bandage-green

Open Radical Prostatectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Trendelenburg, Lithotomy, arms at side on armboards
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum, Rectus Sheath
Considerations : Arterial line, High Blood Loss, Anticoagulation / Antiplatelet Therapy, Prolonged Lithotomy / Well-Leg Compartment, Deliberate / Controlled Hypotension

Anesthetic Approaches

1GETT, Nerve Block
2GETT, Epidural
3Spinal
The Surgery

Selection and staging - the patient has localized or locally advanced prostate cancer and has chosen surgery over radiotherapy or surveillance. Risk group, PSA and imaging decide whether a pelvic...

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