Femoral Bypass Surgery

Last updated: February 9, 2026

Access

PIV x2 large. Consider Arterial line to monitor BP

Airway

Oral ETT.

Induction

Standard (lidocaine/fentanyl/propofol/Roc)

Maintenance

GA with ETT.

Emergence

Awake

Antibiotics

None

Position

Standard

Notes

These can be bloody cases, consider having blood in room to transfuse PRN. Patients are usually vasculopaths, so consider placement of NIBP cuff (and whether arterial line is needed) and where (if any) grafts are being harvested and whether that limits PIV access (necessitating central access)

Have heparin ready, ACT usually every 30 min