bandage-green

Transarterial Embolization for Hemorrhage (Gastroduodenal, Splenic, Bronchial)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Very High (500+ ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : None for a sedated case; yes once the airway is secured for hemoptysis or a shocked upper gastrointestinal bleed.
Considerations : Off-site, Fluoroscopy / Xray, Arterial line, High Blood Loss, Aspiration risk / Full stomach, One-Lung Ventilation / Lung Isolation

Anesthetic Approaches

1GETT
2MAC, Conscious Sedation
The Surgery

Arterial access - a femoral or radial sheath is placed and a catheter advanced to the parent vessel under fluoroscopy. Angiographic run - contrast is injected to find the bleeding point, which may...

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