bandage-green

Melanoma Wide Local Excision with Sentinel Lymph Node Biopsy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, Prone, one arm extended, arms tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Ask Surgeon
Blocks : PEC I, PEC II, Superficial Cervical Plexus, Ilioinguinal/Iliohypogastric
Considerations : PONV

Anesthetic Approaches

1GETT
2GLMA, TIVA, Propofol Drip
3MAC, Propofol Drip, Local Anesthetic
The Surgery

Lymphoscintigraphy - Hours before the case, in nuclear medicine, technetium-99m labeled colloid is injected intradermally around the primary site and a gamma camera maps which basin or basins take up...

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