bandage-green

Pelvic Fracture Hemorrhage: External Fixation and Preperitoneal Packing

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 1-2 hours (average)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : High Blood Loss, Fluoroscopy / Xray, Aspiration risk / Full stomach, Arterial line

Anesthetic Approaches

1GETT
The Surgery

Reduction of the ring - the pelvis is reduced closed under image intensification on a radiolucent table, which is itself the first hemostatic step. External fixator application - pins are placed...

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?