Core Anesthesia

E133: Total or Hemicolectomy (CarePlan: Sachi & Rhea)


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In this Care Plan episode, the focus is on total or hemicolectomy procedures and considerations surrounding these surgeries. The discussion goes into the differences between total colectomy and hemicolectomy and their respective indications, whether for conditions like ulcerative colitis, Crohn's disease, or colon cancer.

Anesthesia choices, encompassing laparoscopic or open procedures, are explored, emphasizing the significance of pain management, ERAS protocols, and avoiding complications like anastomotic leaks or ileus. Preoperative considerations are detailed, spanning from bowel rupture scenarios to bowel obstructions, electrolyte imbalances, and the importance of thorough patient assessment.

The episode also touches on anesthetic considerations, emphasizing the avoidance of nitrous oxide, fluid management strategies, and opioid-sparing techniques for pain control.

To connect with Rhea and Sachi, check them out on Instagram @crna_scientist and @thecrnaclub. Also, be on the lookout for the launch of their new company featuring basic and clinical science education for the nurse anesthesia community.

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Want to connect? Check out our instagram or email us at [email protected]

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Core AnesthesiaBy Tanner and Cole

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