Neurosurgical anesthesia and critical care:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Elsevier
2007
|
| Series: | Anesthesiology clinics
25,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XIX S., S. 391 - 698 zahlr. Ill., graph. Darst. |
| ISBN: | 9781416051435 1416051430 |
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| adam_text | NEUROSURGICAL ANESTHESIA AND CRITICAL CARE
CONTENTS
Foreword xiii
Lee A. Fleisher
Preface xv
Ansgar M. Brambrink and Jeffrey R. Kirsch
Dedication xix
Anesthesia for Endovascular Neurosurgery
and Interventional Neuroradiology 391
William L. Young
This review outlines the roles of anesthesiologists in the manage¬
ment of patients undergoing invasive endovascular procedures to
treat vascular diseases, primarily of the central nervous system.
This practice usually is termed interventional neuroradiology or
endovascular neurosurgery. The discussion emphasizes periopera
tive and anesthetic management strategies to prevent complica¬
tions and minimize their effects if they occur. Planning anesthetic
and perioperative management is predicated on understanding
the goals of the therapeutic intervention and anticipating potential
problems.
Neuroimaging for the Anesthesiologist 413
Wibke Miiller Forell and Kristin Engelhard
Neuroimaging is essential in the treatment of cerebral nervous sys¬
tem disorders or in patients in the ICU with deterioration of their
neurologic function. Leading clinical symptoms are acute neurolo¬
gic deficits with different stages of hemisymptomatology, primary
or progressing loss of consciousness or vigilance deficit, focal or
generalized seizures, sometimes combined with an acute
VOLUME 25 • NUMBER 3 • SEPTEMBER 2007 vii
respiratory or circulatory insufficiency. The resulting questions can
be summarized in those of intracranial space occupying hemor¬
rhage; acute infarction; and signs for reduced cerebral blood flow,
cerebrovascular vasospasm, or intracranial mass. Recent evolutions
in imaging have contributed to an increase in diagnostic sensitivity
and specificity along with reduced side effects. This article illus¬
trates typical and atypical differential diagnoses, with some em¬
phasis on traumatic brain injury.
Anesthetic Considerations for Intraoperative Management
of Cerebrovascular Disease in Neurovascular Surgical
Procedures 441
Rafi Avitsian and Armin Schubert
Despite new surgical methods and interventions a considerable
number of patients who undergo neurovascular procedures emer
gently or electively have substantial mortality, morbidity, and dis¬
ability. Sound knowledge of pathophysiology of cerebral
hypoperfusion, reliable and timely information from monitoring de¬
vices, and appropriate choice of therapeutic intervention is essential
for successful anesthetic management of these patients. The manage¬
ment of perioperative vasospasm and temporary ischemia during
aneurysm clipping require an understanding of cerebral vascular
pathophysiology and neuroprotective measures.
Perioperative Management of Pediatric Patients
with Craniosynostosis 465
Jeffrey L. Koh and Heike Gries
Craniosynostosis, premature closures of the skull sutures, results in
dysmorphic features if left untreated. Brain growth and cognitive
development may also be impacted. Craniosynostosis repair is
usually performed in young infants and has its perioperative chal¬
lenges. This article provides background information about the dif¬
ferent forms of craniosynostosis, with an overview of associated
anomalies, genetic influences, and their connection with cognitive
function. It also discusses the anesthetic considerations for perio¬
perative management, including blood loss management and stra¬
tegies to reduce homologous blood transfusions.
Perioperative Care of Patients with Neuromuscular
Disease and Dysfunction 483
Ansgar M. Brambrink and Jeffrey R. Kirsch
A variety of different pathologies result in disease phenotypes that
are summarized as neuromuscular diseases because they share
commonalty in their clinical consequences for the patient: a pro¬
gressive weakening of the skeletal muscles. Distinct caution and
appropriate changes to the anesthetic plan are advised when care
viii CONTENTS
is provided during the perioperative period. The choice of anes¬
thetic technique, anesthetic drugs, and neuromuscular blockade al¬
ways depends on the type of neuromuscular disease and the
surgical procedure planned. A clear diagnosis of the underlying
disease and sufficient knowledge and understanding of the patho
physiology are of paramount importance to the practitioner and
guide optimal perioperative management of affected patients.
