bandage-green

Bilateral Adrenalectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Prone, Lateral, Supine, arms extended and flexed (superman), arms extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum
Considerations : Arterial line, Central line, Obesity, PONV

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Indication and workup - the biochemical diagnosis is settled long before the OR. For Cushing's, ACTH -dependent disease is confirmed and pituitary-directed treatment has already failed or is not...

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