Difference between revisions of "Appendectomy"
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* Muscular resistance to palpation (muscle guarding) can correlate with severity of the inflammatory process. | |||
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Revision as of 21:03, 3 February 2021
Appendectomy
| Anesthesia type |
General |
|---|---|
| Airway |
Endotracheal tube |
| Lines and access |
Peripheral IV |
| Monitors |
Standard ASA 5-Lead EKG |
| Primary anesthetic considerations | |
| Preoperative |
Full Stomach Precautions |
| Intraoperative |
Rapid Sequence Induction |
| Postoperative |
PONV |
| Article information | |
| Editor rating | |
| Likes | 2 |
| Top authors | |
| Barrett Larson, Chris Rishel and Test User 8 | |
An appendectomy is generally performed as an urgent or emergent procedure to treat acute appendicitis. An appendectomy can be performed laparoscopically or as an open procedure. Surgical practice has largely transitioned to the laparoscopic approach.
Preoperative management
Preoperative evaluation
History and Physical
| System | |
|---|---|
| Respiratory |
|
| Cardiovascular | |
| Gastrointestinal |
|
| Hematologic | |
Labs
- CBC
- Chemistry panel
- Pregnancy test (for women of child bearing age)
Operating room preparation
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Open Appendectomy | Laparoscopic Appendectomy | |
|---|---|---|
| Unique considerations | ||
| Position | Supine | Supine |
| Surgical time | 1 hour | 30-90 mins |
| EBL | <75 mL | <75 mL |
| Postoperative disposition | PACU | PACU |
| Mortality | Perforated: 2%
Non-perforated: <0.1% |
Perforated: 2%
Non-perforated: <0.1% |
| Complications | Perforation
Abscess Fistula Hematoma Illeus |
Perforation
Abscess Fistula Hematoma Illeus Conversion to Open |
| Pain | 5-7 | 4 |