bandage-green

Pericardiectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Aspiration risk / Full stomach, Cardiopulmonary Bypass, TEE

Anesthetic Approaches

1GETT, 1/2 MAC Gas, Remifentanil Drip
2GETT, TIVA, Propofol Drip
The Surgery

Setup before the knife - external defibrillator pads on the chest and back, groins prepped and exposed, a perfusionist and a primed or crash-primed bypass circuit in the room, and cross-matched blood...

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