Essentials of Neurosurgical Anesthesia & Critical Care: Strategies for Prevention, Early Detection, and Successful Management of Perioperative Complications

Front Matter....Pages i-xxx
Front Matter....Pages 1-1
The Adult Central Nervous System: Anatomy and Physiology....Pages 3-20
Neuroendocrine Physiology: Fundamentals and Common Syndromes....Pages 21-37
Cerebral Edema: Pathophysiology and Principles of Management....Pages 39-48
Management of Fluids, Electrolytes, and Blood Products in Neurosurgical Patients....Pages 49-55
Key Monitoring in Neuroanesthesia: Principles, Techniques, and Indications....Pages 57-66
Front Matter....Pages 67-67
Cardiovascular Risk and Instability: Evaluation, Management, and Triage....Pages 69-76
Risk Assessment of Critical Carotid Stenosis Treatment: Suggestions for Perioperative Management....Pages 77-83
Subarachnoid Hemorrhage: Risk Assessment and Perioperative Management....Pages 85-91
Traumatic Brain Injury: Risk Assessment and Perioperative Management....Pages 93-105
Rare Neurologic Disorders and Neuromuscular Diseases: Risk Assessment and Perioperative Management....Pages 107-118
Perioperative Pharmacotherapy in Neurosurgery: Risk Assessment and Planning....Pages 119-129
Specific Considerations Regarding Consent and Communication with Patients and Family Prior to Neurosurgery....Pages 131-134
Front Matter....Pages 135-135
Preparing for Anesthesia in Neurosurgical Patients....Pages 137-144
Basics of Neurosurgical Techniques and Procedures....Pages 145-150
Positioning the Patient for Neurosurgical Operations....Pages 151-157
The Intraoperative Team: Getting the Most Out of Collaborative Care in the Operating Room....Pages 159-163
Front Matter....Pages 165-165
The “Tight Brain”: Cerebral Herniation Syndrome....Pages 167-174
Cerebral Ischemia: Options for Perioperative Neuroprotection....Pages 175-184
Massive Hemorrhage During Craniotomy: Emergency Management....Pages 185-195
Challenges During Anaesthesia for Awake Craniotomy....Pages 197-206
Front Matter....Pages 165-165
Perioperative Challenges During Stereotactic Neurosurgery and Deep Brain Stimulator Placement....Pages 207-212
Perioperative Challenges During Posterior Fossa Surgery....Pages 213-222
Perioperative Challenges During Release of Subdural and Epidural Hemorrhage....Pages 223-233
Perioperative Challenges During Cerebrovascular Surgery....Pages 235-246
Perioperative Challenges During Pituitary Surgery....Pages 247-254
Perioperative Challenges During Craniotomy for Space-Occupying Brain Lesions....Pages 255-263
Front Matter....Pages 265-265
Perioperative Challenges in Patients with Unstable Spine....Pages 267-273
Airway Crisis Associated with Cervical Spine Surgery....Pages 275-282
Spinal Cord Injury During Spinal Surgery....Pages 283-287
Blood Loss During Spinal Surgery....Pages 289-298
Coagulopathy in Spinal Surgery....Pages 299-305
Postoperative Visual Loss Following Spinal Surgery....Pages 307-315
Front Matter....Pages 317-317
Perioperative Challenges During Diagnostic and Perioperative Magnetic Resonance Imaging (MRI)....Pages 319-330
Perioperative Challenges During Electroconvulsive Therapy (ECT)....Pages 331-340
Perioperative Challenges During Carotid Artery Revascularization....Pages 341-351
Front Matter....Pages 353-353
Venous Air Embolism During Neurosurgery....Pages 355-362
Arterial Hypotension and Hypertension During Neurosurgical Procedures....Pages 363-370
Hyperthermia and Hypothermia During Neurosurgical Procedures....Pages 371-384
Challenges Associated with Perioperative Monitoring During Neurosurgery....Pages 385-390
Unintended Wake-Up During Neurosurgery....Pages 391-395
Front Matter....Pages 353-353
Cardiac Arrest/Code....Pages 397-408
Arousal from Anesthesia After Neurosurgical Operations....Pages 409-417
Communication Challenges During the Perioperative Period....Pages 419-425
Front Matter....Pages 427-427
Anatomy and Physiology of the Central Nervous System in Children....Pages 429-434
