bandage-green

Lymphatic Malformation Resection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, head turned, head slightly extended, arms tucked, Shoulder roll under the scapulae, neck extended, face turned to the side opposite the lesion.
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Withhold relaxant while cranial nerves are being mapped; otherwise fine once the airway is secure.
Considerations : Arterial line, High Blood Loss

Anesthetic Approaches

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

Positioning and exposure - supine with a shoulder roll, neck extended and the head turned to the opposite side, through an oblique incision in a skin crease over the lateral neck. Subplatysmal flaps...

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