Neurosurgical anesthesia
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, PA
Saunders
2012
|
| Schriftenreihe: | Anesthesiology clinics
30,2 |
| Online-Zugang: | Inhaltsverzeichnis |
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| 245 | 1 | 0 | |a Neurosurgical anesthesia |c guest ed. Ansgar M. Brambrink ... |
| 264 | 1 | |a Philadelphia, PA |b Saunders |c 2012 | |
| 300 | |a XVII S., S. 127 - 426 |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
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| 490 | 1 | |a Anesthesiology clinics |v 30,2 | |
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Datensatz im Suchindex
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| adam_text | Neurosurgical Anesthesia
Contents
Foreword
xiii
Lee A. Fleisher
Preface
xv
Ansgar
M.
Brambrink
and Jeffrey
R.
Kirsch
Anesthesia for Endovascular Neurosurgery and Interventional Neuroradiology
127
Chanhung Z. Lee and William L. Young
This article outlines the roles of the anesthesiologist in the management of
patients undergoing invasive endovascular procedures to treat vascular
diseases, primarily of the central nervous system. This practice is usually
termed interventional neuroradiology or endovascular neurosurgery. The
article emphasizes
perioperative
and anesthetic management strategies
to prevent complications and minimize their effects if they occur. Planning
the anesthetic and
perioperative
management is predicated on under¬
standing the goals of the therapeutic intervention and anticipating poten¬
tial problems.
Neuroimaging for the Anesthesiologist
149
Denise
Crute, Joseph
Sebeo,
and Irene P. Osbom
This article provides an overview of neuroimaging modalities of particular
interest to the anesthesiologist caring for neurosurgical patients. Imaging
characteristics of neuropathologies and considerations for anesthetic
management of diagnostic procedures are discussed.
Anesthetic Management of Patients with Acute Stroke
175
Alana
M.
Flexman, Anne L. Donovan, and Adrian W.
Gelb
Stroke is a major cause of death and disability. Anesthesiologists are likely
to encounter patients with stroke and must be aware of the anesthetic con¬
siderations for these patients. Intravenous thrombolysis and intra-arterial
thrombolysis are effective treatments for acuteischemic stroke as well as
evolving endovascular techniques such as mechanical clot retrieval. Re¬
cent retrospective studies have found an association between general
anesthesia and poor clinical outcome. The results of these studies have
several limitations, and current evidence is inadequate to guide the choice
of anesthesia in patients with acute stroke. The choice of anesthesia must
be based on individual patient factors until further research is completed.
Pediatrie
Epilepsy Surgery: Anesthetic Considerations
191
Jeffrey L. Koh, Brian Egan, and Terrence McGraw
Despite advances in antiepileptic medication therapy, a significant number
of
pediatrie
patients with epilepsy have seizures that are not well con¬
trolled. This article provides anesthesiologists with an overview of seizures
viii Contents
¡η
the
pediatric
population, including evaluation, medical treatment, surgi¬
cal options, and the anesthetic implications of caring for this special
population.
Anesthetic Neurotoxicity
207
Ansgar
M.
Brambrink,
Andrea Orfanakis, and Jeffrey
R.
Kirsch
Concerns for toxic effects of anesthesia to the brains of the young and the
elderly are mounting. While experimental evidence for such effects in the de¬
veloping brain is strong, the underlying mechanisms are less well under¬
stood and debate continues as to whether young humans are at risk for
anesthetic neurotoxicity. The phenomenon of postoperative cognitive dete¬
rioration in the elderly remains controversial. Time course, severity, and
whether or not it persists long term are under debate. For both patient
groups, today s evidence is not sufficient to guide change in clinical practice.
Well-designed research is therefore imperative to tackle this critical issue.
Airway Management in Neuroanesthesiology
229
Michael Aziz
Airway management for neuroanesthesiology brings together some key
principles that are shared throughout neuroanesthesiology. This article ap¬
propriately targets the cervical spine with associated injury and the chal¬
lenges surrounding airway management. The primary focus of this article
is on the unique airway management obstacles encountered with cervical
spine injury or cervical spine surgery, and unique considerations regarding
functional neurosurgery are addressed. Furthermore, topics related to dif¬
ficult airway management for those with rheumatoid arthritis or pituitary
surgery are reviewed.
Anesthetic Considerations for Awake Craniotomy for Epilepsy and Functional
Neurosurgery
241
Kirstin M. Erickson and Daniel
1.
Cole
The two most common neurosurgical procedures that call for an awake
patient include epilepsy surgery and functional neurosurgery. Monitoring
patients in the awake state allows more aggressive resection of epilepto-
genic foci in functionally important brain regions. Careful patient selection
and preparation combined with attentive monitoring and anticipation of
events are fundamental to a smooth awake procedure. Current
pharmaco¬
logie
agents and techniques at the neuroanesthesiologist s disposal facil¬
itate an increasing number of procedures performed in awake patients.
