TABLE 2.
Checklist for Transsphenoidal Pituitary Tumor Resections Using the ioMRI Suite
| Before sterile draping | |
|---|---|
| Questions to OR/circulation nurse | Response |
| Lower head coil installed?* | Water-tightly packed (cover: 80 × 80 cm). |
| Sticky cloth (75 × 90 cm)a?* | Attached to the shoulder. |
| 2 ×Moltexb?* | Placed before and behind pins. |
| PEEK pins installedc?** | Quantity: |
| Earplugs?** | Applied bilaterally. |
| Electrocautery plate installed?* | Location: |
| Hands, Feet?* | Positioned straight. |
| Phantom?* | Fits well. |
| Questions to anesthesiology team | Response |
| Electrical cables?** | Not in contact with the patient. |
| Neck?* | Tamponated with fabric. |
| Tracheal tube?* | Positioned flat. |
| Hose?* | Not fixed with towel clamps. |
| Patient positioned on a dry cover (after insertion of the urinary catheter)?* | Double-checked. |
| After sterile draping | |
| Questions to OR/circulation nurse | Response |
| Sterile towel clamps?** | Quantity: |
| “Spitztupfer” installedd?* | Quantity: |
| Before transfer covering | |
| Questions to OR/circulation nurse | Response |
| Scar?*** | “Netzel” implantede |
| Collection bag fluid below head?* | Removed. |
| Sterile towel clamps?** | Removed. Quantity: |
| Navigation star?** | Removed. |
| Electrocautery plate and cable?** | Removed. |
| After transfer covering | |
| Questions to OR/circulation nurse | Response |
| Upper head coil installed?* | Installed. Mind the “little man”! (°) |
| Cover 125cmf?* | Overlaid. |
| Covering sheets?* | Shortened. |
| White transfer plate? (°)* | Visible. |
| OR table, docking?* | Brought into transfer position. |
| Sliding door MRI?* | Free of obstacles. |
| Coils? Connectors?* | Exposed. |
| Date: __________________ | |
| Signature: ___________________ | Patient etiquette: |
The ** indicate the main rationale: * = organizational; ** = magnetic field strength-related; *** = sterility. Most steps are relevant to any 2-room ioMRI-OR suite, whereas some are specifically relevant for the Siemens magnet (Siemens Healthineers, Erlangen, Germany) with NORAS (Noras MRI products, Höchberg, Germany) head coil (marked with °)
aProduct ID 2626, Mundus Medici GmbH, Düsseldorf, Germany; bProduct ID 161008, MoliNea Plus, Hartmann, Neuhausen, Switzerland; cPEEK pins reusable, NORAS MRI products, Höchberg, Germany; dProduct ID 35003, Novimed Medizintechnik, Dietikon, Switzerland; e Product ID 35004, Novimed Medizintechnik, Dietikon, Switzerland; f Product ID 401008125, Schlieren, Switzerland.