Considerations for Airway Management for Cervical
Spine Surgery in Adults 511
Edward T. Crosby
Surgery on the cervical spine runs the gamut from minor interven¬
tions done in a minimally invasive fashion on a short stay or am¬
bulatory basis, to major surgical undertakings of a high risk,
high threat nature done to stabilize a degraded skeletal structure
to preserve and protect neural elements. Planning for optimum air¬
way management and anesthesia care is facilitated by an apprecia¬
tion of the disease processes that affect the cervical spine and their
biomechanical implications and an understanding of the imaging
and operative techniques used to evaluate and treat these condi¬
tions. This article provides background information and evidence
to allow the anesthesia practitioner to develop a conceptual frame¬
work within which to develop strategies for care when a patient is
presented for surgery on the cervical spine.
Anesthetic Considerations for Awake Craniotomy
for Epilepsy 535
Kirstin M. Erickson and Daniel J. Cole
A variety of anesthetic methods, with and without airway manip¬
ulation, are available to facilitate awake intraoperative examina¬
tions and cortical stimulation, which allow more aggressive
resection of epileptogenic foci in functionally important brain re¬
gions. Careful patient selection and preparation combined with at¬
tentive cooperation of the medical team are the foundation for a
smooth awake procedure. With improved pharmacologic agents
and variety of techniques at the neuroanesthesiologist s disposal,
awake craniotomy has become an elegant approach to epileptic fo¬
cus resection in functional cortex.
Perioperative Uses of Transcranial Perfusion Monitoring 557
Martin Smith
Transcranial perfusion monitoring provides early warning of im¬
pending brain ischemia and may be used to guide management
of cerebral perfusion and oxygenation. The monitoring options in¬
clude measurement of intracranial and cerebral perfusion pres¬
sures, assessment of cerebral blood flow, and assessment of the
CONTENTS «
adequacy of perfusion by measurement of cerebral oxygenation
and brain tissue biochemistry. Some monitoring techniques are well
established, whereas others are relatively new to the clinical arena
and their indications are still being evaluated. Currently available
monitoring techniques are reviewed and their appropriateness
and application to the perioperative period is discussed.
Monitoring and Intraoperative Management of Elevated
Intracranial Pressure and Decompressive Craniectomy 579
W. Andrew Kofke and Michael Stiefel
There are numerous clinical scenarios wherein a critically ill patient
may present with neurologic dysfunction. In a general sense these
scenarios often involve ischemia, trauma, or neuroexcitation. Each
of these may include a period of decreased cerebral perfusion pres¬
sure, usually due to elevated intracranial pressure (ICP), eventually
compromising cerebral blood flow sufficiently to produce perma¬
nent neuronal loss, infarction, and possibly brain death. Elevated
ICP is thus a common pathway for neural demise and it may arise
from a variety of causes, many of which may result in a neurosur
gical procedure intended to ameliorate the impact or etiology of
elevated ICP.
Electrophysiologic Monitoring in Neurosurgery 605
Leslie C. Jameson, Daniel J. Janik, and Tod B. Sloan
Electrophysiologic techniques have become common in the neuro
surgical operating room. This article reviews the methods used for
mapping neural structures or monitoring during surgery. Mapping
methods allow identification of target structures for surgery, or for
identifying structures to allow avoidance or plot safe pathways to
deeper structures. Monitoring methods allow for surgery on
nearby structures to warn of encroachment, thereby reducing
unwanted injury.
Risks and Benefits of Patient Positioning During
Neurosurgical Care 631
Irene Rozet and Monica S. Vavilala
Positioning of the surgical patient is an important part of anesthe¬
sia care and attention to the physical and physiologic consequences
of positioning can help prevent serious adverse events and compli¬
cations. The general principles of patient positioning of the an¬
esthetized and awake neurosurgical patient are discussed in this
article.
X CONTENTS
Perioperative Pain Management in the Neurosurgical
Patient 655
Jose Ortiz Cardona and Audree A. Bendo
The perioperative management of pain in neurosurgical patients is
a controversial topic with management decisions based mainly on
reports of anecdotal experiences. There is no consensus regarding
the standardization of pain control in this patient population. In
the last decade, improved awareness and advances in the practice
of pain management have resulted in the implementation of di¬
verse techniques to achieve adequate analgesia in this undertreated
group of patients. This article provides information about the var¬
ious techniques and approaches, based on the latest research and
clinical trials conducted in this patient population. Specifically,
the physiology of pain in patients undergoing brain or spine sur¬
gery, the different modalities for pain control, and the diverse
choice of drugs, with their associated risks and benefits, are
reviewed.