Pediatric Anesthetic Care Requirements....Pages 435-445
The Pediatric Airway in Neurosurgery....Pages 447-455
Specific Aspects of Positioning and Fluids, Glucose, and Temperature Management in Children Undergoing Neurosurgical Procedures....Pages 457-462
Front Matter....Pages 463-463
Challenges During Surgery for Hydrocephalus....Pages 465-473
Challenges During Surgery for Traumatic Brain Injury....Pages 475-484
Challenges During Surgery for Meningomyelocele and Encephalomyelocele....Pages 485-495
Challenges During Cranial Decompression....Pages 497-503
Challenges During Surgery for Craniosynostosis and Craniofacial Surgery....Pages 505-513
Challenges During Tumor Surgery in Children and Infants....Pages 515-521
Challenges During Surgery for Vascular Anomalies in Pediatrics....Pages 523-529
Challenges During Epilepsy Surgery in Pediatric Patients....Pages 531-538
Challenges During Pediatric Endoscopic Neurosurgery....Pages 539-545
Front Matter....Pages 547-547
Emergence from Anesthesia Following Pediatric Neurosurgery....Pages 549-557
Postanesthesia Care Unit Risks Following Pediatric Neurosurgery....Pages 559-564
Intensive Care Risks of Pediatric Neurosurgery....Pages 565-573
Front Matter....Pages 575-575
Radiation Safety in Interventional Neuroradiology....Pages 577-581
Front Matter....Pages 575-575
Understanding Basic Techniques and Procedures in Interventional Neuroradiology....Pages 583-586
Basics of Image Interpretation in Interventional Neuroradiology....Pages 587-598
Front Matter....Pages 599-599
Procedural Challenges in Interventional Neuroradiology....Pages 601-609
Anesthesiological Challenges During Neuroradiological Interventions....Pages 611-619
Specific Challenges During Neuroradiological Interventions in Pediatric Patients....Pages 621-633
Front Matter....Pages 635-635
Surgical Emergencies After Neurosurgery....Pages 637-644
Airway Emergencies After Neurosurgery....Pages 645-655
Neurologic Emergencies After Neurosurgery....Pages 657-668
Hemodynamic Complications After Neurosurgery....Pages 669-678
Endocrinologic Emergencies After Neurosurgery....Pages 679-688
Postoperative Paralysis, Skin Lesions, and Corneal Abrasions After Neurosurgery....Pages 689-695
Post-operative Pain Management in Patients After Neurosurgical Operations....Pages 697-707
Management of Postoperative Nausea and Vomiting After Neurosurgery....Pages 709-718
The Transport of Neurosurgical Patients....Pages 719-727
Front Matter....Pages 729-729
Altered Mental Status in Neurosurgical Critical Care....Pages 731-739
Cerebrovascular Vasospasm, Normal Pressure Breakthrough Edema, Posterior Reversible Encephalopathy Syndrome (PRES) in Neurosurgical Critical Care....Pages 741-747
Sedation, Analgesia, and Neuromuscular Blockade in Neurosurgical Critical Care....Pages 749-757
Airway and Pulmonary Management in Neurosurgical Critical Care....Pages 759-765
Myocardial and Vascular Management in Neurosurgical Critical Care....Pages 767-776
Nutrition and Glucose Management in Neurosurgical Critical Care....Pages 777-783
Front Matter....Pages 729-729
Fluid and Electrolyte Management in Neurosurgical Critical Care....Pages 785-799
Temperature Management in Neurosurgical Critical Care....Pages 801-809
Coagulation Management in Neurosurgical Critical Care....Pages 811-821
Gastrointestinal Hemorrhage in Neurosurgical Critical Care....Pages 823-831
Intracranial Monitors in Neurosurgical Critical Care....Pages 833-839
Central Nervous System Infection in Neurosurgical Critical Care....Pages 841-849
Antiepileptic Drug Therapy in Neurosurgical Critical Care....Pages 851-858
Withdrawal of Mechanical Ventilation in Neurosurgical Critical Care....Pages 859-864
Brain Death in Neurosurgical Critical Care....Pages 865-870
Organ Donation in Neurosurgical Critical Care....Pages 871-879
Interaction with Family and Friends in Neurosurgical Critical Care....Pages 881-887
Back Matter....Pages 889-913