This handbook is aimed at first-line health care providers involved in the perioperative care of adult and pediatric neurosurgical patients. It is unique in its systematic focus on how to deal with common and important clinical challenges encountered in day-to-day practice in the OR, the PACU, and the ICU and is designed as a problem-solving tool for all members of the perioperative medicine team: trainees and faculty in anesthesiology, neurosurgery, and critical care; nurses; nurse anesthetists; and physician’s assistants.
• Encompasses clinical continuum from neurosurgical pre-op to critical care – plus anesthesia in neuroradiology
• Adult and pediatric care
• Structured algorithmic approach supports clinical decision-making
• Succinct presentation of clinically relevant basic science
• End-of-chapter summaries, with suggestions for further reading
• Collaborative approach and multidisciplinary nature of perioperative medicine emphasized
• Extensive summary tables
• Portable and formatted for quick retrieval of information
• Ideal for use in the OR, the PACU, and the ICU
Cuprins
Preface.- Part I. Basics of Neuroanesthesia Care.- 1. The Adult Central Nervous System: Anatomy and Physiology.- 2.Neuroendocrine Physiology: Fundamentals and Common Syndromes.- 3. Cerebral Edema: Pathophysiology and Principles of Management.- 4. Management of Fluids, Electrolytes and Blood Products in Neurosurgical Patients.- 5. Key Monitoring in Neuroanesthesia: Principles, Techniques and Indications.- Part II. Preoperative Concerns of the Neuroanesthesiologist.- 6. Cardiovascular Risk and Instability: Evaluation, Management and Triage.- 7. Risk Assessment of Critical Carotid Stenosis Treatment: Suggestions for Perioperative Management.- 8. Subarachnoid Hemorrhage: Risk Assessment and Perioperative Management.- 9. Traumatic Brain Injury: Risk Assessment and Perioperative Management.- 10. Rare Neurologic Disorders and Neuromuscular Diseases: Risk Assessment and Perioperative Management.- 11. Perioperative Pharmacotherapy in Neurosurgery: Risk Assessment and Planning.- 12. Specific Considerations Regarding Consent and Communication with Patients and Family Prior to Neurosurgery.- Part III. Fundamentals of Adult Neurosurgery and Neuroanesthesia.- 13. Preparing for Anesthesia in Neurosurgical Patients.- 14. Basics of Neurosurgical Techniques and Procedures.- 15. Positioning the Patient for Neurosurgical Operations.- 16. The Intra-Operative Team: Getting the Most Out of Collaborative Care in the Operating Room.- Part IV. Critical Situations During Anesthesia for Brain Surgery in Adults.- 17. The “Tight Brain”: Cerebral Herniation Syndrome.- 18. Cerebral Ischemia: Options for Perioperative Neuroprotection.- 19. Massive Hemorrhage during Craniotomy: Emergency Management.- 20. Challenges During Anesthesia for Awake Craniotomy.- 21. Perioperative Challenges During Stereotactic Neurosurgery and Deep Brain Stimulator Placement.- 22. Perioperative Challenges During Posterior Fossa Surgery.- 23. Perioperative Challenges During Release of Subdural and Epidural Hemorrhage.- 24. Perioperative Challenges During Cerebrovascular Surgery.- 25. Perioperative Challenges During Pituitary Surgery.- 26. Perioperative Challenges During Craniotomy for Space-Occupying Brain Lesions.- Part V. Critical Situations During Anesthesia for Spinal Surgery in Adults.- 27. Perioperative Challenges in Patients with Unstable Spine.- 28. Airway crisis associated with cervical spine surgery.- 29. Spinal Cord Injury During Spinal Surgery.- 30. Blood Loss During Spinal Surgery.- 31. Coagulopathy in spinal surgery.- 32. Postoperative Visual Loss Following Spinal Surgery.- Part VI. Critical Situations During Anesthesia for Other Procedures in Adult Surgery.- 33. Perioperative Challenges During Diagnostic and Perioperative Magnetic Resonance Imaging (MRI).- 34. Perioperative Challenges During Electroconvulsive Therapy (ECT).- 35. Perioperative Challenges During Carotid Artery Revascularization.- Part VII. Specific Perioperative Concerns in Adult Neuroanesthesia.- 36. Venous Air Embolism During Surgery.- 37. Arterial Hypotension and Hypertension During Neurosurgical Procedures.- 38. Hyperthermia and Hypothermia During Neurosurgical Procedures.- 39. Challenges Associated with Perioperative Monitoring During Neurosurgery.