By Hemanshu Prabhakar
Complications in Neuroanesthesia specializes in problems which can come up regarding neuroanesthesia perform and discusses its a variety of motives. each one hardship is written as a separate bankruptcy, and the pathophysiology and mechanisms of every trouble, in addition to measures for prognosis, therapy and prevention are mentioned. in the direction of the tip of the e-book, a number of case situations are supplied to the readers that problem readers to diagnose the prospective difficulty for every case. Chapters contain mind and spinal twine difficulties, cardiovascular and hematological difficulties, and nerve and muscle difficulties.
Written in a customary layout, Complications in Neuroanesthesia presents fast and straightforward entry to figuring out difficulties in neuroanesthesia. It offers perception into all attainable issues taking place in the course of perioperative administration of neurosurgical and neurologic sufferers. it's valuable for trainees, clinicians, and researchers within the fields of neurosurgery, neurocritical care, and neurology via supplying an figuring out of preventable mishaps that could happen in neurosurgical or neurologic patients.
- Quick and straightforward reference for figuring out difficulties in neuroanesthesia
- Provides finished insights into all attainable issues happening in the course of perioperative administration of neurosurgical and neurologic patients
- Includes helpful part with scientific case reports of issues in neuroanesthesia
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Extra info for Complications in Neuroanesthesia
7. 8. Factors contributing to development of tension pneumocephalus. itrous oxide anesthesia N Duration of surgery Gross hydrocephalus Presence of a functional ventriculoperitoneal shunt Intraoperative mannitol or furosemide administration Size of air cavity Surgical position of patient (always observed in sitting position) Head position after surgery shunt, intraoperative mannitol or furosemide administration, size of the air cavity, surgical position of the patient, and position of the head after surgery (Box 1).
Controlled hyperventilation is used as a rescue for short duration (not beyond 24 h) until more definitive therapies are instituted. Osmotherapy: Various hyperosmotic agents (urea, glycerol, concentrated human proteins) have been used to ameliorate cerebral edema. However, these are no longer used due to adverse effects, short duration of action, and cost. Mannitol and Hypertonic saline are the major osmotic agent of choice in clinical practice. I. COMPLICATIONS RELATED TO THE BRAIN 54 7. BRAIN SWELLING AND TENSE BRAIN Hyperosmolar agents create an osmotic gradient and cause egress of water from the brain tissue into the vasculature.
Prabhakar H, Bithal PK, Garg A. Tension pneumocephalus after craniotomy in supine position. J Neurosurg Anesthesiol. 2003;15:278–281. Nash R, Wilson M, Adams M, Kitchen N. Spontaneous pneumocephalus presenting with alien limb phenomena. J Laryngol Otol. 2012;126:733–736. Kopelovich JC, de la Garza GO, Greenlee JD, Graham SM, Udeh CI, O’Brien EK. Pneumocephalus with BiPAP use after transsphenoidal surgery. J Clin Anesth. 2012;24:415–418. Machicado JD, Varghese JM, Orlander PR. Cabergoline-induced pneumocephalus in a medically treated macroprolactinoma.