bandage-green

Duct Drainage for Chronic Pancreatitis (Puestow / Frey)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Arterial line, Central line, High Blood Loss, PONV, Opioid Tolerance

Anesthetic Approaches

1GETT, Epidural
2GETT, Nerve Block
3GETT, TIVA, Propofol Drip
The Surgery

Positioning and incision - Supine, arms out. Upper midline or bilateral subcostal transverse incision, fixed retractor system placed. Exposure - The lesser sac is entered through the gastrocolic...

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