Difference between revisions of "Nuss Bar Insertion"
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=== 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. --> === | === 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. --> === | ||
Check CBC and order Type and Screen | |||
=== 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. --> === | === 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. --> === | ||
Revision as of 07:12, 28 July 2022
Nuss Bar Insertion
| Anesthesia type | |
|---|---|
| Airway | |
| Lines and access | |
| Monitors | |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Provide a brief summary here.
Overview
Indications
Pectus Excavatum
Surgical procedure
Nuss Bar insertion
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| 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 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Ashwini Bhat and Tony Wang