bandage-green

Sublobar Lung Resection (Wedge / Segmentectomy)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, Supine, arms extended, Lateral decubitus with both arms forward on a support and an axillary roll to protect the down arm.
Time : 1-2 hours (average)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Arterial line, One-Lung Ventilation / Lung Isolation

Anesthetic Approaches

1GETT
2GETT, Epidural
The Surgery

Localization - a nodule too small or too deep to feel is marked beforehand with a hookwire, a coil or dye, or found with intraoperative ultrasound. A nodule that cannot be found is itself a reason to...

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