Difference between revisions of "Craniotomy for tumor resection"

Craniotomy for tumor resection
Anesthesia type	General
Airway	ETT
Lines and access	Large bore IV Art line ±Central line
Monitors	Standard; 5-lead ECG; Core temp; UOP; ABP; ±CVP; ±Neuromonitoring
	Primary anesthetic considerations
Preoperative	Characterize neurologic deficits; Evaluate for ↑ ICP
Intraoperative	Manage ICP
Postoperative	PONV prophylaxis
	Article quality
Editor rating	In development
User likes	0

VisualWikitext

Revision as of 17:38, 4 April 2022

A craniotomy for tumor resection is a neurosurgical procedure to remove a brain tumor.

Overview

Indications

Surgical procedure

Preoperative management

Patient evaluation


System	Considerations
Airway
Neurologic	Focused neuro exam to identify deficits Evaluate for ↑ ICP Headache Nausea/vomiting Visual changes Seizures
Cardiovascular	Evaluate for ↑ ICP HTN Bradycardia Respiratory irregularity
Pulmonary	Evaluate for neurogenic pulmonary edema
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Labs and studies

Operating room setup

Patient preparation and premedication

Regional and neuraxial techniques

Intraoperative management

Monitoring and access

Induction and airway management

Positioning

Maintenance and surgical considerations

Emergence

Postoperative management

Disposition

Pain management

Potential complications

Procedure variants


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

References

Top contributors: Chris Rishel, Tony Wang and J T

@@ Line 1: / Line 1: @@
+{{Infobox surgical procedure
+| anesthesia_type = General
+| airway = ETT
+| lines_access = Large bore IV
+Art line
+±Central line
+| monitors = Standard<br />
+-lead ECG<br />
+Core temp<br />
+UOP<br/>
+ABP<br />
+±CVP<br />
+±Neuromonitoring
+| considerations_preoperative = Characterize neurologic deficits<br />
+Evaluate for ↑ ICP
+| considerations_intraoperative = Manage ICP
+| considerations_postoperative = PONV prophylaxis
+}}
+A '''craniotomy for tumor resection''' is a neurosurgical procedure to remove a brain tumor.
+== Overview ==
+=== Indications ===
+=== Surgical procedure ===
+== Preoperative management ==
+=== Patient evaluation<!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --> ===
+{| class="wikitable"
+|+
+!System
+!Considerations
+|-
+|Airway
+|
+|-
+|Neurologic
+|Focused neuro exam to identify deficits
+Evaluate for ↑ ICP
+* Headache
+* Nausea/vomiting
+* Visual changes
+* Seizures
+|-
+|Cardiovascular
+|Evaluate for ↑ ICP
+* HTN
+* Bradycardia
+* Respiratory irregularity
+|-
+|Pulmonary
+|Evaluate for neurogenic pulmonary edema
+|-
+|Gastrointestinal
+|
+|-
+|Hematologic
+|
+|-
+|Renal
+|
+|-
+|Endocrine
+|
+|-
+|Other
+|
+|}
+=== 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. --> ===
+=== 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. --> ===
+=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
+=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===
+== Intraoperative management ==
+=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
+=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===
+=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===
+=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
+=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===
+== Postoperative management ==
+=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===
+=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===
+=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===
+== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==
+{| class="wikitable wikitable-horizontal-scroll"
+|+
+!
+!Variant 1
+!Variant 2
+|-
+|Unique considerations
+|
+|
+|-
+|Position
+|
+|
+|-
+|Surgical time
+|
+|
+|-
+|EBL
+|
+|
+|-
+|Postoperative disposition
+|
+|
+|-
+|Pain management
+|
+|
+|-
+|Potential complications
+|
+|
+|}
+== References ==
+[[Category:Surgical procedures]]