Exploratory Laparotomy for Bowel Obstruction

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Aspiration risk / Full stomach, Arterial line, Central line, PONV

Anesthetic Approaches

1GETT
2GETT, Nerve Block
3GETT, Epidural
The Surgery

Positioning and prep - supine with the abdomen prepped widely from nipples to pubis so the incision can be extended in either direction if the pathology is not where the CT said it was. Midline...

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