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:…
Author: Dr. Pooja Shrestha
Anesthesiology Resident (PGY-1) at Tribhuvan University Teaching Hospital, Institute of Medicine (TUTH, IOM). Her academic interests include perioperative medicine, regional anesthesia, and evidence-based practices in anesthesiology. She contributes scholarly articles on anesthesia to Epomedicine.