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 38
- Downloads 0
Characterization of Staphylococcus Epidermidis isolates cultured from patients with infected hip prostheses
Background Coagulase negative staphylococci are at the forefront of etiologic agents of periprosthetic joint infections (PJIs). The purpose of the study was to characterise causative isolates (n=19) of Staphylococcus epi...
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 relationship between family socio-economic status, family social support and adolescent physical activity
Background There are numerous benefits of undertaking regular physical activity on health. The World Health Organization (WHO) recommends for young people to undertake at least 60 minutes of moderately intense physical a...
THE ROLE OF PHYSICAL THERAPY IN CANCER TREATMENT
Cancer is a very important problem in both medical and social respects. In recent years, there has been a shift in approach to oncological prevention, diagnostics and treatment. As a result, oncology has become an interd...
THE PRESENCE OF ANTI-EBV ANTIBODIES AS THE CAUSE OF FALSE POSITIVE RESULTS IN THE DIAGNOSTICS OF LYME BORRELIOSIS
Background. Laboratory diagnosis of Lyme borreliosis is based on the detection of anti-B. burgdorferi antibodies. Mononucleosis infection can lead to false positive results in serological diagnosis of Lyme borreliosis. M...