Introduction Case Description Anesthetic Challenges Airway & positioning Hemodynamic instability Massive blood loss Hypothermia and metabolic disturbances Intraoperative Management Postoperative Considerations Pearls Pitfalls Anticipate hemodynamic shift after ligation Under-estimated blood loss Controlled hypotension during dissection Venous air embolism (open scalp veins) Normothermia +/- Tranexamic acid Aggressive hypotension Conclusion Abbreviations: Reference:…
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