Deep Brain Stimulator and Neurostimulator Implantation (DBS / RNS / VNS)
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Supine, arms free at side, The head is fixed in a stereotactic frame for lead placement and turned away from the left neck for the vagal implant.
Time : 4+ hours (very long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : None during awake mapping or vagal lead testing; a relaxant is reasonable for the generator pocket and closure.
Blocks : Scalp
Considerations : Aspiration risk / Full stomach, Mayfield Pins
Anesthetic Approaches
1MAC, Propofol Drip, Remifentanil Drip, Nerve Block
2GETT
The Surgery
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