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128  Section II: Intracranial Procedures


           A                                                 Postoperative Considerations
                                                             Patients are recovered in an intensive care unit. A single dose of
                                                             mannitol is administered prior to anesthetic recovery and can be
                                                             repeated if necessary based on neurological signs. Patients are mon-
                                                             itored closely for evidence of increased intracranial pressure. Pain is
                                                             controlled with an opioid constant‐rate infusion. Typical patients
                                                             are discharged 48–72 hours postoperatively if their recovery is
                                                             uncomplicated. Antibiotic prophylaxis is continued while the
                                                             patient is in hospital and for 7 days following discharge.

                                                                    Video clips to accompany this book can be found on
                                                                    the companion website at:
                                                                    www.wiley.com/go/shores/neurosurgery


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