bandage-green

Bidirectional Glenn Shunt and Fontan Completion

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, Cardiopulmonary Bypass

Anesthetic Approaches

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

Approach - standard median sternotomy for both stages. A Fontan is at least the second pass through that sternum, and a previous Blalock-Taussig shunt or pulmonary artery band is taken down at the...

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