Keep dry – almost no fluid prior to resection. CVP <5
Then catch up
A-line, CVC, +/- swan sheath
Consider iVC compression by surgeons if hypotensive
Muscle relaxant (consider infusion)
- thoracic epidural
- spinal diamorphine, wound infusion catheter (2.5mg/ml levo-bupivicaine @ 10ml/hr) + morphine PCA – caution (with liver impairment)
- role for ESP block?