Controversies in Neurosciences Critical Care 675
J. Ricardo Carhuapoma, Neeraj S. Naval,
and Marek A. Mirski
Perhaps the greatest recent controversy in the medical manage¬
ment of complex neurologic and neurosurgical patients has been
the denning of the optimal care arena. Despite some early skepti¬
cism and measured recognition by the ICU community, neuros¬
ciences critical care has grown into a well recognized
subspecialty. Within this environment, the diverse expertise of sur¬
geons, neurologists, and anesthesiologists come together to define
best therapeutic strategies. Two neurologic disease states that, in
particular, continue to elicit expansive interdisciplinary debate
are spontaneous intracerebral hemorrhage and aneurysmal subar
achnoid hemorrhage.
Erratum 687
Index 689
CONTENTS »
|
| adam_txt |
NEUROSURGICAL ANESTHESIA AND CRITICAL CARE
CONTENTS
Foreword xiii
Lee A. Fleisher
Preface xv
Ansgar M. Brambrink and Jeffrey R. Kirsch
Dedication xix
Anesthesia for Endovascular Neurosurgery
and Interventional Neuroradiology 391
William L. Young
This review outlines the roles of anesthesiologists in the manage¬
ment of patients undergoing invasive endovascular procedures to
treat vascular diseases, primarily of the central nervous system.
This practice usually is termed interventional neuroradiology or
endovascular neurosurgery. The discussion emphasizes periopera
tive and anesthetic management strategies to prevent complica¬
tions and minimize their effects if they occur. Planning anesthetic
and perioperative management is predicated on understanding
the goals of the therapeutic intervention and anticipating potential
problems.
Neuroimaging for the Anesthesiologist 413
Wibke Miiller Forell and Kristin Engelhard
Neuroimaging is essential in the treatment of cerebral nervous sys¬
tem disorders or in patients in the ICU with deterioration of their
neurologic function. Leading clinical symptoms are acute neurolo¬
gic deficits with different stages of hemisymptomatology, primary
or progressing loss of consciousness or vigilance deficit, focal or
generalized seizures, sometimes combined with an acute
VOLUME 25 • NUMBER 3 • SEPTEMBER 2007 vii
respiratory or circulatory insufficiency. The resulting questions can
be summarized in those of intracranial space occupying hemor¬
rhage; acute infarction; and signs for reduced cerebral blood flow,
cerebrovascular vasospasm, or intracranial mass. Recent evolutions
in imaging have contributed to an increase in diagnostic sensitivity
and specificity along with reduced side effects. This article illus¬
trates typical and atypical differential diagnoses, with some em¬
phasis on traumatic brain injury.
Anesthetic Considerations for Intraoperative Management
of Cerebrovascular Disease in Neurovascular Surgical
Procedures 441
Rafi Avitsian and Armin Schubert
Despite new surgical methods and interventions a considerable
number of patients who undergo neurovascular procedures emer
gently or electively have substantial mortality, morbidity, and dis¬
ability. Sound knowledge of pathophysiology of cerebral
hypoperfusion, reliable and timely information from monitoring de¬
vices, and appropriate choice of therapeutic intervention is essential
for successful anesthetic management of these patients. The manage¬
ment of perioperative vasospasm and temporary ischemia during
aneurysm clipping require an understanding of cerebral vascular
pathophysiology and neuroprotective measures.
Perioperative Management of Pediatric Patients
with Craniosynostosis 465
Jeffrey L. Koh and Heike Gries
Craniosynostosis, premature closures of the skull sutures, results in
dysmorphic features if left untreated. Brain growth and cognitive
development may also be impacted. Craniosynostosis repair is
usually performed in young infants and has its perioperative chal¬
lenges. This article provides background information about the dif¬
ferent forms of craniosynostosis, with an overview of associated
anomalies, genetic influences, and their connection with cognitive
function. It also discusses the anesthetic considerations for perio¬
perative management, including blood loss management and stra¬
tegies to reduce homologous blood transfusions.
