Complex Aortic Repair (TEVAR / FEVAR / Thoracoabdominal)
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Supine, Lateral, arms tucked, one arm extended
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Intubating dose, then depends on the monitoring plan - residual block degrades motor evoked potentials.
Considerations : Arterial line, Central line, High Blood Loss, Fluoroscopy / Xray, MEP monitoring, SSEP monitoring, Anticoagulation / Antiplatelet Therapy, One-Lung Ventilation / Lung Isolation
Anesthetic Approaches
1GETT, TIVA, Propofol Drip, Remifentanil Drip
2GETT, 1/2 MAC Gas, Remifentanil Drip
3MAC, Local Anesthetic
The Surgery
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