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CT and Cone-Beam Guided Percutaneous Biopsy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Prone, Supine, Lateral, arms extended
Time : 30-60 min (short)
Blood Loss : Low (10-50 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : None for a sedated case; useful under general anesthesia when the operator needs controlled apnea for a moving target.
Considerations : Off-site, Fluoroscopy / Xray, Anticoagulation / Antiplatelet Therapy, Venous Air Embolism

Anesthetic Approaches

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

Planning scan - the patient is positioned and scanned, and the skin entry point, angle and depth are measured on the images before anything is passed. Local infiltration and needle advance - a guide...

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