Anaesthetic Management of a Patient Undergoing Acoustic Neuroma Resection with Intraoperative Electromyographic Monitoring
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 0, Vol 8, Issue 3
Abstract
Acoustic neuromas are the most common benign tumours of the posterior cranial fossa, with an impending danger of injuring the facial nerve during its resection. Usage of intraoperative electromyographic (EMG) monitoring during resection will definitely reduce the possibilities of injuring the facial nerve, but as such pose a great anaesthetic challenge of maintaining a motionless patient while preserving the EMG response. We managed a case of Acoustic neuroma excision, in a patient with renal dysfunction, balancing the neuromuscular blockade level by administration of cisatracurium infusion under TOF watch monitoring without interfering with the EMG response.
Authors and Affiliations
Arun Mathur , Anand Rampure Vittal Rao , Prajeesh M . Nambiar
Keywords
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