Hep Locked
No fluids administered
For open procedures
Thoracic epidural β targeted level: T9
Standard ERAS infusion of 0.0625% bupivacaine
Infusion at 6 - 10 ml/hr
For CVP monitoring for lobe resection only (NOT for wedge or left lateral segment 4B & 5)
Goal CPT <7
IF epidural, Epidural bolus and infusion
After test dose, bolus epidural with 4-6 ml 0.25% bupivacaine for intraop analgesia
Begin epidural infusion from pharmacy as soon as possible at 6 β 10 ml/hr
x4 quad
For right lob resection or robotic
No administration without Anesthesiologist-CRNA discussion
1st Fentanyl IV
2nd Ketamine 20mg IV
Standard ERAS infusion of 0.0625% bupivacaine
Infusion at 6-10 ml/hr