Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Preparation for Surgery for Supratentorial Ependymomas in Children

This page was last updated on January 24th, 2023

Preoperative Orders

  • Standard

Anesthetic Considerations

  • Assume elevated ICP:  These children typically have elevations in ICP, and anesthesia should take this factor into account when planning.  Halothane and nitrous oxide should be avoided, if possible.

Devices to Be Implanted

  • Usually not required:  Implanted devices are usually not used in surgeries for these tumors.  One may choose to use plates and screws or other fixation devices to stabilize the craniotomy bone flap.

Ancillary/Specialized Equipment

  • Microscope: Microscope and micro-instruments including the non-stick bipolar forceps should be available for the operation.
  • Image guidance: Image-guidance equipment (ultrasound, computer-assisted image guidance).
  • Intraoperative imaging: If available, intraoperative ultrasound, CT scanning, or MR imaging can be useful.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.