Vagus nerve stimulation
| Anesthesia type |
General |
|---|---|
| Airway |
ETT |
| Lines and access |
PIV |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative |
Risk of asystoly/ severe bradycardia due to vagus nerve stimulation. Injury to major vessels in neck can lead to massive hemorrhage |
| Postoperative | |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Vagus nerve stimulator is an adjunctive therapy for refractile epilepsy. It is placed in the left cervical region. The generator/battery is placed in preaxillary area.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
labs guided by general physical condition of patient
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
None. Incisions are small
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Supine
Maintenance and surgical considerations
Isoflurane and Nitrous Oxide Maintenance preferred for rapid emergence to facilitate early neuro exam.
Patient neuromuscularly blocked throughout to reduce risk of inadvertent injury. No neuromonitoring during procedure.
Emergence
Postoperative management
Disposition
PACU f/b early discharge hoe or as prefeered by primary service
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 Chris Rishel