bandage-green

Traumatic Intracranial Hematoma Evacuation (Subdural / Epidural)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, arms tucked, head turned
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : Scalp
Considerations : Aspiration risk / Full stomach, Arterial line, Central line, Mayfield Pins, High Blood Loss, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT, TIVA, Propofol Drip, Remifentanil Drip
2MAC, Local Anesthetic
The Surgery

Assessment and timing - computed tomography defines the clot, its side and the degree of midline shift; an expanding acute collection goes to the operating room immediately rather than waiting for a...

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