bandage-green

Percutaneous Transhepatic Biliary Drainage and Stenting

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, one arm extended
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : No
Considerations : Off-site, Fluoroscopy / Xray

Anesthetic Approaches

1MAC, Conscious Sedation
2GETT
The Surgery

Ultrasound-guided puncture - a peripheral intrahepatic duct is entered through the right flank or the epigastrium, and the approach determines whether the needle crosses the pleura. Cholangiogram -...

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