bandage-green

Hartmann Procedure

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lithotomy, arms tucked
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 : Arterial line, Aspiration risk / Full stomach, Central line, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

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

Approach - Lower midline laparotomy in the emergency setting; laparoscopic or hand-assisted when the abdomen is not hostile and the patient is stable. Exploration and washout - The peritoneal cavity...

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