bandage-green

Open Reduction Internal Fixation (ORIF) – Finger

Anesthesia Implications
Position : Supine, arms at side on armboards, Bed turned 30 degrees
Time : 30-60 min (short)
Blood Loss : Very Low (5-10 ml)
Maintenance Paralytic : No
Considerations : Fluoroscopy / Xray, Tourniquet

Anesthetic Approaches

1GETT
2GLMA
The Anesthesia:

Preference is to intubate to allow administration of paralytic. Hands are some of the first to move when the patient gets light, so paralytic is handy to ensure the patient remains motionless.