bandage-green

Radical Nephrectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, Jack-Knife
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Maintenance Paralytic : Yes
Considerations : Arterial line, SSEP monitoring, PONV, Cardiopulmonary Bypass, Deliberate / Controlled Hypotension

Anesthetic Approaches

1GETT, Epidural
The Surgery

Open procedures are typically indicated if the tumor is larger (>10 cm) and more invasive into the renal tissue and surrounding structures. The incision may be anterior subcostal, flank, or midline,...

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