bandage-green

Microvascular Decompression

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lateral, head turned
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Ask Surgeon
Blocks : Scalp
Considerations : Arterial line, Mayfield Pins, PONV, SSEP monitoring, Venous Air Embolism

Anesthetic Approaches

1GETT
2GETT, TIVA, Remifentanil Drip
The Surgery

Positioning - lateral or park bench with a shoulder roll, head elevated, turned and fixed in Mayfield pins, ear taped forward and the upper shoulder pulled caudally to open the gap between mastoid...

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