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Clinical Procedure
 
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Postoperative opioid infusion or a caudal catheter will be required for postoperative analgesia.
It needs to be managed well to minimise risk of hypoventilation due to pain.

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As the liver is externalised and fliiped, IVC flow reduces significantly. After the liver is returned to its normal position (after approx 2hrs) there will be a release of ischemic factors and the resultant vasoplegia will need to be considered.

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Good review of perioperatice management of a series of 50 patients at King's College.

Biliary atresia: The King's College Hospital Experience (1974–1995)
dx.doi.org/10.1016/S0022-...

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