- 40. Unintended Wake-up During Surgery.- 41. Cardiac arrest/Code.- 42. Arousal From Anesthesia After Neurosurgical Operations.- 43. Communication Challenges During The Perioperative Period.- Part VIII. Fundamentals of Pediatric Neurosurgery and Neuroanesthesia.- 44. Anatomy and physiology of the central nervous system in children.- 45. Pediatric Anesthetic Care Requirements.- 46. The Pediatric Airway in Neurosurgery.- 47. Specific Aspects of Positioning and Fluids, Glucose, and Temperature Management in Children Undergoing Neurosurgical Procedures.- Part IX. Critical Situations During Anesthesia for Pediatric Surgery.- 48. Challenges During Surgery for Hydrocephalus.- 49. Challenges During Surgery for Traumatic Brain Injury.- 50. Challenges During Surgery for Meningomyelocele and Encephalomyelocele.- 51. Challenges During Cranial Decompression.- 52. Challenges During Surgery for Craniosynostosis and Craniofacial Surgery.- 53. Challenges During Tumor Surgery in Children and Infants.- 54. Challenges During Surgery for Vascular Anomalies in Pediatrics.- 55. Challenges During Epilepsy Surgery in Pediatric Patients.- 56. Challenges During Pediatric Endoscopic Neurosurgery.- Part X. Postoperative Concerns in Neuroanesthesia.- 57. Emergence From Anesthesia Following Pediatric Neurosurgery.- 58. Postanesthesia Care Unit Risks Following Pediatric Neurosurgery.- 59. Intensive Care Risks of Pediatric Neurosurgery.- Part XI. Fundamentals of Interventional Neuroradiology.- 60. Radiation Safety in Interventional Neuroradiology.- 61. Understanding Basic Techniques and Procedures in Interventional Neuroradiology.- 62. Basics of Image Interpretation in Interventional Neuroradiology.- Part XII. Specific Concerns Regarding Anesthesia for Interventional Neuroradiology.- 63. Procedural Challenges in Interventional Neuroradiology.- 64. Anesthesiological Challenges During Neuroradiological Interventions.- 65. Specific Challenges During Neuroradiological Interventions in Pediatric Patients.- Part XIII. Challenges During Postoperaitve Anesthesia Care After Neurosurgery.- 66. Surgical Emergencies After Neurosurgery.- 67. Airway Emergencies After Neurosurgery.- 68. Neurologic Emergencies After Neurosurgery.- 69. Hemodynamic Complications After Neurosurgery.- 70. Endocrinologic Emergencies After Neurosurgery.- 71. Postoperative Paralysis, Skin Lesions, and Corneal Abrasions After Neurosurgery.- 72. Postoperative pain management in patients after neurosurgical operations.- 73. Management of Postoperative Nausea and Vomiting After Neurosurgery.- 74. The Transport of Neurosurgical Patients.- Part XIV. Challenges in Neurocritical Care of Neurosurgical Patients.- 75. Altered Mental Status in Neurosurgical Critical Care.- 76. Cerebrovascular Vasospasm, Normal Pressure Breakthrough Edema, Posterior Reversible Encephalopathy Syndrome (PRES) in Neurosurgical Critical Care.- 77. Sedation, Analgesia, and Neuromuscular Blockade in Neurosurgical Critical Care.- 78. Airway and Pulmonary Management in Neurosurgical Critical Care.- 79. Myocardial and Vascular Management in Neurosurgical Critical Care.- 80. Nutrition and Glucose Management in Neurosurgical Critical Care.- 81. Fluid and Electrolyte Management in Neurosurgical Critical Care.- 82. Temperature Management in Neurosurgical Critical Care.- 83. Coagulation Management in Neurosurgical Critical Care.- 84. Gastrointestinal Hemorrhage in Neurosurgical Critical Care.- 85. Intracranial Monitors in Neurosurgical Critical Care.- 86. Central Nervous System Infection in Neurosurgical Critical Care.- 87. Antiepileptic Drug Therapy in Neurosurgical Critical Care.- 88. Withdrawal of mechanical ventilation in neurosurgical critical care.- 89. Brain Death in Neurosurgical Critical Care.- 90. Organ Donation in Neurosurgical Critical Care.- 91. Interaction with Family and Friends in Neurosurgical Critical Care.- Index.
Despre autor
Ansgar M. Brambrink, MD, Ph DProfessor Department of Anesthesiology and Perioperative Medicine Oregon Health and Science University School of Medicine Portland, OR 97239 USA
Jeffrey R. Kirsch, MDProfessor and Chair Department of Anesthesiology and Perioperative Medicine Oregon Health and Science University School of Medicine Portland, OR 97239 USA
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