Acoustic Neuroma Resection
- Access
- PIV x2 large, post-induction arterial line (usually a long case)
- Airway
- Oral ETT
- Induction
- Standard (lidocaine/fentanyl/propofol)
- Maintenance
- TIVA (propofol/remifentanil/phenylephrine)
- Emergence
- Awake
- Antibiotics
- Cefazolin
- Position
- 180
Notes
Good neuro exam prior (numbness/weakness/facial nerve issues?)
Facial nerve neuromonitoring, so no paralytic.
Easy on the fluid. Surgeon utilizes lots of irrigation, which will be absorbed by patient.