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Posterior fossa surgery

Operation on the posterior fossa which lies at the back of the skull and contains important structures such as the brainstem and cerebellum. Indications include debulking of tumours, vascular procedures and foramen magnum decompression
  • Speciality Neurosurgery 
  • Urgency elective 
  • Duration to 15 h
  • Blood Loss 250 ml  to 2 litres (+/- Blood Transfusion)
  • Anaesthesia General Anaesthetic 
  • Nerve Blocks Local Anaesthetic Infiltration 
  • Procedures Arterial line, Central line, Nasogastric tube, Urinary catheter, Prone position, Lateral position, Sitting position, Cross-match Blood (2 units) 
  • Pain mild-moderate (++) 
  • Post-op Pain Local up to 4-8 hours 
  • Post-op Pain II Tablets, Injection (im, iv), PCA, Infusion 
  • Hospital Stay to 10 days
  • Full Recovery 3   to 6 months
  • Additional Info https://academic.oup.com/bjaed/article/14/5/202/286711/Anaesthetic-considerations-for-posterior-fossa (BJA Education Journal, 2014) 
  • More Information St. George's Hospital 

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