Great Toe Phalanx Percutaneous Pinning
Anesthesia Implications
Position: Supine, arms at side on armboards
Time: 30-60 min (short)
Post-op Pain: Minimal (1-3)
Maintenance Paralytic: No
Lead: Yes
Anesthetic Approaches
- GLMA
Fluoroscopy / Xray (general considerations): Have lead aprons and thyroid shields available. Alternatively, distancing yourself 3 to 6 feet will reduce scatter radiation to 0.1% to 0.025% respectively. Occupational maximum exposure to radiation should be limited to a maximum average of 20 Sv (joules per kilogram – otherwise known as the Sievert/Sv) per year over a 5 year period. Limits should never exceed 50 Sv in a single year.
