bandage-green

Neuroblastoma Resection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, A 15 degree bolster under the tumor side lifts the flank and rotates the mass up into the incision.
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, High Blood Loss, Aspiration risk / Full stomach

Anesthetic Approaches

1GETT, Epidural
2GETT
The Surgery

Staging and planning - imaging defines tumor extent, vessel encasement and any extension through the intervertebral foramina. Very large tumors are usually biopsied first, with definitive resection...

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