Spine Fusion

Last updated: February 9, 2026

Access
PIV x2, post-induction arterial line
Airway
ETT with OGT and bite blocks and eye tegaderms
Induction
Mask or IV
Maintenance
TIVA for Neuromonitoring. Propofol/Remifentanil. Nicardipine/phenylephrine for control
Emergence
Awake
Antibiotics
Cefazolin
Position
Prone

Notes

blood on standby. Methadone for pain control up front (0.01 mg/kg). tranexamic acid bolus (30 mg/kg) and gtt (10 mg/kg/hr)