Anaesthetic management of infra-inguinal revascularization

Author - Dr Andy Lumb

Date published - 21 September 2011

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Preoperative considerations

  • Epidemiology and clinical course of peripheral vascular disease
  • Therapeutic options for lower limb aneurysmal and occlusive disease
  • Preoperative assessment of patients with multiple co-morbidities
  • Peri-operative smoking cessation
  • Peri-operative management of diabetes mellitus

Intra-operative management

  • Choice of regional, general or combined anaesthesia
  • Conduct of general anaesthesia for prolonged procedures
  • Conduct of regional anaesthesia for prolonged procedures
  • Management of intra-operative anticoagulation
  • Management of lower limb reperfusion

Post-operative care

  • Appropriate monitoring and level of ward care
  • Analgesia strategies

Anaesthetic management of acute lower limb ischaemia

  • Anaesthetic implications of prior thrombolysis and anticoagulation
  • Management of patients for acute embolectomy
  • Anaesthetic management of compartment syndrome and fasciotomy

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