bandage-green

Pyeloplasty

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, arms extended, Bed turned 90 degrees
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Caudal, Quadratus Lumborum, TAP
Considerations : Fluoroscopy / Xray, PONV

Anesthetic Approaches

1GETT, Nerve Block
2GETT, Mask Induction, Nerve Block
3GETT, Epidural
The Surgery

Cystoscopy and retrograde pyelogram - many surgeons start with the patient supine or in lithotomy to opacify the collecting system under fluoroscopy, confirm the level of obstruction, and often pass...

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