bandage-green

Bullectomy and Lung Volume Reduction Surgery

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, Supine, arms extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, One-Lung Ventilation / Lung Isolation

Anesthetic Approaches

1GETT, Epidural
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Selection - severe emphysema with upper lobe predominance, hyperinflation on imaging and reduced upper zone perfusion; smoking must have stopped, and severe pulmonary hypertension or a second cause...

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