Lumbar Spinal Fusion (TLIF/PLIF)
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Prone, arms extended and flexed (superman)
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Induction only if MEP/EMG monitored
Considerations : MEP monitoring, SSEP monitoring, High Blood Loss, Fluoroscopy / Xray, Opioid Tolerance
Anesthetic Approaches
1GETT, TIVA, Propofol Drip, Remifentanil Drip
2GETT, 1/2 MAC Gas, Propofol Drip, Remifentanil Drip
The Surgery
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