Tethered Cord Evaluation and Perioperative Management — Propofol Infusion Management — Clinical Pathway: Inpatient and Primary Care

Tethered Cord Evaluation and Perioperative Management Clinical Pathway — Inpatient and Primary Care

Propofol Infusion Management

Initial Infusion 250 mcg/kg/min with induction bolus
After Initial Dissection
  • Electro cautery may limit depth assessment
  • Assess depth and reduce to 200 mcg/kg/min
  • Thereafter, assess depth q20 mins, reduce by 25 mcg/kg/min if possible
Sedation Too Light
  • Bolus 1 mg/kg and increase infusion by
    25 mcg/kg/min
  • Goal should be a propofol infusion rate of at or near 100 mcg/kg/min when surgeons are irrigating and preparing for skin closure
After Final Monitoring Completed Continue propofol infusion (preferred) with progressive dose reduction or transition to inhalational anesthesia to facilitate emergence and extubation