bandage-green

Reverse Total Shoulder Arthroplasty (RTSA)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Sitting / Beach Chair, head turned away from field, arms free at side
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Interscalene, Supraclavicular
Considerations : Anticoagulation / Antiplatelet Therapy, Venous Air Embolism

Anesthetic Approaches

1GETT, Nerve Block
2GLMA, Nerve Block
The Surgery

Positioning - beach chair, head fixed in a positioner, operative arm draped free. Approach - deltopectoral interval; in fracture cases the tuberosities and head fragments are dealt with first....

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