Whipple (Pancreaticoduodenectomy)
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Supine, Trendelenburg, arms tucked
Time : 4+ hours (very long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP
Considerations : Arterial line, High Blood Loss, PONV, Fluoroscopy / Xray, Anticoagulation / Antiplatelet Therapy
Anesthetic Approaches
1GETT, Epidural
2GETT, Nerve Block
3TIVA, Remifentanil Drip
The Surgery
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