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Transposition of the Great Arteries: Arterial Switch

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Cardiopulmonary Bypass, Ductal Dependence / Prostaglandin Infusion

Anesthetic Approaches

1GETT
The Surgery

Median sternotomy and bypass - the chest is opened and cardiopulmonary bypass established, usually with hypothermia and without circulatory arrest. Dividing the great arteries - the aorta and...

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