bandage-green

Systemic-to-Pulmonary Shunt and Pulmonary Artery Banding

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Left Lateral, one arm extended
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Anticoagulation / Antiplatelet Therapy, Ductal Dependence / Prostaglandin Infusion

Anesthetic Approaches

1GETT
The Surgery

Choosing the approach - a shunt is placed through a thoracotomy or a median sternotomy depending on the side and the anatomy, and a band is usually placed through a sternotomy. Constructing the shunt...

Continue reading

Read the full surgery post with a free account

Free. It opens every drug, surgery and condition in the library.

Already have an account?