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Open Reduction Internal Fixation (ORIF) - Rib

Anesthesia Implications
Position : Supine, Left Lateral, Right Lateral
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Maintenance Paralytic : Yes

Anesthetic Approaches

1GETT
The Anesthesia:

The surgical position will depend on whether the fracture is anterior or posterior. Anterior fractures will typically have the supine position whereas posterior ribs will be lateral. Pulmonary contusions are common with broken ribs so precautions and assessments should be taken. Plenty of time to plan for emergence as there is a lot of suturing to do. High pain levels postoperatively. Plan to pretreat and revisit.


Reference

Jaffe. Anesthesiologist’s manual of surgical procedures. 15th edition. 2014.