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Open Reduction Internal Fixation (ORIF) - Trochanter

Anesthesia Implications
Position : Supine, one arm extended, other arm across chest
Time : 1-2 hours (average)
Blood Loss : Very High (500+ ml)
Maintenance Paralytic : Yes
Considerations : Fluoroscopy / Xray

Anesthetic Approaches

1GETT
The Anesthesia:

These patients are typically induced on the bed they come in with. They are then moved to the Hana table. A translucent drape will be put along the lateral side of the patient on the affected/surgical side. Because of the location of the injury, a tourniquet is not an option. These surgeries can result in significant blood loss. The patients having this procedure are typically elderly/fragile with multiple comorbidities. Paralytics are not necessary, but helpful to run the patient low on gases to preserve hemodynamics.