bandage-green

Peroral Endoscopic Myotomy (POEM)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Reverse Trendelenburg, arms tucked
Time : 1-2 hours (average)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : Yes
Considerations : Aspiration risk / Full stomach, PONV, Off-site

Anesthetic Approaches

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

Setup - the patient is supine with the table tilted head-up, a cuffed endotracheal tube in place, and a therapeutic gastroscope with a distal cap and a CO2 insufflator. There is no incision anywhere...

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