Anesthesia for neurosurgery (Part II)

Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 3

Abstract

The central nervous system 40CNS41 deserves special consideration in the perioperative setting for several reasons for an anesthetist An understanding of neuroanatomy is essential because neuro anesthesia continues to develop and evolution of neurosurgical practice is accompanied by new challenges for the anesthetist Basic knowledge and expertise of the neuroanesthetist can directly influence patient outcome With the recent advancement in functional and minimally invasive procedures there is an increased emphasis on the provision of optimal operative conditions preservation of neurocognitive function minimizing interference with electrophysiological monitoring and a rapid highquality recovery So during neuro anesthesia anesthesiologist needs to know physiology of CNS including cerebral metabolism and cerebral blood flow Neuro anesthesia can be challenging because sometimes apparently contradictory demands must be managed for example achieving optimal conditions for neurophysiological monitoring while maintaining sufficient anesthetic depth or maintaining oxygen delivery to neuronal tissue and simultaneously preventing high blood pressures that might induce local bleeding One of the peculiarities of neuro anesthesia has always been that as much importance is attached to wakening the patient as sending them to sleep We have included the anesthesia for neurosurgery in two parts In the first part we had discussed cerebral anatomy physiology and intracranial pressure in the second part we have included anesthesia considerations for surgery for brain tumor aneurysmal surgery temporal lobe surgery trans sphenoidal surgery and traumatic brain injuryKeywords Anesthesia Neurosurgery

Authors and Affiliations

Bhavna Gupta, Lalit Gupta

Keywords

Related Articles

Comparison between dexmedetomidine and propofol for sedation during mechanically ventilated patients after major intraabdominal surgeries: An observational study

Introduction Major complex intraabdominal surgeries which have prolonged intraoperative surgical duration and wide hemodynamic fluctuations so they required an elective mechanical ventilation in view of large fluid shift...

A randomized controlled study of intraperitoneal vs intraincisional infiltration of local anesthetic levobupivacaine for pain relief in post-laparoscopic hysterectomy cases

Introduction and Aim: Providing postoperative pain relief is a common acceptable practice in modern era. Multimodal combination methods are being used to reduce opioid-related side effects. We conducted a randomized stud...

Postoperative analgesia with epidural butorphanol or tramadol in lower abdominal surgeries– A double blind comparative study

Introduction Postoperative analgesia in patients undergoing lower abdominal surgery is very essential for immediate postoperative pain relief which can be provided by oral or parenteral medication epidural analgesia loca...

Ophthalmological changes after posterior spine surgeries: A prospective study

Introduction: Postoperative visual loss (POVL) after posterior approach to spine surgeries is a devastating complication necessitating a prospective study. The primary aim was to identify ophthalmological changes contrib...

Comparative study of caudal Ropivacaine with ropivacaine & Ketamine for postoperative analgesia in paediatric patients

Objective: Objective of this study was to determine the efficacy of caudal Ketamine added to ropivacaine in providing postoperative analgesia in pediatric age group. Materials and Method: This was a prospective randomize...

Download PDF file
  • EP ID EP476456
  • DOI 10.18231/2394-4994.2018.0058
  • Views 103
  • Downloads 0

How To Cite

Bhavna Gupta, Lalit Gupta (2018). Anesthesia for neurosurgery (Part II). Indian Journal of Clinical Anaesthesia, 5(3), 299-305. https://europub.co.uk/articles/-A-476456