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Ross Procedure (Pulmonary Autograft)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, TEE

Anesthetic Approaches

1GETT
The Surgery

Sternotomy and bypass - the chest is opened, bypass established and the aorta cross-clamped, and the cross-clamp time is among the longest in pediatric cardiac surgery. Harvesting the autograft - the...

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