Type and cross 2 units of blood.
Use normal saline for fluid.
Do not volume over load the patient. However the patient does have increase urine due to mannitol, and occasionally lasix is given. Therefore the I & O should be balanced.
Check with surgeon regarding
Decadron
Mannitol 0.5-2g/kg - usually come in 25g bottles
Keppra - 1 vial 500mg TRO 15 minutes
Some surgeon use Optisome with ultrasound to help visualize the tumor.
Propofol 100mg can be given before head pinning.
References:
Perioperative Management of Complex Skull Base Surgery: the Anesthesiologist's Point of View
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