These might be performed by neurosurgeons, or by orthopaedics. The patient will be lying prone, with their arms out in front.
Pre-op
- Often have chronic pain, note current analgesic regime
- Note any neurology
- Explain post-op PCA
Peri-op
- Propofol/ remifentanil TCI
- Rocuronium
- Flexible ETT
- Prophylactic antibiotics
- Prone, arms out front
- Magnesium
- Morphine up to 20mg
- Consider:
- ketamine 0.1mg/kg
- Clonidine
- Anti-emetics
- Ondansetron 4mg
- Dexamethasone 6.6mg
Post-op
- Morphine PCA
- PRN anti-emetics
Anaesthetic Recipes 