bandage-green

Norwood Procedure (Stage I Palliation for Hypoplastic Left Heart Syndrome)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Neonatal resuscitation / NICU standby, Cardiopulmonary Bypass, Ductal Dependence / Prostaglandin Infusion

Anesthetic Approaches

1GETT, 1/2 MAC Gas
2GETT, TIVA
The Surgery

Sternotomy and cannulation - standard median sternotomy; the innominate artery (or the main pulmonary artery or ascending aorta if large enough) and the right atrial appendage are cannulated, and...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?