bandage-green

Mohs Reconstruction and Scar Revision

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head turned, Bed turned 90 degrees, Bed turned 180 degrees
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : No
Blocks : Scalp, Superficial Cervical Plexus
Considerations : Airway Fire Risk, Off-site, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

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

Mohs excision, before you ever see the patient - The dermatologic surgeon excises the visible tumor under local anesthetic in an office procedure room, marks the specimen for orientation, and sends...

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