Anaesthetic management of infra-inguinal revascularization
Author - Dr Andy Lumb
Date published - 21 September 2011
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