Vagal Nerve Stimulator (VNS) Battery Change

Short cases that can usually be done on the trolley. These patients usually have epilepsy, so it is worth exploring in the pre-op visit. The battery tends to be located in the same place you would find an ICD.

Pre-op

  • Ensure usual anti-epileptics have been taken
  • Epilepsy history – e.g. types of seizure, frequency, self-terminating or needing medication
  • Paracetamol

Peri-op

  • 20G cannula
  • Fentanyl 100mcg at start
  • Propofol/ remifentanil TIVA
  • LMA
  • LA by surgeons

Post-op

  • Fentanyl in recovery up to 100mcg
  • PRN anti-emetics

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