Multimodal
Intracraneal
Monitoring: Implications for Clinical Practice
269
Matthew A. Kirkman and Martin Smith
This article presents an overview of intracranial monitoring techniques dur¬
ing the
perioperative
and intensive care management of neurologic pa¬
tients. Various regional and global brain monitors are available; some
modalities are well established whereas others are new to the clinical
arena and their indications are still being evaluated. Indications for moni¬
toring are reviewed, modalities critically evaluated, and future directions
identified.
Contents
Monitoring and Intraoperative Management
of Elevated Intracranial Pressure and
Decompressive Craniectomy
289
Shih-Shan Lang, W. Andrew Kofke, and Michael F. Stiefel
Elevated
intracranial
pressure can be caused by a variety of underlying
conditions. Several physiologic and
pharmacologie
factors have a signifi¬
cant impact on intracranial hypertension, mostly caused by changes on
cerebral blood volume, flow, and
oxygénation.
There are many therapies
that can be used to decrease intracranial pressure ranging from
pharma¬
cologie
to the surgical
decompressive
removal of the calvarium. Special
consideration is made for the anesthetic management of these patients
perioperatively.
Neurophysiologic Monitoring in Neurosurgery
311
Leslie C. Jameson and Tod B. Sloan
This article focuses on the application of neurophysiologic monitoring in
uniquely neurosurgical procedures. Neurophysiologic monitoring provides
functional testing and mapping to identify neural structures. Once identi¬
fied, the functionality of the central and peripheral nervous system areas
at risk for neurosurgical injury can be monitored. It discusses the use of
motor-evoked potentials, sensory evoked potentials, electromyography
and electroencephalography to assess neurologic change.
Perioperative
Management of Adult Traumatic Brain Injury
333
Deepak Sharma and Monica S. Vavilala
This article presents an overview of the management of traumatic brain in¬
jury (TBI) as relevant to the practicing anesthesiologist. Key concepts
surrounding the pathophysiology and anesthetic principles are used to
describe potential ways to reduce secondary insults and improve out¬
comes after TBI.
Perioperative
Pain Management in the Neurosurgical Patient
347
Lawrence T. Lai, Jose R. Ortiz-Cardona, and
Audrée A. Bendo
Perioperative
pain management in neurosurgical patients has been in¬
adequately recognized and treated. An increased awareness of pain
management and advances in understanding of pain modulation and path¬
ophysiology have led to improved
perioperative
care of patients. There is
a need to assess neurologic function while providing superior analgesia
with minimal side effects. Several classes of drugs are currently available
or under investigation for use as adjuvants or alternative therapies. There
remains a need to determine the best treatment of
perioperative
pain in
this patient population. Improved awareness, assessment, and treatment
of pain result in better care and overall patient outcome.
Controversies in
Neurosciences
Critical Care
369
Tiffany R. Chang, Neeraj S. Naval, and J.
Ricardo Carhuapoma
Neurocritical care is an evolving subspecialty with many controversial
topics. The focus of this review is
(1)
transfusion thresholds in patients
Contents
with
acute ¡ntracranial
bleeding, including packed red blood cell transfu¬
sion, platelet transfusion, and reversal of coagulopathy;
(2)
indications
for seizure prophylaxis and choice of antiepileptic agent; and
(3)
the role
of specialized neurocritical care units and specialists in the care of critically
ill neurology and neurosurgery patients.
Interfaces of Sleep and Anesthesia
385
George A. Mashour and Dinesh Pal
In the past decades there has been an increasing focus on the relationship
of sleep and anesthesia. This relationship bears on the fundamental scien¬
tific questions in anesthesiology, such as the mechanism of anesthetic-
induced unconsciousness. However, given the increasing prevalence of
sleep disorders in surgical patients, the interfaces of sleep and anesthesia
are now a pressing clinical concern. This article discusses sleep and anes¬
thesia from the perspective of phenotype, mechanism and function, with
some concluding thoughts on the relevance to neuroanesthesiology.
Outcomes After Neuroanesthesia and Neurosurgery: What Makes a Difference
399
Michael M. Todd
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.
Index
409
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| spelling | Neurosurgical anesthesia guest ed. Ansgar M. Brambrink ... Philadelphia, PA Saunders 2012 XVII S., S. 127 - 426 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Anesthesiology clinics 30,2 Brambrink, Ansgar Sonstige (DE-588)114778299 oth Anesthesiology clinics 30,2 (DE-604)BV021538977 30,2 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025301122&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Neurosurgical anesthesia Anesthesiology clinics |
| title | Neurosurgical anesthesia |
| title_auth | Neurosurgical anesthesia |
| title_exact_search | Neurosurgical anesthesia |
| title_full | Neurosurgical anesthesia guest ed. Ansgar M. Brambrink ... |
| title_fullStr | Neurosurgical anesthesia guest ed. Ansgar M. Brambrink ... |
| title_full_unstemmed | Neurosurgical anesthesia guest ed. Ansgar M. Brambrink ... |
| title_short | Neurosurgical anesthesia |
| title_sort | neurosurgical anesthesia |
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