bandage-green

Patent Ductus Arteriosus Ligation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Right Lateral, one arm extended
Time : 30-60 min (short)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Caudal
Considerations : Off-site, Arterial line, Neonatal resuscitation / NICU standby, Ductal Dependence / Prostaglandin Infusion

Anesthetic Approaches

1GETT
2GETT, Epidural
The Surgery

Left posterolateral thoracotomy - a small incision in the third or fourth intercostal space gives access to the duct without opening the pericardium or using bypass. Retracting the lung - the left...

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?