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Major Limb Amputation (Above-Knee, Upper Limb and Ray)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Blocks : Sciatic, Femoral, Supraclavicular
Considerations : Arterial line, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1Spinal
2GETT
3GETT, Nerve Block
The Surgery

Choosing the level - skin perfusion, infection and the likelihood of healing decide where the cut is made, and the decision may change once the tissues are seen. Raising the flaps - skin and muscle...

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