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Soft Tissue Sarcoma Resection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Adductor Canal, Femoral, Popliteal, Sciatic, Supraclavicular, Quadratus Lumborum, TAP
Considerations : Arterial line, Central line, High Blood Loss, PONV, Tourniquet

Anesthetic Approaches

1GETT, Epidural
2GETT, Nerve Block
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Planning - biopsy tract, prior radiotherapy field, and cross-sectional imaging define the resection. The old biopsy tract is excised in continuity because it is considered contaminated. Extremity...

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