• Priority = flap survival

• Flap location
  • Lat dorsi muscle
    • Biggest flap
    • Largest muscle in body and minimal functional deficit
    • A = Thoracodorsal A via subscapular A
  • ALT = Anterolateral Thigh
    • A = Lateral femoral circumflex artery
  • Forearm flap
    • A = Radial A

• Pre-op
• Intra-op
  • Vasopressor
    • To counteract venodilation
    • NAd acceptable
    • Max = 0.1 mcg/kg/hr = 40 mcg/hr
• Post-op

https://www.microsurgeon.org/anterolateralthigh