bandage-green

Heart Transplantation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, TEE, Mechanical Circulatory Support

Anesthetic Approaches

1GETT
The Surgery

Sternotomy and re-entry - median sternotomy, with the pericardium opened taking care to preserve the phrenic nerve. A previous sternotomy or an implanted device makes re-entry the hazardous part....

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