Nuss Bar Insertion
From WikiAnesthesia
Nuss Bar Insertion
Anesthesia type | |
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Airway | |
Lines and access | |
Monitors | |
Primary anesthetic considerations | |
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Intraoperative | |
Postoperative | |
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User likes | 0 |
Provide a brief summary here.
Overview
Indications
Pectus Excavatum
Surgical procedure
Nuss Bar insertion
Preoperative management
Patient evaluation
System | Considerations |
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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 | |
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Unique considerations | ||
Position | ||
Surgical time | ||
EBL | ||
Postoperative disposition | ||
Pain management | ||
Potential complications |
References
Top contributors: Ashwini Bhat and Tony Wang