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Duodenal Switch (BPD-DS / SADI-S)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Reverse Trendelenburg, arms extended
Time : 4+ hours (very long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP
Considerations : Obesity, Aspiration risk / Full stomach, PONV, Arterial line

Anesthetic Approaches

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

Access - Pneumoperitoneum is established and five to six ports are placed across the upper abdomen; a liver retractor lifts a typically large fatty left lobe off the hiatus, and the table goes into...

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