bandage-green

Ostomy Creation (Colostomy / Ileostomy)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Aspiration risk / Full stomach, Arterial line, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT
2GETT, Epidural
The Surgery

Site marking - ideal stoma site marked preoperatively (flat skin, through the rectus) by the stoma nurse in elective cases. Access - laparoscopic ports for elective diversion; midline laparotomy for...

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