Neuromonitoring
Abstract Monitoring the cerebrum is a complex phenomenon mainly because a small part of the brain will be controlling a major physiological function and the damage can result in a…
Anesthesia for Epilepsy Surgery
Abstract Epilepsy surgery poses significant challenges for the neuroanesthesiologist considering the unique patient characteristics and requirements of various surgical procedures. The success of epilepsy surgery depends upon accurate localization of…
Anesthesia for Posterior Fossa Surgery
Abstract Posterior fossa neurosurgical procedures pose significant risk of damage to the brain stem and cranial nerves contained within, resulting in severe life-threatening consequences. In addition, during posterior fossa surgeries,…
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,…
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…
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…
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….
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…
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…
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…
