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Pancreas and Simultaneous Pancreas-Kidney Transplantation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 4+ hours (very long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Ilioinguinal/Iliohypogastric
Considerations : Arterial line, Central line, Aspiration risk / Full stomach, High Blood Loss

Anesthetic Approaches

1GETT
The Surgery

Back-table preparation - the donor pancreas comes with its duodenum and a segment of donor iliac artery, which is fashioned into a Y graft to give a single arterial inflow to what were two separate...

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