Cite

Copy

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

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

Recovery for Dural Arteriovenous Fistulas in Children

This page was last updated on January 25th, 2023

 

Postoperative Orders 

  • Normotension and normovolemia: Normal range MAPs and adequate hydration should be maintained during the postoperative period.
  • ICU: Overnight observation at the PICU is recommended for frequent neurological evaluation.
  • Activity and diet: If extubation is tolerated, activity out of bed is encouraged and diet should be resumed with a successful swallow study.
  • Seizure treatment: Continue antiepileptic medical treatment if the patient presented with seizures.
  • Testing: Blood count and basic metabolic panel should be ordered on day one.
  • Imaging: If any change in neurological status is present, emergent CT without contrast should be obtained.
  • Anticoagulation treatment: Consider anticoagulation if venous thrombosis is present. Consult Hematology.

Postoperative Morbidity

  • Neurological deficits: In addition to the common surgical complications, venous infarction can develop if normal venous drainage is accidentally interrupted.
  • Cranial nerves palsy: Ligation of feeding arteries, especially if very proximal, could theoretically damage cranial nerves, as a significant part of their vascularization originates from dural branches.

 

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.