Stereotactic surgery

Dec 2, 2016 by in ANESTHESIA Comments Off on Stereotactic surgery

I Stereotactic surgery 1. Introduction     Stereotactic surgery is a neurosurgical technique that makes detailed use of the relationship between the three-dimensional space occupied by intracranial structures or lesions and an extracranial…

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Posterior fossa procedures

Dec 2, 2016 by in ANESTHESIA Comments Off on Posterior fossa procedures

H Posterior fossa procedures 1. Introduction     Neuropathology within the posterior fossa may impair control of the airway, respiratory function, cardiovascular function, autonomic function, and consciousness. The major motor and sensory pathways,…

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Surgery for coronary artery disease

Dec 2, 2016 by in ANESTHESIA Comments Off on Surgery for coronary artery disease

BSA, Body surface area; CVP, cardioventricular pacing; DIA BP, diastolic blood pressure; EDV, end-diastolic volume; ESV, end-systolic volume; HR, heart rate; LVEDP, left ventricular end-diastolic pressure; PAP, peak airway pressure;…

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Epilepsy surgery

Dec 2, 2016 by in ANESTHESIA Comments Off on Epilepsy surgery

G Epilepsy surgery 1. Introduction     Surgery is recommended for patients with epilepsy when seizure control is intractable to conventional medical treatment. The goal of epilepsy surgery is to remove a focal…

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Electroconvulsive therapy

Dec 2, 2016 by in ANESTHESIA Comments Off on Electroconvulsive therapy

IM, Intramuscular; IV, intravenous. Adapted from Ding Z, White PF. Anesthesia for electroconvulsive therapy. Anesth Analg 2002; 94:1351-1364; White PF. Perioperative Drug Manual. 2nd ed. Philadelphia: Saunders. 2005; Wagner KJ,…

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Craniotomy

Dec 2, 2016 by in ANESTHESIA Comments Off on Craniotomy

E Craniotomy 1. Introduction     Intracranial masses may be congenital, neoplastic (benign, malignant, or metastatic), infectious (abscess or cyst), or vascular (hematoma or malformation). Most, but not all, anesthetics can be used…

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Cranioplasty

Dec 2, 2016 by in ANESTHESIA Comments Off on Cranioplasty

D Cranioplasty 1. Introduction     Cranioplasty can be performed for a bony tumor resulting from traumatic injury (e.g., depressed skull fracture) or, more rarely, from a condition resulting from a congenital malformation…

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Cerebral aneurysm

Dec 2, 2016 by in ANESTHESIA Comments Off on Cerebral aneurysm

C Cerebral aneurysm 1. Introduction     Cerebral aneurysms are abnormal, localized dilations of the intracranial arteries. They are classified as berry or saccular, mycotic, traumatic, fusiform, neoplastic, or atherosclerotic. Rupture of a…

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Awake craniotomy

Dec 2, 2016 by in ANESTHESIA Comments Off on Awake craniotomy

B Awake craniotomy 1. Introduction     In a small percentage of patients (those in whom a seizure focus may be suppressed during general anesthesia or may be adjacent to an area of…

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