This comprehensive, evidence-based book is intended to serve as a reference for medical practitioners involved in the perioperative care of neurosurgical patients. Fundamental aspects of neuroanesthesiology and neurocritical care are thoroughly examined across 101 chapters, outlining key elements that are crucial to a care provider's knowledge of the practice. These elements include specific diagnostic procedures and treatment options, concepts and applicable details of the available neurosurgical interventions and techniques, and mechanisms necessary to provide top of the line care for patients. Each chapter features definitive and distinct areas of this multi-specialty discipline, and is designed to guide the reader from problem to solution in situations that can arise in the clinical setting.

Essentials of Neurosurgical Anesthesia & Critical Care, 2nd edition is a problem-oriented approach textbook that will aid a wide variety of readers in handling day-to-day issues and developments relevant to the perioperative care of neurosurgical patients.

Provides a comprehensive update on neuroanesthesiology and neurocritical care Serves as a reference for medical practitioners involved in the perioperative care of neurosurgical patients Features sections on specific diagnostic procedures and treatment options, concepts and applicable details of the available neurosurgical interventions and techniques, and mechanisms necessary to provide top of the line care for patients

Autorentext

Ansgar M. Brambrink, MD, PhD

E.M. Papper Professor and Chair

Department of Anesthesiology

College of Physicians & Surgeons

Columbia University Medical Center / NewYork Presbyterian Hospital

New York, NY 10032, USA Jeffrey R. Kirsch, MD
Professor, Chair-Emeritus
Department of Anesthesiology and Perioperative Medicine
Oregon Health & Science University
Portland, OR 97239