Perioperative Care of Patients with Neuromuscular
Disease and Dysfunction 483
Ansgar M. Brambrink and Jeffrey R. Kirsch
A variety of different pathologies result in disease phenotypes that
are summarized as neuromuscular diseases because they share
commonalty in their clinical consequences for the patient: a pro¬
gressive weakening of the skeletal muscles. Distinct caution and
appropriate changes to the anesthetic plan are advised when care
viii CONTENTS
is provided during the perioperative period. The choice of anes¬
thetic technique, anesthetic drugs, and neuromuscular blockade al¬
ways depends on the type of neuromuscular disease and the
surgical procedure planned. A clear diagnosis of the underlying
disease and sufficient knowledge and understanding of the patho
physiology are of paramount importance to the practitioner and
guide optimal perioperative management of affected patients.
Considerations for Airway Management for Cervical
Spine Surgery in Adults 511
Edward T. Crosby
Surgery on the cervical spine runs the gamut from minor interven¬
tions done in a minimally invasive fashion on a short stay or am¬
bulatory basis, to major surgical undertakings of a high risk,
high threat nature done to stabilize a degraded skeletal structure
to preserve and protect neural elements. Planning for optimum air¬
way management and anesthesia care is facilitated by an apprecia¬
tion of the disease processes that affect the cervical spine and their
biomechanical implications and an understanding of the imaging
and operative techniques used to evaluate and treat these condi¬
tions. This article provides background information and evidence
to allow the anesthesia practitioner to develop a conceptual frame¬
work within which to develop strategies for care when a patient is
presented for surgery on the cervical spine.
Anesthetic Considerations for Awake Craniotomy
for Epilepsy 535
Kirstin M. Erickson and Daniel J. Cole
A variety of anesthetic methods, with and without airway manip¬
ulation, are available to facilitate awake intraoperative examina¬
tions and cortical stimulation, which allow more aggressive
resection of epileptogenic foci in functionally important brain re¬
gions. Careful patient selection and preparation combined with at¬
tentive cooperation of the medical team are the foundation for a
smooth awake procedure. With improved pharmacologic agents
and variety of techniques at the neuroanesthesiologist's disposal,
awake craniotomy has become an elegant approach to epileptic fo¬
cus resection in functional cortex.
Perioperative Uses of Transcranial Perfusion Monitoring 557
Martin Smith
Transcranial perfusion monitoring provides early warning of im¬
pending brain ischemia and may be used to guide management
of cerebral perfusion and oxygenation. The monitoring options in¬
clude measurement of intracranial and cerebral perfusion pres¬
sures, assessment of cerebral blood flow, and assessment of the
CONTENTS «
adequacy of perfusion by measurement of cerebral oxygenation
and brain tissue biochemistry. Some monitoring techniques are well
established, whereas others are relatively new to the clinical arena
and their indications are still being evaluated. Currently available
monitoring techniques are reviewed and their appropriateness
and application to the perioperative period is discussed.
Monitoring and Intraoperative Management of Elevated
Intracranial Pressure and Decompressive Craniectomy 579
W. Andrew Kofke and Michael Stiefel
There are numerous clinical scenarios wherein a critically ill patient
may present with neurologic dysfunction. In a general sense these
scenarios often involve ischemia, trauma, or neuroexcitation. Each
of these may include a period of decreased cerebral perfusion pres¬
sure, usually due to elevated intracranial pressure (ICP), eventually
compromising cerebral blood flow sufficiently to produce perma¬
nent neuronal loss, infarction, and possibly brain death. Elevated
ICP is thus a common pathway for neural demise and it may arise
from a variety of causes, many of which may result in a neurosur
gical procedure intended to ameliorate the impact or etiology of
elevated ICP.
Electrophysiologic Monitoring in Neurosurgery 605
Leslie C. Jameson, Daniel J. Janik, and Tod B. Sloan
Electrophysiologic techniques have become common in the neuro
surgical operating room. This article reviews the methods used for
mapping neural structures or monitoring during surgery. Mapping
methods allow identification of target structures for surgery, or for
identifying structures to allow avoidance or plot safe pathways to
deeper structures. Monitoring methods allow for surgery on
nearby structures to warn of encroachment, thereby reducing
unwanted injury.
Risks and Benefits of Patient Positioning During
Neurosurgical Care 631
Irene Rozet and Monica S. Vavilala
Positioning of the surgical patient is an important part of anesthe¬
sia care and attention to the physical and physiologic consequences
of positioning can help prevent serious adverse events and compli¬
cations. The general principles of patient positioning of the an¬
esthetized and awake neurosurgical patient are discussed in this
article.
