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

Autorentext

Ansgar M. Brambrink, MD, PhD
Professor
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University School of Medicine
Portland, OR 97239 USA

Jeffrey R. Kirsch, MD
Professor and Chair
Department of Anesthesiology and Perioperative Medicine
Oregon Health and Science University School of Medicine
Portland, OR 97239 USA

Inhalt
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 ofSubdural 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 BrainInjury.- 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...