Inhalt

Section 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.- 6 - Assessing the Anesthetized State with the Electroencephalogram.- Section II. Preoperative Concerns of the Neuroanesthesiologist.- 7 - Cardiovascular Risk and Instability: Evaluation, Management and Triage.- 8 - Risk Assessment and Treatment of Critical Carotid Stenosis: Suggestions for Perioperative Management.- 9 - Aneurysmal Subarachnoid Hemorrhage: Risk Assessment and Perioperative Complications.- 10 - Traumatic Brain Injury: Risk Assessment and Perioperative Management.- 11 - Rare Neurologic Disorders and Neuromuscular Diseases: Risk Assessment and Perioperative Management.-12 - Perioperative Pharmacotherapy in Neurosurgery: Risk Assessment and Planning.- 13. Specific Considerations Regarding Consent and Communication with Patients and Family Prior to Neurosurgery.- 14. Neurotoxicity of General Anesthetics.- 15. Postoperative Neurocognitive Disorders in the Geriatric Patient.- 16: The Chronic Pain Patient Scheduled For Neurosurgery.- 17 - Anesthesia for Patients Scheduled for Intraoperative Electrophysiological Monitoring.- 18 - Factors Influencing Outcome in Neurosurgical Anesthesia.- 19 - A Comparison of Inhaled Anesthesia and Total Intravenous Anesthesia with Target-Controlled Infusion for Neuroanesthesia.- Section III. Fundamentals of Adult Neurosurgery / Neuroanesthesia.- 20. Preparing for Anesthesia in Neurosurgical Patients.- 21 - Basics of Neurosurgical Techniques and Procedures.- 22 - Positioning the Patient for Neurosurgical Operations.- 23 - The Intraoperative Team: Getting the Most out of Collaborative Care in the Operating Room.- 24 - Next Level Communication.- Section IV. Critical Situations During Anesthesia for Brain Surgery in Adults.- 25: The Tight Brain: Cerebral Herniation Syndrome.- 26: Cerebral Ischemia: Options for Perioperative Neuroprotection.- 27 : Massive Hemorrhage During Craniotomy: Emergency Management.- 28: Challenges During Anesthesia for Awake Craniotomy.- 29: Perioperative Challenges During Stereotactic Neurosurgery and Deep Brain Stimulator Placement.- 30: Perioperative Challenges During Posterior Fossa Surgery.- 31: Perioperative Challenges During Surgical Evacuation of Subdural and Epidural Hematomas.- 32: Perioperative Challenges During Cerebrovascular Surgery.- 33: Perioperative Challenges During Pituitary Surgery.- 34: Perioperative Challenges During Craniotomy for Space-Occupying Brain Lesions.- Section V. Critical Situations During Anesthesia for Spinal Surgery in Adults.- 35: Perioperative Challenges in Patients With Unstable Spine.- 36: Airway Crisis Associated with Cervical Spine Surgery.- 37: Spinal Cord Injury During Spinal Surgery.- 38: Blood Loss During Spinal Surgery.- 39 - Coagulopathy in Spinal Surgery.- 40 - Postoperative Visual Loss Following Spinal Surgery.- Section VI. Critical Situations During Anesthesia for Other Procedures in Adult Neurosurgery.- 41: Perioperative Challenges During Diagnostic and Perioperative Magnetic Resonance Imaging (MRI).- 42: Perioperative Challenges During Electro Convulsive Therapy (ECT) .- 43: Perioperative Challenges During Carotid Artery Revascularization.- VII. Specific Perioperative Concerns in Adult Neuroanesthesia.- 44: Venous Air Embolism During Neurosurgery.- 45 - Arterial Hypotension, Hypertension.- 46 - Hyperthermia and Hypothermia During Neurosurgical Procedures.- 47: Challenges Associated with Perioperative Monitoring During Neurosurgery.- 48: Unintended Wake-up During Neurosurgery.- 49: Cardiac Arrest/Code.- 50: Arousal from Anesthesia: Failure to Emerge.- 51: Communication Challenges During the Perioperative Period.- Section VIII. Fundamentals of Pediatric Neurosurgery and Neuroanesthesia.- 52: Anatomy and Physiology of the Central Nervous System in Children.- 53: Pediatric Anesthetic Care Requirements.- 54: The Pediatric Airway in Neurosurgery.- 55: Specific Aspects of Positioning, Fluids, Glucose Control and Temperature Management.- Section IX. Critical Situations During Anesthesia for Pediatric Neurosurgery.- 56:Challenges During Surgery for Hydrochephalus.- 57: Challenges During Surgery for Traumatic Brain Injury in Children and Adults.- 58: Challenges During Surgery for Meningomyelocele and Encephalomyelocele.- 59: Challenges During Cranial Decompression.- 60: Challenges During Surgery for Craniosynostosis and Craniofacial Surgery.- 61: Challenges During Tumor Surgery in Children and Infants.- 62: Challenges During Surgery for Vascular Anomalies in Pediatrics.- 63: Challenges During Epilepsy Surgery in Pediatric Patients.- 64: Challenges During Pediatric Endoscopic Neurosurgery.- 65: Challenges During Diagnostic and Perioperative Imaging in Children with Brain Pathology.- Section X. Postoperative Concerns in Pediatric Neuroanesthesia.- 66: Emergence from Anesthesia Following Pediatric Neurosurgery.- 67: Postanesthesia Care Unit Risks Following Pediatric Neurosurgery.- 68: Intensive Care Risks of Pediatric Neurosurgery.- Section XI. Fundamentals of Interventional Neuroradiology.- 69: Radiation Safety in Interventional Neuroradiology.- 70: Understanding Basic Techniques and Procedures in Interventional Neuroradiology.- 71: Basics of Image Interpretation in Interventional Neuroradiology.- Section XII. Specific Concerns Regarding Anesthesia for Interventional Neuroradiology.- 72: Procedural Challenges in Interventional Neuroradiology.- 73 - Anesthesiological Challenges During Neuroradiological Interventions.- 74 - Specific Challenges during Neuroradiologic Interventions in Pediatric Patients.- Section XIII. Challenges During Postoperative Anesthesia Care After Neurosurgery.- 75 - Surgical Emergencies After Neurosurgery…