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

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

Procedure variants

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