Multimodal anesthesia for hemicorporectomy suggests creating a standardized anesthesia guideline: a case report

Reviewing the literature, we recognized that there are no standardized anesthesia protocols published for hemicorporectomy. Based on our case report we present a novel anesthesia strategy that addresses almost all major challenges with hemicorporectomies. Our successful strategy suggests that a total intravenous anesthesia with propofol in combination with an epidural and a multimodal pain regimen with rate adjustments based on body mass reduction should be considered as a standard anesthesia protocol for hemicorporectomies. We recommend establishing a state-of-the-art anesthesia guideline for patients undergoing hemicorporectomy and encourage anesthesiologists to publish case reports describing the anesthesia approach for a hemicorporectomy.

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Publication Details

Journal
Annals of Translational Medicine
Published
2025-02-01
DOI
https://doi.org/10.21037/atm-24-174
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Multimodal anesthesia for hemicorporectomy suggests creating a standardized anesthesia guideline: a case report

Scott A. Vogel, Kelsey M. Repine, Julio Montejano, Tobias Eckle
Annals of Translational Medicine
Cardiac, Anesthesia and Surgical Outcomes
article

Multimodal anesthesia for hemicorporectomy suggests creating a standardized anesthesia guideline: a case report

Scott A. Vogel, Kelsey M. Repine, Julio Montejano, Tobias Eckle
article en

Abstract

Reviewing the literature, we recognized that there are no standardized anesthesia protocols published for hemicorporectomy. Based on our case report we present a novel anesthesia strategy that addresses almost all major challenges with hemicorporectomies. Our successful strategy suggests that a total intravenous anesthesia with propofol in combination with an epidural and a multimodal pain regimen with rate adjustments based on body mass reduction should be considered as a standard anesthesia protocol for hemicorporectomies. We recommend establishing a state-of-the-art anesthesia guideline for patients undergoing hemicorporectomy and encourage anesthesiologists to publish case reports describing the anesthesia approach for a hemicorporectomy.

Annals of Translational MedicineVol. 13(1)
University of Colorado Anschutz Medical Campus (US)
Zero hunger
Openalex Percentile: Top 94%
Cardiac, Anesthesia and Surgical Outcomes
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