X CONTENTS
Perioperative Pain Management in the Neurosurgical
Patient 655
Jose Ortiz Cardona and Audree A. Bendo
The perioperative management of pain in neurosurgical patients is
a controversial topic with management decisions based mainly on
reports of anecdotal experiences. There is no consensus regarding
the standardization of pain control in this patient population. In
the last decade, improved awareness and advances in the practice
of pain management have resulted in the implementation of di¬
verse techniques to achieve adequate analgesia in this undertreated
group of patients. This article provides information about the var¬
ious techniques and approaches, based on the latest research and
clinical trials conducted in this patient population. Specifically,
the physiology of pain in patients undergoing brain or spine sur¬
gery, the different modalities for pain control, and the diverse
choice of drugs, with their associated risks and benefits, are
reviewed.
Controversies in Neurosciences Critical Care 675
J. Ricardo Carhuapoma, Neeraj S. Naval,
and Marek A. Mirski
Perhaps the greatest recent controversy in the medical manage¬
ment of complex neurologic and neurosurgical patients has been
the denning of the optimal care arena. Despite some early skepti¬
cism and measured recognition by the ICU community, neuros¬
ciences critical care has grown into a well recognized
subspecialty. Within this environment, the diverse expertise of sur¬
geons, neurologists, and anesthesiologists come together to define
best therapeutic strategies. Two neurologic disease states that, in
particular, continue to elicit expansive interdisciplinary debate
are spontaneous intracerebral hemorrhage and aneurysmal subar
achnoid hemorrhage.
Erratum 687
Index 689
CONTENTS » |
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| index_date | 2024-07-02T19:01:08Z |
| indexdate | 2024-07-09T21:08:21Z |
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| isbn | 9781416051435 1416051430 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016153108 |
| oclc_num | 633381721 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR DE-19 DE-BY-UBM |
| owner_facet | DE-355 DE-BY-UBR DE-19 DE-BY-UBM |
| physical | XIX S., S. 391 - 698 zahlr. Ill., graph. Darst. |
| publishDate | 2007 |
| publishDateSearch | 2007 |
| publishDateSort | 2007 |
| publisher | Elsevier |
| record_format | marc |
| series | Anesthesiology clinics |
| series2 | Anesthesiology clinics |
| spelling | Neurosurgical anesthesia and critical care guest ed. Ansgar M. Brambrink ... Philadelphia [u.a.] Elsevier 2007 XIX S., S. 391 - 698 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Anesthesiology clinics 25,3 Anästhesie (DE-588)4001833-7 gnd rswk-swf Intensivmedizin (DE-588)4027263-1 gnd rswk-swf Neurochirurgie (DE-588)4041874-1 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Neurochirurgie (DE-588)4041874-1 s Anästhesie (DE-588)4001833-7 s DE-604 Intensivmedizin (DE-588)4027263-1 s b DE-604 Brambrink, Ansgar Sonstige (DE-588)114778299 oth Anesthesiology clinics 25,3 (DE-604)BV021538977 25,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016153108&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Neurosurgical anesthesia and critical care Anesthesiology clinics Anästhesie (DE-588)4001833-7 gnd Intensivmedizin (DE-588)4027263-1 gnd Neurochirurgie (DE-588)4041874-1 gnd |
| subject_GND | (DE-588)4001833-7 (DE-588)4027263-1 (DE-588)4041874-1 (DE-588)4143413-4 |
| title | Neurosurgical anesthesia and critical care |
| title_auth | Neurosurgical anesthesia and critical care |
| title_exact_search | Neurosurgical anesthesia and critical care |
| title_exact_search_txtP | Neurosurgical anesthesia and critical care |
| title_full | Neurosurgical anesthesia and critical care guest ed. Ansgar M. Brambrink ... |
| title_fullStr | Neurosurgical anesthesia and critical care guest ed. Ansgar M. Brambrink ... |
| title_full_unstemmed | Neurosurgical anesthesia and critical care guest ed. Ansgar M. Brambrink ... |
| title_short | Neurosurgical anesthesia and critical care |
| title_sort | neurosurgical anesthesia and critical care |
| topic | Anästhesie (DE-588)4001833-7 gnd Intensivmedizin (DE-588)4027263-1 gnd Neurochirurgie (DE-588)4041874-1 gnd |
| topic_facet | Anästhesie Intensivmedizin Neurochirurgie Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016153108&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV021538977 |
| work_keys_str_mv | AT brambrinkansgar neurosurgicalanesthesiaandcriticalcare |