bandage-green

Aortic Arch Replacement

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Cardiopulmonary Bypass, TEE

Anesthetic Approaches

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

Extent of repair - Hemiarch replacement resects the lesser curve of the arch and needs only a short arrest. Total arch replacement takes all three head vessels and needs a longer one. An elephant...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?