bandage-green

Urinary Diversion (Ileal Conduit / Neobladder / Augmentation)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lithotomy, Trendelenburg, arms tucked
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum, Rectus Sheath
Considerations : Arterial line, Central line, High Blood Loss, PONV, Latex Precautions, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

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

Preop diversion choice and stoma marking - the type of diversion is settled before the day of surgery on renal function, hepatic function, urethral involvement, dexterity and motivation, and an...

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