bandage-green

CSF Diversion (Shunt Variants, Revision, EVD, ETV)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head turned, Bed turned 180 degrees
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : Scalp
Considerations : Aspiration risk / Full stomach, Arterial line, Fluoroscopy / Xray, PONV, Neonatal resuscitation / NICU standby, Latex Precautions

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Indication - imaging shows enlarging ventricles or a failing existing system, and the choice is between a first shunt, a revision, a temporary external drain, or an endoscopic fenestration....

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