TOW spine

T7 decompression, T5-T9 fusion and instrumentation

for HCC and spine mets with cauda equina syndrome- relatively urgent op, 69 year old

Induction as per normal
log roll to special ot table , foam pillow for face. Eyes padded to delineate boundaries of orbit. Visible through mirror facing the face

IA line coz history of AF .
Hb maintained >10
atracurium infusion via tracium pump 10mg/hr, desflurane

TIVA for spine op

anterior cervical discectomy and fusion for 2 levels with neurophysio monitoring

85kg young man

supine, arms tucked in, long extensions, warmer, BIS
induction as per normal ( armoured tube minus stylet, rocuronium and fentanyl)
armoured tube: NG for op, bite block, IDC. op about 3-4 hours
TIVA propofol bristol model 10-8-6 maintained at about 5-6mg/kg/hr (about 510mg/hr!!)
BIS 40-55
morphine 6mg at the end
*no nitrous or benzos but used remifentanyl 0.1mcg/kg/min
post op cervical collar

ps. usually no MEP/SSEP monitoring