bandage-green

Robotic Hiatal Hernia Repair

Anesthesia Implications
Position : Reverse Trendelenburg, airplaned right, arms tucked
Time : 1-2 hours (average)
Blood Loss : Very Low (5-10 ml)
Maintenance Paralytic : Yes

Anesthetic Approaches

1GETT
The Anesthesia:

GERD/Reflux - These patients very often have severe GERD. Consider RSI on induction. OG/NG tubes are also a very good consideration to empty the contents of the stomach. Intraop EGD - Very often, the surgeon will want to do an EGD after induction. For this, you'll need a bite block in the mouth. The surgeon will be at the head of the bed and you may need to get under the drapes to assist with moving the scope past your ETT.