bandage-green

Craniosynostosis Repair

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Reverse Trendelenburg, Prone, arms tucked, Bed turned 180 degrees
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : Scalp
Considerations : Arterial line, Central line, High Blood Loss, Oculocardiac Reflex, Venous Air Embolism

Anesthetic Approaches

1GETT, Mask Induction, Remifentanil Drip
2GETT, TIVA, Propofol Drip
The Surgery

Planning - the pattern of fused sutures sets the operation. An isolated sagittal suture in a young infant may be released endoscopically, while multi-suture or frontal disease needs open vault...

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