Neuro – Anaesthetic Recipes

VP shunt

There will be a distant airway, head in pins, and the abdomen will be exposed. Use a forced air warming blanket as for abdominal surgery. Tunneling the line can be quite stimulating – increase the remifentanil or give a bolus of fentanyl before the surgeons do this. Pre-op Paracetamol Aetiology of hydrocephalus Intra-op Small cannulaContinue reading “VP shunt”

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-terminatingContinue reading “Vagal Nerve Stimulator (VNS) Battery Change”