bandage-green

Tricuspid and Pulmonary Valve Surgery

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, TEE, Opioid Tolerance

Anesthetic Approaches

1GETT, Remifentanil Drip
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Approach - Median sternotomy. In adult congenital and prior-valve patients this is a redo sternotomy, and the femoral vessels are often exposed first so peripheral cannulation is available if the...

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