Circulatory Arrest

Sep 5, 2019 by in ANESTHESIA Comments Off on Circulatory Arrest

Abstract The need for circulatory arrest during surgical clipping of intracranial aneurysms is uncommon given the recent advances in endovascular options and microsurgical techniques. However, intracranial aneurysms that are large,…

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Refractory Status Epilepticus

Sep 5, 2019 by in ANESTHESIA Comments Off on Refractory Status Epilepticus

Abstract Refractory status epilepticus (RSE) is a medical and neurologic emergency. Patients who do not respond to standard treatment regimens for status epilepticus are considered to have RSE. The occurrence…

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Transesophageal Echocardiography

Sep 5, 2019 by in ANESTHESIA Comments Off on Transesophageal Echocardiography

Abstract Advances in monitoring and specifically in echocardiography have enabled anesthesiologists to use a gold standard technology across various clinical scenarios encountered in neurosurgical anesthesia. Transesophageal echocardiography in the hands…

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Emergence From Anesthesia

Sep 5, 2019 by in ANESTHESIA Comments Off on Emergence From Anesthesia

Abstract Emergence from general anesthesia and tracheal extubation is frequently associated with an intense physiologic and metabolic response. These reactions may lead to homeostasis alterations, especially in patients with comorbidities….

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Multimodal Monitoring

Sep 5, 2019 by in ANESTHESIA Comments Off on Multimodal Monitoring

Abstract In this era of technology, available monitoring devices in the operating room are multiplying and becoming less and less invasive. They provide insight into multiple systems physiology and help…

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Neuropharmacology

Sep 5, 2019 by in ANESTHESIA Comments Off on Neuropharmacology

Abstract Drugs used in neuroanesthesia should be able to provide optimal brain conditions for surgery and also help maintain adequate brain tissue perfusion to meet increased regional metabolic demands. The…

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Brain Protection in Neurosurgery

Sep 5, 2019 by in ANESTHESIA Comments Off on Brain Protection in Neurosurgery

Abstract The burden is on the anesthesiologist to provide the neurosurgical patient with measures that will protect the brain from the inevitable injury that occurs during neurosurgery. Brain protection can…

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Preanesthetic Evaluation of Neurosurgical Patients

Sep 5, 2019 by in ANESTHESIA Comments Off on Preanesthetic Evaluation of Neurosurgical Patients

Abstract Preanesthetic evaluation is a process of clinical assessment, risk stratification, and optimization before surgery to reduce the perioperative morbidity and mortality. Most neurosurgical procedures are considered to be moderate-…

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Anesthetic Agents: Neurotoxics or Neuroprotectives?

Sep 5, 2019 by in ANESTHESIA Comments Off on Anesthetic Agents: Neurotoxics or Neuroprotectives?

Abstract Annually, millions of surgeries are carried out worldwide under general anesthesia. Patients undergoing elective or emergency procedures may have important comorbidities affecting significant functions such as cardiovascular, neurologic, and…

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Neuroanatomy

Sep 5, 2019 by in ANESTHESIA Comments Off on Neuroanatomy

Abstract In this chapter, we present correlative clinical neuroanatomy for neuroanesthetists. This is written with the aim of helping doctors cope with the ever-evolving field of neuroanesthesia while armed with…

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