Care of the Acutely Unstable Patient
Most neurologic emergencies that require the intervention of an anesthesiologist are caused by head and spine trauma, leading to traumatic brain injury (TBI) and traumatic spinal cord injury (SCI). NonTBIs…
Anesthetic Management for Posterior Fossa Surgery
The confines of the posterior fossa and the myriad of neuronal and vascular structures that traverse it create a challenge for the anesthesiologist, whose intraoperative goals are to facilitate surgical…
Multi-modality Neurologic Monitoring
Introduction Monitoring systemic and central nervous system physiology is fundamental to the perioperative and critical care management of patients with neurologic disease. The clinical neurologic examination remains the cornerstone of…
Evoked Potentials
The use of evoked electrophysiological responses during surgery on the nervous system has become a common tool in the operating room. It is used to map the location of structures…
Fluid Management During Craniotomy
Acknowledgment The authors wish to thank Dr. Michael M. Todd for the inspiration for Figs. 9.4, 9.5 , and 9.6 and Dr. Mark Zornow for permission to use Figs. 9.7…
Modern Neuroradiology Relevant to Anesthetic and Perioperative Management
Introduction Imaging, with its diverse array of modalities, forms an integral part of decision making in patients with neurological disorders. Diagnostic, prognostic, and pathophysiological information is provided in broadly two…
Effects of Anesthetic Agents and Other Drugs on Cerebral Blood Flow, Metabolism, and Intracranial Pressure
Introduction The major goals in neurosurgical anesthesia are to provide adequate tissue perfusion to the brain (and spinal cord) so that the regional metabolic demand is met and to provide…
Cerebrospinal Fluid
The first section of this chapter reviews cerebrospinal fluid (CSF) with respect to the anatomy of the CSF-containing spaces, physiology, and the effects of anesthetics and other influences. The second…
Cerebral and Spinal Cord Blood Flow
Acknowledgments The authors would like to express their gratitude and great respect for the late William L. Young, MD, James P. Livingston Professor and Vice Chair, Department of Anesthesiology, University…
Brain Metabolism, the Pathophysiology of Brain Injury, and Potential Beneficial Agents and Techniques
Brain metabolism involves both the production and the utilization of energy; catabolism is the breakdown and anabolism is the synthesis of components and molecules in the cells. For energy formation…
