Open Reduction Internal Fixation (ORIF) – Fibula
Anesthesia Implications
Position: Supine, arms extended
Time: 1-2 hours (average)
Blood Loss: Low (10-50 ml)
Post-op Pain: Moderate (3-6)
Maintenance Paralytic: Yes
Lead: Yes
Blocks: Femoral, Popliteal, Sciatic
Anesthetic Approaches
- GETT, Peripheral Nerve Block
- MAC, Spinal
Fluoroscopy / Xray (general considerations): Have lead aprons and thyroid shields available. Alternatively, distancing yourself 3 to 6 feet will reduce scatter radiation to 0.1% to 0.025% respectively. Occupational maximum exposure to radiation should be limited to a maximum average of 20 Sv (joules per kilogram – otherwise known as the Sievert/Sv) per year over a 5 year period. Limits should never exceed 50 Sv in a single year.
