bandage-green

Low Anterior Resection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Trendelenburg, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum, Rectus Sheath
Considerations : Arterial line, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT, Nerve Block
2GETT, Epidural
3GETT, TIVA, Propofol Drip
The Surgery

Access - midline laparotomy , or laparoscopic/robotic ports with the table placed in steep Trendelenburg and rotated right side down to sweep small bowel out of the pelvis. Vascular ligation - the...

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