bandage-green

Extra-Anatomic Bypass (Axillofemoral / Femoral-Femoral)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, one arm extended, head turned away from field
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : Fascia Illiaca, Femoral, Ilioinguinal/Iliohypogastric, PEC II, Superficial Cervical Plexus
Considerations : Arterial line, Central line, Fluoroscopy / Xray, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT
2Spinal, Conscious Sedation
3MAC, Local Anesthetic
The Surgery

Planning the inflow - the surgeon picks a donor artery that is outside the abdomen and proven patent. For an axillofemoral graft that is the axillary artery on the side with the better subclavian...

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?