bandage-green

Kasai Portoenterostomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Caudal, Quadratus Lumborum
Considerations : Arterial line, Fluoroscopy / Xray

Anesthetic Approaches

1GETT, Mask Induction, Nerve Block
2GETT, Epidural
The Surgery

Cholangiogram - a right transverse incision, liver biopsy and operative cholangiography. Contrast ascending into the liver and descending into the duodenum excludes biliary atresia and ends the...

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