Setup

• Mannitol 20% (~0.5g/kg over 15min when drilling starts) Blood component filter 170um
• Steroid regimen:
• Ewend: Hydrocortisone 100mg x2
• Bernard: Methylprednisolone (1 gm in 20ml H2O) @ 125mg/h
• Dilantin 250mg x5
• Machine - checked
• Monitors
• Std ASA
• double transducer w/ card
• Aline x2
• PA introducer, 2xlumen CVP
• IVF
• 2 Abbott Plum pumps
• Medfusion x2
• Fluid warmer x2
• Hespan x2
• Albumin x2
• Blood filters & pressure bags
• Drugs
• Standard
• Fentanyl or Sufentanil gtt
• Cisatracurium gtt
• Neo gtt & syringe
• Nipride, NTG preflushed in tubing
• Nipride stick 40mcg/ml
• Head-holder pins: propofol or STP and fentanyl ~60s before
• Spines
• No NMR
• Crani, aneurysms, tumors
• mannitol (upon drilling)

McFarlane

• Cisatra only
• no midaz
• no hand IVs
• no N2O (possible air spaces)
• double low vol. into a central line for nipride
• Remi or sufenta for opioid gtt

Heath

•  propofol