Although there is a huge body of literature concerning the cerebrovascular and cerebrometabolic effects of anesthetics, it is unclear how much of this high-quality physiology and pharmacology actually applies to the clinical care of neurosurgical patients, in particular those with intracranial mass lesions or those at risk for intraoperative cerebral ischemia. This article attempts to review the clinical aspects of the care of such patients and to define when our physiologic understanding is important and when it is largely irrelevant.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.anclin.2012.06.001 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Outcomes and complications of external ventricular drainage in primary and secondary intraventricular hemorrhage: a descriptive observational study.
J Neurosurg
January 2025
Departments of1Neurosurgery.
Objective: Intraventricular hemorrhage (IVH) is a serious condition with high mortality rates and poor functional outcome in survivors. Treatment includes external ventricular drains (EVDs), which are associated with several complications. This study reports the clinical outcome and complication rate in patients with primary IVH (pIVH) and secondary IVH treated with EVDs.
View Article and Find Full Text PDFThe Value of Intraoperative Neurophysiological Monitoring During Patient Positioning in Spine Surgery: A Preventive Strategy.
Cureus
November 2024
Neuroanesthesia, Unidade Local de Saúde de Santo António, Porto, PRT.
Article Synopsis
- Cervical spine surgery in myelopathy patients presents anesthetic challenges due to the potential for secondary spinal cord injury (SCI), which requires careful management beyond just intubation concerns.
- Intraoperative neurophysiological monitoring, such as SSEPs and MEPs, is crucial for assessing spinal cord integrity during surgery, especially for patients with conditions like cervical spondylotic myelopathy.
- A case study involving a 73-year-old male with significant cervical deformation underwent successful anterior cervical discectomy and fusion, using advanced monitoring techniques and awake intubation to minimize risks, resulting in a smooth recovery with no new neurological deficits.
Emergency Surgical Management of Meningiomas: Factors Affecting Early Outcomes and Complications.
Asian J Neurosurg
December 2024
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Intracranial meningiomas constitute a third of all brain tumors and are among the most common indications for neurosurgical procedures performed worldwide. Most meningiomas present with an indolent, longstanding history. However, the data on outcomes of emergency surgeries for meningioma is limited.
View Article and Find Full Text PDFSubthalamic Deep Brain Stimulation under General Anaesthesia for Parkinson's Disease: Institutional Experience and Outcomes.
Stereotact Funct Neurosurg
November 2024
Neuroanesthesia Division, Anesthesiology Department, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain.
Introduction: Direct targeting in deep brain stimulation (DBS) has remarkably impacted the patient's experience throughout the surgery and the overall logistics of the procedure. When the individualised plan is co-registered with a 3D image acquired intraoperatively, the electrodes can be safely placed under general anaesthesia. How this applies to a general practice scenery (outside clinical trials and in a moderate caseload centre) has been scarcely reported.
View Article and Find Full Text PDFAnesthetic Management and Considerations During Surgical Dissection of a Schwannoma Causing Severe Cervical Spinal Canal Stenosis and Vertebral Artery Compression.
Cureus
October 2024
Anesthesiology, West Virginia University School of Medicine, Morgantown, USA.
Article Synopsis
- Neurosurgical anesthetic management involves careful planning, focusing on positioning during intubation, neuromonitoring, and selecting appropriate anesthetic agents to enhance patient outcomes.
- A detailed case study of a 64-year-old woman with a cervical spine schwannoma showcases the implementation of video laryngoscopy to minimize neck movement and the use of propofol, remifentanil, and sevoflurane for continuous neuromonitoring.
- The surgery was successful, with stable neurological function during the procedure, and the patient had no complications post-operation, being successfully extubated afterward.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!