bandage-green

Subtotal Gastrectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 1-2 hours (average)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath, Quadratus Lumborum
Considerations : Aspiration risk / Full stomach, Arterial line, PONV

Anesthetic Approaches

1GETT, Epidural
2GETT, TIVA
The Surgery

Access - upper midline incision (or right subcostal) for open; five-port technique with reverse Trendelenburg tilt for laparoscopic. Mobilization - the greater omentum is taken off the transverse...

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