bandage-green

Lung Lobectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, arms extended
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Arterial line, One-Lung Ventilation / Lung Isolation

Anesthetic Approaches

1GETT, Nerve Block
2GETT, Epidural
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Positioning - lateral decubitus, operative side up, table flexed to open the intercostal spaces. Access - thoracoscopic/robotic ports with a utility mini-thoracotomy, or posterolateral thoracotomy...

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