Craniectomy for craniosynostosis repair

Craniectomy for craniosynostosis repair

Anesthesia type	General
Airway	ETT
Lines and access	2 PIVs
Monitors	Standard + arterial line
Primary anesthetic considerations
Preoperative	Type and screen/cross with blood products on call
Intraoperative	May/may not be syndromic associated, airway may be difficult.
Postoperative	May stay intubated based on amount of blood loss/blood products transfused. Will likely stay inpatient and recover in an ICU setting.
Article quality
Editor rating	In development
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A craniectomy for craniosynostosis repair is performed to correct the premature fusion of one or more cranial sutures.

Types of craniosynostosis (decreasing order of frequency):

1) Scaphocephaly: Premature fusion of sagittal suture

2) Brachycephaly: Premature fusion of coronal suture

3) Trigonocephaly: Premature fusion of metopic suture

4) Posterior plagiocephaly: Premature fusion of lambdoidal suture

Overview

Indications

Craniosynostosis is the premature fusion of one or more cranial sutures, resulting in abnormal skull development and head shape.

Preoperative management

Patient evaluation

System	Considerations
Airway
Neurologic
Cardiovascular
Pulmonary
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Procedure variants

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