Craniotomy for extracranial-intracranial revascularization

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Revision as of 09:23, 10 February 2021 by Barrett Larson (talk | contribs)
Craniotomy for extracranial-intracranial revascularization
File:EC-IC Bypass .jpg
Anesthesia type

General

Airway

ETT

Lines and access

PIV x 2
Art line
CVC

Monitors

Standard ASA
5-lead EKG
Core temp
UOP
ABG
CVP
EEG

Primary anesthetic considerations
Preoperative

Smooth induction
Maintain CPP

Intraoperative
Postoperative
Article quality
Editor rating
Comprehensive
User likes
1

Extracranial-intracranial (EC-IC) revascularization (also referred to as EC-IC bypass) is a surgical procedure to increase cerebral blood flow. The procedure involves connecting a branch of the external carotid artery (typically the superficial temporal artery) to a branch of the internal carotid artery (typically the middle cerebral artery). The anastomosis can be achieved via a vein graft or a direct connection.

Preoperative management

Patient evaluation

System Considerations
Neurologic
Cardiovascular
Respiratory
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