bandage-green

Total Gastrectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms extended
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Aspiration risk / Full stomach, Arterial line, Central line, High Blood Loss, PONV, Anticoagulation / Antiplatelet Therapy, One-Lung Ventilation / Lung Isolation

Anesthetic Approaches

1GETT, Epidural
2GETT, Propofol Drip, Remifentanil Drip
3GETT
The Surgery

Approach - Upper midline or bilateral subcostal laparotomy , or laparoscopic/robotic ports with a small extraction incision. A self-retaining costal retractor lifts the ribcage off the field for the...

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