bandage-green

Pediatric Bowel Obstruction (Malrotation / Intussusception / Meckel)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Rectus Sheath, TAP
Considerations : Aspiration risk / Full stomach, Arterial line, PONV

Anesthetic Approaches

1GETT
2GETT, TIVA
The Surgery

Diagnosis - ultrasound identifies an intussusception , an upper GI contrast study shows the duodenojejunal flexure sitting wrong in malrotation. A child with bilious vomiting and peritonism goes...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?