bandage-green

Intramedullary Nailing and Limb Lengthening (Tibia and Femur)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Fascia Illiaca, Femoral, Popliteal
Considerations : Fluoroscopy / Xray, High Blood Loss, Aspiration risk / Full stomach, Arterial line

Anesthetic Approaches

1GETT
2Spinal
3GETT, Nerve Block
The Surgery

Positioning on a traction or radiolucent table - the limb is set up so the image intensifier can see the whole bone, and traction is applied against a padded perineal post for a femoral nail. Entry...

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?