bandage-green

Ventricular Septal Defect Closure

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Fluoroscopy / Xray, Off-site, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, TEE

Anesthetic Approaches

1GETT, Mask Induction, Remifentanil Drip
2GETT, 1/2 MAC Gas
3GETT, TIVA, Propofol Drip
The Surgery

Approach - median sternotomy. Pericardium is opened and a patch of it is often harvested to close the defect. Cannulation and bypass - systemic heparinization, then aortic and bicaval venous...

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