Endoscopic retrograde cholangiopancreatography
Anesthesia type

General

Airway

ETT

Lines and access

1 PIV

Monitors

standard

Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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Endoscopic approach to access the bile duct utilized to diagnose and treat liver, gallbladder, biliary, and pancreatic problems. Endoscope is inserted from the mouth to duodenum. Then the papilla of vater (Common bile duct outlet) is identified, catheterized, and injected with contrast to identify obstructions.

Overview

Indications

liver, gallbladder, biliary, and pancreatic pathology

Surgical procedure

Preoperative management

Patient evaluation

System Considerations
Airway ETT required, bite block
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other Check cervical ROM

Labs and studies

Operating room setup

Make sure you have a lead apron available

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Supine

Maintenance and surgical considerations

General anesthesia with ETT. TIVA or volatile

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Pancreatitis

Cholangitis

Perforation

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References