General anaesthesia in patients with cerebrovascular diseases - risks and complications
Journal Title: Health Problems of Civilization - Year 2014, Vol 8, Issue 1
Abstract
The aim of the study is to present the problems arising during general anesthesia in patients with cerebrovascular diseases, taking into account the appropriate perioperative preparation. When planning the anesthetic procedure strategies aimed at the prevention of cerebral ischemia or hemorrhage into the brain must be taken into account. Material and research methods: a descriptive analysis was applied on the basis of the literature collected from the years 1992 to 2013. Conclusions: Preoperative evaluation of patients with cerebrovascular disease requires a thorough neurological examination, assessment of cardiovascular complications, including the risk of cerebrovascular, respiratory, renal, and endocrine system complications. During general anesthesia one should take care of haemodynamic stability and proper ventilation parameters. The choice of anesthetic agents so that during the induction of anesthesia, throughout anesthesia, during the recovery from the anesthesia there is no risk of hemodynamic instability and an appropriate level of blood perfusion in the brain is maintained. In the postoperative period the neurological status of the patient should be assessed, in order to ensure that he does not demonstrate symptoms of delirium and that he does not experience a recurrence of previous neurological deicits. Each surgery and anesthesia should be discussed with the operator in terms of the risks and beneits of surgery. Scheduled surgery in patients with acute cerebrovascular incidents need to be postponed until their performance is reasonably safe for the patient.
Authors and Affiliations
Jolanta Piskorz, Joanna Iłżecka, Gustaw Wójcik
Keywords
Related Articles
- EP ID EP167003
- DOI 10.5114/hpc.2014.57058
- Views 57
- Downloads 0
HEALTH PROPERTIES OF SELECTE D HERBAL PLANTS
Herbs contain many biologically active natural substances and their properties have made it possible for people to use herbs in cooking and medicine for centuries. The use of herbal mixtures can prevent the illnesses, re...
Quality of life in obesity at perimenopausal age in obese women and women with proper body mass index
Background Obesity is a global-scale epidemic of the 21st century, leading to numerous psychophysical complications. The objective of this paper is to analyse the quality of life at perimenopausal age in the group of obe...
THE CURRENT STATE OF REHABILITATION OF UKRAINIAN CITIZENS
The system of rehabilitation in Ukraine is ineffective presently, because it does not follow any international experience and most physicians and instructors involved in physical therapy do not possess updated knowledge...
Physical development and body composition parameters in 4-11-year-old children
Background In this paper, we present the results of the study concerning body development and body composition parameters dependency. Material and methods The monitored sample consisted of 78 probands aged of 4 – 11 yea...
THE IMPORTANCE OF METAGENOMICS RESEARCH IN HUMAN ECOLOGICAL NICHES AND THEIR ROLE IN THE DIAGNOSIS OF NONINFECTIOUS DISEASES
Human body is a complex system that is affected by a significant number of microscopic organisms called the microbiomes. The dynamic development ofscience has led to innovative discoveries in the field of microbiology. T...