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Varicose Vein Surgery (Stripping / Endovenous Ablation / Sclerotherapy)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Trendelenburg, Reverse Trendelenburg, Prone, arms at side on armboards
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : No
Blocks : Saphenous, Adductor Canal, Popliteal, Sciatic
Considerations : Tumescent Solution, Tourniquet, Obesity, Off-site, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1MAC, Propofol Drip, Local Anesthetic
2GLMA
3Spinal
The Surgery

Mapping - duplex ultrasound marks the incompetent trunk and its perforators with the patient standing, before any anesthetic. Access - the trunk is cannulated percutaneously under ultrasound, usually...

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