bandage-green

Bilobectomy and Sleeve Resection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, Supine, arms extended, Axillary roll under the down chest with the upper arm supported forward; neither arm hyperextended.
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line

Anesthetic Approaches

1GETT
2GETT, Epidural
The Surgery

Bronchoscopy first - after induction the surgeon looks at how far the tumor extends up the bronchus. That view is what decides between a lobectomy, a sleeve and a pneumonectomy , so the plan can...

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