Anesthesia for Neurosurgical Procedures

Bruno Bissonnette*, Kenneth Martin Brady, R. Blaine Easley

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Anesthesia for neurosurgery presents an interesting challenge to the pediatric anesthesiologist. One has little control over the patient's primary lesion, but the selection of anesthetic technique and the recognition of perioperative events and changes may profoundly reduce or prevent significant morbidity. Current neuroanesthetic practice is based on the understanding of cerebral physiology and how it can be manipulated in the presence of intracranial pathology. The pediatric neuroanesthesiologist also must contend with the physiological differences in developing children. In addition to the common problems of administering anesthesia to the general pediatric population, special consideration must be given to the effects of anesthesia on the central nervous system of children with neurological diseases. This chapter reviews the fundamentals of the clinical management in neurosurgical patients. Discussion of specific neurosurgical conditions and their respective anesthetic management is designed to highlight the common and sometimes unique problems encountered by the pediatric neuroanesthesiologist.

Original languageEnglish (US)
Title of host publicationGregory's Pediatric Anesthesia
Subtitle of host publicationFifth Edition
PublisherWiley Blackwell
Pages540-568
Number of pages29
ISBN (Print)1444333461, 9781444333466
DOIs
StatePublished - Dec 9 2011

Keywords

  • Arteriovenous malformation
  • Brain tumor
  • Cerebral perfusion pressure
  • Cerebral resuscitation and protection
  • Hydrocephalus
  • Increased intracranial pressure
  • Myelomeningocele
  • Neuroanesthesia
  • Seizure surgery

ASJC Scopus subject areas

  • Medicine(all)

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