Tethered Cord Release
Anesthesia Implications
Clinically reviewed by anesthesia providers · Updated
Position : Prone, head turned, Shoulders and hips on bolsters so the abdomen hangs free off the table; head turned to one side.
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Full dose for intubation, then none once nerve root and motor monitoring is running.
Considerations : MEP monitoring, Latex Precautions
Anesthetic Approaches
1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery
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