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Tethered Cord Evaluation and Perioperative Management — Loss of Signals — 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

 

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