bandage-green

Intestinal and Multivisceral Transplantation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Aspiration risk / Full stomach

Anesthetic Approaches

1GETT
The Surgery

Access and exposure - a long midline through a hostile abdomen, with adhesiolysis from previous resections often taking a substantial part of the operation before any graft is handled. Recipient...

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