Vp Shunt Anaesthesia
The aim is to maintain cpp until the raised icp is relieved by positioning of the vp shunt.
Vp shunt anaesthesia. Doctors typically perform the placement of a vp shunt while a patient is under general anesthesia. Positioning for ventriculoperitoneal shunt surgery the supine position is usually indicated the head is turned to the contralateral side of the site of insertion of the shunt. Gestation to consider analgesic options for labour and delivery and review anesthetic management in the event that an operative delivery was required.
The entire procedure takes. Anesthetic consideration for ventriculoperitoneal shunt placement or revision requires assessment of the function of the pre existing ventriculoperitoneal shunt table i and review of the patient s co existing diseases medications intravascular volume status anaesthetic history and physical examination. Maintenance of anaesthesia anaesthesia can be maintained with a volatile agent and a mixture of oxygen and air.
Neck flexion may result in migration of the endotracheal tube to the main stem bronchus or may occlude the. A 37 yr old gi p0 woman with a vp shunt and third ventriculostomy was assessed in the obstetrical anesthesia clinic at 36 wk. A third ventriculostomy had been performed when increased intracranial pressure and neurological symptoms reappeared despite the previous vp shunt.