bandage-green

Catheter-Directed Pulmonary Embolectomy and Thrombolysis

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : No
Considerations : Off-site, Fluoroscopy / Xray, Arterial line, Central line, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1MAC, Conscious Sedation
2Local Anesthetic
3GETT
The Surgery

Venous access - a large sheath is placed in the femoral or internal jugular vein and a catheter advanced through the right heart into the pulmonary artery. Pressure measurement and angiography -...

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