Anesthesia for Vascular Surgery - Amputations

General considerations

Amputations can be performed under general or regional anesthesia. There is no mortality difference between regional and general anesthesia. Regardless, insertion of an epidural catheter or perineural block is typically recommended for postoperative pain control. Postoperative stump pain is effectively treated with either continuous perineural infusion of bupivacaine or epidural infusion of bupivacaine combined with an opioid.

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