Microsurgical Replantation
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Supine, one arm extended, Bed turned 90 degrees
Time : 4+ hours (very long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : Supraclavicular, Axillary
Considerations : Aspiration risk / Full stomach, Tourniquet, Arterial line, Fluoroscopy / Xray, PONV, Anticoagulation / Antiplatelet Therapy
Anesthetic Approaches
1GETT, Nerve Block
2Nerve Block, Propofol Drip
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery
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