bandage-green

Skin Grafting (Split and Full Thickness)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, Prone, arms extended, Donor and recipient sites dictate position and often are not reachable together - plan a turn part way through.
Time : 1-2 hours (average)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : No
Blocks : Fascia Illiaca, Supraclavicular, Popliteal
Considerations : PONV, Tourniquet, Tumescent Solution

Anesthetic Approaches

1GLMA, Nerve Block
2GETT, TIVA, Propofol Drip, Remifentanil Drip
3MAC, Propofol Drip, Local Anesthetic
The Surgery

Bed preparation - the recipient wound is debrided to clean, bleeding, vascularized tissue. Graft take depends on the bed, so exposed bone, cartilage, or tendon without periosteum or paratenon will...

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