Tethered Cord Evaluation and Perioperative Management Clinical Pathway — Inpatient and Primary Care
Tethered Cord Evaluation and Perioperative Management Clinical Pathway — Inpatient and Primary Care
Loss of Signals
- Increase MAP to 120% of baseline
- Consider transfusion for Hgb below 10 g/dl
- Explore mechanical causes related to instrumentation
- Communicate with neurophysiologist throughout the event to monitor for improvement in neuromonitoring signals
- Activate the Anesthesia Now algorithm and display on OR monitors and/or consult the Pedi Crisis App to help guide management
- Consider stopping surgery and transferring to the ICU