bandage-green

Total Pancreatectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms at side on armboards
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath
Considerations : Arterial line, Central line, High Blood Loss, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT, Epidural
2GETT
The Surgery

Access - long midline (or bilateral subcostal) laparotomy ; abdomen explored to exclude metastatic disease before committing to resection. Kocher maneuver - duodenum and pancreatic head mobilized off...

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