By Paul Mongan MD, Dr. Sulpicio G Soriano III, Dr. Tod B Sloan, Glenn P. Gravlee MD
Each bankruptcy presents a finished evaluation of scientific perform concentrating on key issues, medical pearls, and key references. This new textual content presents specialist tips on severe pre-operative, intra-operative and post-operative take care of either grownup and pediatric sufferers present process neurosurgical and neuroradiologic procedures.
A sensible method of Neuroanesthesia is a concise, moveable reference appropriate to be used by way of anesthesia citizens and fellows, training anesthesiologists, nurse anesthetists, and anesthesiologist assistants.
Inside You’ll find:
· A concentrate on either grownup and pediatric neuroanesthesiology and neuroradiological systems, that's serious to supplying the main accomplished textual content on hand for neuroanesthesiology
· Outline layout with highlighted key references, key issues, and medical pearls makes very important info effortless to find
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Additional resources for A Practical Approach to Neuroanesthesia
Nicardipine intravenous bolus dosing for acutely decreasing arterial blood pressure during general anesthesia for cardiac operations: pharmacokinetics, pharmacodynamics, and associated effects on left ventricular function. Anesth Analg. 1999;89(5):1116–1123. 57. Endoh H, Honda T, Ohashi S, et al. The influence of nicardipine-, nitroglycerin-, and prostaglandin E(1)-induced hypotension on cerebral pressure autoregulation in adult patients during propofol-fentanyl anesthesia. Anesth Analg. 2002;94(1): 169–173.
Glucose-containing solutions should not be used in patients who have brain pathology, and should be avoided in patients at risk for cerebral ischemia. 5 . Fluid restriction minimally affects cerebral edema and can lead to hemodynamic instability. T he 22 goal of fluid administration in neuroanesthesia and neurocritical care is to avoid dehydration, to maintain an effective circulating volume, and to prevent inadequate tissue perfusion. Management of the neurosurgical patient requires careful attention to fluid and electrolyte balance over all the perioperative periods .
Summary. The brain is a complex organ which requires homeostasis between cerebral metabolic demand, adequate delivery of metabolic substrates, and removal of waste products. It is the only organ in the human body that resides within a rigid bony container, and its function is sensitive to the changes in intracranial brain, blood, and CSF volumes. 2. Acknowledgment We wish to thank Dr. Dale Pelligrino for valuable feedback on this manuscript. References 1. Lin JS, Anaclet C, Sergeeva OA, et al. The waking brain: an update.
A Practical Approach to Neuroanesthesia by Paul Mongan MD, Dr. Sulpicio G Soriano III, Dr. Tod B Sloan, Glenn P. Gravlee MD