Stereotactic Brain Biopsy
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Supine, Prone, arms tucked, Head is locked in the stereotactic frame or in pins and cannot be turned or repositioned once registration is done.
Time : 1-2 hours (average)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : None under sedation; under general, only enough to intubate - the biopsy itself needs no relaxation.
Blocks : Scalp
Considerations : Mayfield Pins, Off-site, PONV, Anticoagulation / Antiplatelet Therapy
Anesthetic Approaches
1MAC, Propofol Drip, Local Anesthetic
2GETT, TIVA, Remifentanil Drip
The Surgery
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