bandage-green

Laparoscopic Adrenalectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, arms extended
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : TAP, Quadratus Lumborum
Considerations : Arterial line, Central line, PONV, Obesity

Anesthetic Approaches

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

Preop workup - every adrenal mass is screened biochemically before it is touched: plasma or urine metanephrines, aldosterone-to-renin ratio, and a cortisol suppression test. CT or MRI defines size...

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