Difference between revisions of "Nuss Bar Insertion"

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=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===
Have Type and Screen Ready. Usually Patient will have CBC ordered by surgery prior to case sttart, otherwise should order.
Check CBC and order Type and Screen


=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===

Revision as of 06:12, 28 July 2022

Nuss Bar Insertion
Anesthesia type
Airway
Lines and access
Monitors
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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Provide a brief summary here.

Overview

Indications

Pectus Excavatum

Surgical procedure

Nuss Bar insertion

Preoperative management

Patient evaluation

System Considerations
Airway ETT
Neurologic Erector Spinae Block for chest wall pain
Cardiovascular Potential for injury to heart and great vessels during placement of Bar. Place a large bore IV(16G) for possible need for resuscitation. Patient will have a pre-op echo to look at effect on cardiac function.
Pulmonary Patients usually have a Pulmpnary function test or "CPET". Results often provide useful information on amount of restrictive disease
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Check CBC and order Type and Screen

Operating room setup

Patient preparation and premedication

Versed if necessary

Regional and neuraxial techniques

Erector Spinae Block

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Patient will be admitted inpatient post surgery

Pain management

Potential complications

Procedure variants

Variant 1 Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications

References