Specoraro: Added additional information to maintenance of anesthesia

2026-03-15T21:45:16Z

Added additional information to maintenance of anesthesia

← Older revision		Revision as of 14:45, 15 March 2026
Line 72:		Line 72:
	Induce general anesthesia with ETT if MRI guidance will be used.		Induce general anesthesia with ETT if MRI guidance will be used.

	If awake, patient should be kept calm and told to hold as still as possible. Consider dexmedetomidine bolus		If awake, patient should be kept calm and told to hold as still as possible. Consider dexmedetomidine bolus.

	===Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. -->===		===Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. -->===
Line 80:		Line 80:
	If lead placement is guided by MRI, must use MRI-compatible monitors and machine. Consider hefty doses of NDMBs to maintain maximum stillness for better image quality.		If lead placement is guided by MRI, must use MRI-compatible monitors and machine. Consider hefty doses of NDMBs to maintain maximum stillness for better image quality.

	If awake, consider dexmedetomidine infusion to assist. Goal is to keep patient still but not disinhibited.		If awake, consider dexmedetomidine infusion to assist. Goal is to keep patient still but not disinhibited. May also consider remifentanil and/or propofol gtts. to alter level of sedation relatively quickly.

	===Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. -->===		===Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. -->===

Tony.Wang: Created page with "{{Infobox surgical procedure | anesthesia_type = General or awake | airway = ETT or natural airway if awake | lines_access = 1-2 PIV | monitors = Standard, 5-lead EKG | considerations_preoperative = | considerations_intraoperative = If under MRI guidance, will need MRI-safe equipment. Keep very still for MRI images | considerations_postoperative = }} Subthalamic nucleus deep brain stimulation (DBS) lead placement is a neurosurgical procedure whereby leads for DBS are..."

2023-05-26T16:08:36Z

Created page with "{{Infobox surgical procedure | anesthesia_type = General or awake | airway = ETT or natural airway if awake | lines_access = 1-2 PIV | monitors = Standard, 5-lead EKG | considerations_preoperative = | considerations_intraoperative = If under MRI guidance, will need MRI-safe equipment. Keep very still for MRI images | considerations_postoperative = }} Subthalamic nucleus deep brain stimulation (DBS) lead placement is a neurosurgical procedure whereby leads for DBS are..."

New page

{{Infobox surgical procedure
| anesthesia_type = General or awake
| airway = ETT or natural airway if awake
| lines_access = 1-2 PIV
| monitors = Standard, 5-lead EKG
| considerations_preoperative =
| considerations_intraoperative = If under MRI guidance, will need MRI-safe equipment. Keep very still for MRI images
| considerations_postoperative =
}}

Subthalamic nucleus deep brain stimulation (DBS) lead placement is a neurosurgical procedure whereby leads for DBS are placed in the subthalamic nucleus to help control the tremors of Parkinson disease.

==Overview==

===Indications===
Parkinson disease

===Surgical procedure===

==Preoperative management==

===Patient evaluation===
{| class="wikitable"
|+
!System
!Considerations
|-
|Airway
|
|-
|Neurologic
|
|-
|Cardiovascular
|
|-
|Pulmonary
|
|-
|Gastrointestinal
|
|-
|Hematologic
|
|-
|Renal
|
|-
|Endocrine
|
|-
|Other
|
|}

===Labs and studies===

===Operating room setup===

===Patient preparation and premedication===

===Regional and neuraxial techniques===

==Intraoperative management==

===Monitoring and access===

*Standard ASA monitors
*1-2 IVs

===Induction and airway management===
Induce general anesthesia with ETT if MRI guidance will be used.

If awake, patient should be kept calm and told to hold as still as possible. Consider dexmedetomidine bolus

===Positioning===
Supine, typically head 90 or 180 deg away

===Maintenance and surgical considerations===
If lead placement is guided by MRI, must use MRI-compatible monitors and machine. Consider hefty doses of NDMBs to maintain maximum stillness for better image quality.

If awake, consider dexmedetomidine infusion to assist. Goal is to keep patient still but not disinhibited.

===Emergence===

==Postoperative management==

===Disposition===

===Pain management===

===Potential complications===

==Procedure variants==

{| class="wikitable wikitable-horizontal-scroll"
|+
!
!Variant 1
!Variant 2
|-
|Unique considerations
|
|
|-
|Indications
|
|
|-
|Position
|
|
|-
|Surgical time
|
|
|-
|EBL
|
|
|-
|Postoperative disposition
|
|
|-
|Pain management
|
|
|-
|Potential complications
|
|
|}

==References==

[[Category:Surgical procedures]]

Deep brain stimulation lead placement - Revision history

Specoraro: Added additional information to maintenance of anesthesia