Spinal Cord Decompression
- Access
- PIV x2, post-induction arterial line
- Airway
- Oral ETT, double bite blocks
- Induction
- Standard (lidocaine/propofol/remifentanil) (bolus 2 mcg/kg over 2 min)
- Maintenance
- TIVA (propofol/remifentanil/phenylephrine)
- Emergence
- Awake
- Antibiotics
- Cefazolin
- Position
- Prone
Notes
Neuromonitoring with MEP and SSEP usually, precluding paralytic use.
Bite blocks.
Consider ordering blood.