bandage-green

Hepatic Resection (Lobectomy, Segmentectomy, Wedge)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Arterial line, Central line, High Blood Loss, PONV, Venous Air Embolism

Anesthetic Approaches

1GETT, Nerve Block
2GETT, Epidural
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Positioning and access - Supine, upper midline incision extended to a right subcostal limb, with a self-retaining costal-margin retractor lifting the rib cage cephalad for exposure of the hepatic...

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