bandage-green

Endoscopic Mucosal Resection and Submucosal Dissection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Left Lateral, Supine, arms tucked, arms free at side
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Off-site, Aspiration risk / Full stomach, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT, TIVA, Propofol Drip, Remifentanil Drip
2GETT
3MAC, Propofol Drip
The Surgery

Lesion assessment and marking - The lesion is inspected with high-definition white light, narrow-band imaging, and sometimes dye spray to judge depth and define the edge, then dots of cautery are...

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