This handbook focuses on day-to-day clinical practice for healthcare workers involved in the perioperative treatment of neurosurgical patients. It covers potential problems in neurosurgical anesthesia and critical care and offers management solutions.

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

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 emphasizedExtensive tables and figuresPortable and formatted for quick retrieval of informationIdeal 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
   Punita Sharma, MD, and Frederick Sieber, MD

2.Neuroendocrine Physiology: Fundamentals and Common Syndromes
Joshua H. Atkins, MD, PhD

3. Cerebral Edema: Pathophysiology and Principles of Management
   Andrea Orfanakis, MD

4. Management of Fluids, Electrolytes and Blood Products in Neurosurgical
   Patients
   Renata Rusa, MD and Sadeq Quraishi, MD, MHA

5. Key Monitoring in Neuroanesthesia: Principles, Techniques and Indications
   Martin Smith, MBBS, FRCA

Part II. Preoperative Concerns of the Neuroanesthesiologist

6. Cardiovascular Risk and Instability: Evaluation, Management and Triage
   Philip E. Lund, MD and Jeffrey R. Kirsch, MD

7. Risk Assessment of Critical Carotid Stenosis Treatment: Suggestions for Perioperative Management
   Elizabeth M Macri, MD.

8. Subarachnoid Hemorrhage: Risk Assessment and Perioperative Management
   Chanhung Z. Lee, MD, PhD, Pekka Talke, MD, and Susan Ryan, MD, PhD

9. Traumatic Brain Injury: Risk Assessment and Perioperative Management
   Lingzhong Meng, MD

10. Rare Neurologic Disorders and Neuromuscular Diseases: Risk Assessment and Perioperative Management
    Nicholas Hirsch, MBBS, FRCA FRCP

11. Perioperative Pharmacotherapy in Neurosurgery: Risk Assessment and Planning
    Alejandro E. Delfino, MD and Hernán R. Muñoz, MD, MSc

12. Specific Considerations Regarding Consent and Communication with Patients and Family Prior to Neurosurgery
    Kenneth Abbey, MD, JD and Chloe Allen-Maycock, MD

Part III. Fundamentals of Adult Neurosurgery and Neuroanesthesia

13. Preparing for Anesthesia in Neurosurgical Patients
    Andrea M. Dower BSc MD FRCPC and Pirjo Manninen MD FRCPC

14. Basics of Neurosurgical Techniques and Procedures Kenneth C. Liu, MD; Murat Oztaskin; and Kim J. Burchiel, MD

15. Positioning the Patient for Neurosurgical Operations
    Alexander Zlotnik, MD; Monica S. Vavilala, MD; and Irene Rozet, MD

16. The Intra-Operative Team: Getting the Most Out of Collaborative Care in the Operating Room
    Debra Reeves, RN

Part IV. Critical Situations During Anesthesia for Brain Surgery in Adults

17. The Tight Brain: Cerebral Herniation Syndrome
    Leslie C. Jameson, MD, Paul D. Mongan, MD, Daniel J. Janik, MD, and Tod B. Sloan, MD, MBA, PhD

18. Cerebral Ischemia: Options for Perioperative Neuroprotection
    Martin Soehle, MD

19. Massive Hemorrhage during Craniotomy: Emergency Management
    Lawrence Lai, MD and Audrée A. Bendo, MD

20. Challenges During Anesthesia for Awake Craniotomy
    Judith Dinsmore, MBBS, FRCA

21. Perioperative Challenges During Stereotactic Neurosurgery and Deep Brain Stimulator Placement
    Marc A. Bloom, MD, PhD

22. Perioperative Challenges During Posterior Fossa Surgery
    Martin Schott, MD; Dieter Suhr, MD; and Jan-Peter Jantzen, MD, PhD

23. Perioperative Challenges During Release of Subdural and Epidural Hemorrhage
    Walter van den Bergh, MD, PhD and Olaf Cremer, MD

24. Perioperative Challenges During Cerebrovascular Surgery
    Jeremy D. Fields, MD; Kenneth C. Liu, MD; and Ansgar Brambrink, MD, PhD

25. Perioperative Challenges During Pituitary Surgery
    Shuji Dohi, MD, PhD

26. Perioperative Challenges During Craniotomy for Space-Occupying Brain Lesions
    Chanannait Paisansathan MD and Verna L Baughman MD

Part V. Critical Situations During Anesthesia for Spinal Surgery in Adults

27. Perioperative Challenges in Patients with Unstable Spine
    Carl Helge Nielsen, M.D.

28. Airway crisis associated with cervical spine surgery
    Edward Crosby MD, FRCPC

29. Spinal Cord Injury During Spinal Surgery
    Masahiko Kawaguchi

30. Blood Loss During Spinal Surgery
    Matthew TV Chan, MBBS, FANZCA, FHKCA, FHKAM and Patricia KY Kan, MBBS, FANZCA, FHKCA, FHKAM

31. Coagulopathy in spinal surgery
    Andrew H. Milby, BS, Casey H. Halpern MD, and James M. Schuster MD, PhD

32. Postoperative Visual Loss Following Spinal Surgery
    Lorri Lee, MD

Part VI. Critical Situations During Anesthesia for Other Procedures in Adult Surgery

33. Perioperative Challenges During Diagnostic and Perioperative Magnetic Resonance Imaging (MRI)
    Peter A. Farling. MB, BCh, BAO, FFARCSI, FRCA and Richard C. Corry, MB, ChB, FRCA

34. Perioperative Challenges During Electroconvulsive Therapy (ECT)
    Carrie C. Bowman MS, CRNA and James G. Hilliard MS, CRNA

35. Perioperative Challenges During Carotid Artery Revascularization
    Ursula Schulz, MD and Peter Rothwell, MD

Part VII. Specific Perioperative Concerns in Adult Neuroanesthesia
36. Venous Air Embolism During Surgery
Liping Zhang, MD, Min Li, MD, and Chris C. Lee, MD, PhD

37. Arterial Hypotension and Hypertension During Neurosurgical Procedures
    Kirstin M. Erickson M.D. and Daniel J. Cole M.D.

38. Hyperthermia and Hypothermia During Neurosurgical Procedures
    Akiva Leibowitz, MD, Evgeni Brotfain, MD, Yoram Shapira MD, PhD

39. Challenges Associated with Perioperative Monitoring During Neurosurgery
    Osama Ahmed, MD, and Claudia Robertson, MD

40. Unintended Wake-up During Surgery
    Jeffrey Yoder, MD, and Chris C. Lee, MD, PhD

41. Cardiac arrest/Code
    Michael Bernhard, Jürgen Knapp, and Bernd W. Böttiger

42. Arousal From Anesthesia After Neurosurgical Operations
    W. Scott Jellish, M.D., Ph.D.

43. Communication Challenges During The Perioperative Period
    David Murray, MD

Part VIII. Fundamentals o…