bandage-green

Isolated Limb Perfusion

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Femoral, Sciatic, Popliteal, Supraclavicular, Axillary
Considerations : Arterial line, Central line, High Blood Loss, Tourniquet, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
3GETT, Epidural
The Surgery

Exposure - dissection down to the feeding vessels, external iliac or common femoral for a lower limb and axillary for an upper limb, with the level chosen by how proximal the disease sits. Collateral...

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