bandage-green

Pancreatic Necrosectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 1-2 hours (average)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Aspiration risk / Full stomach, High Blood Loss, Opioid Tolerance

Anesthetic Approaches

1GETT
The Surgery

Step-up entry - A percutaneous retroperitoneal drain is placed first; a substantial fraction of patients improve with drainage alone and never need operative debridement. VARD - If sepsis persists,...

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