Clinical Pathway

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Protocol (Clinical pathway) Intracranial Tumors

(Anesthesia/Critical care)
Admission
day 1
Pre Surgery
(OPD)
Inv /Workup adv by surgeons
PAC-->(Inv as Adv) on OPD asis
P! ensured !o be o"" an!i#oagu$an!s
Asprin/C$opidogre$/%eparin/War"erin--
>e$se (appropria!e re"ren#e a##ording !o !&e
indi#a!ion)
Pre Surgery
(On admission)
A$$ above inves!iga!ions revie'ed by
Surgeons/ Anaes!&e!is!s
Si!e o" S( )arked
Cardia# re"/'ork up advised i" indi#a!ed *
#$earan#e ob!ained+
Pa!ien! pos!ed "or surgery
Admission
day ,
Pre Surgery
(On morning o"
S()
Coagu$a!ion pro"i$e done
S+ e$e#!ro$y!es/-rine ke!ones/.S -
()orning dose o" O%A omi!!ed)--> i"
diabe!i#
An!i&yper!ensives/An!i
epi$ep!i#s/S!eroids/ /&yroid medi#a!ions
(i" ongoing) #on!inued as per s#&edu$e
0ep! 1PO ( 2&rs presurgery
Premeds as advi#ed
S&i"!ed !o Preop on #a$$
In O/ Preop W%O #&e#k $is! #omp$e!ed
P! indu#ed a##ording !o p$an
(I3/Ar! $ine/C3P/.o$eys #a!& passed pos!
indu#!ion)
Admission
day 4
Pos! Surgery
(Day 5)
P! reversed/e(!uba!ed i" deemed "i!
1ursed in IC- (3en!i$a!ed SOS)
Admission
day 6
Pos! Surgery
(Day 1)
I" deemed "i!
Ar! $ine removed
.o$eys #a!& removed
)obi$ised ou! o" bed
S&i"!ed !o 'ard

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