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Mitral Valve Repair / Replacement

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, One-Lung Ventilation / Lung Isolation, TEE

Anesthetic Approaches

1GETT, 1/2 MAC Gas, Propofol Drip
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Access - median sternotomy, or right mini-thoracotomy / robotic ports with peripheral (femoral) cannulation. Bypass - heparinization, cannulation, CPB , aortic cross-clamp with cardioplegic arrest....

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