bandage-green

Myelomeningocele Closure

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Prone, head turned
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Neonatal resuscitation / NICU standby, Latex Precautions

Anesthetic Approaches

1GETT
The Surgery

Timing - closure within 24 to 72 hours of birth, after a screen for associated cardiac, renal and gut anomalies that can usually be completed in the first day. Positioning - prone, with bolsters...

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