Intubation
Assemble equipment for airway manipulation and intubation. Explain the procedure and reassure patient. Induce general anesthesia (see Induction of anesthesia cognitive aid). Place patient in “sniffing” position. A. Assemble the…
Artery Catheterization
Place the wrist in extension as shown. Wrist splints can assist with proper positioning. Palpate the radial artery pulse using the fingertips of your non-dominant hand. A. Place the wrist…
The Approach to the Pediatric Neurosurgical Patient
FIGURE 15.1 Variation in body composition with age. Neonates have elevated total body water content relative to adults, but reduced fat and muscle stores. b. Muscle mass is less than…
Air Embolism
B. Sitting or semi-sitting craniotomy is the classic procedure associated with VAE. This is the result of having not only an elevated position of surgery, but also due to the…
Intracranial Pressure Monitoring
FIGURE 27.1 Intracranial pressure (ICP)–volume curve. The curve has three parts: A flat part representing good compensatory reserve (A–B), an exponential part representing reduced compensatory reserve (B–C), and a final…
Fluid Management During Neurosurgical Procedures
The [Na+] is multiplied by 2 to account for the accompanying anions (mostly chloride and bicarbonate) that provide electroneutrality. The corrections in the glucose concentration and BUN are to convert…
Coma and Brain Death
2. Multifocal causes are the most diverse group and account for the largest cohort of cases of coma [4]. Trauma is the leading cause of coma followed by vascular lesions…
Anesthesia for Spinal Cord Injury Surgery
Posteriorly, each vertebra has a spinous process attached to bilateral laminae to form an arch. The laminae connect to bilateral transverse processes and then the pedicles, until finally fusing with…
Intracranial Arteriovenous μalformations (AVMs)
3. Indications for intervention a. Both the decision to intervene and the manner of intervention are dependent upon the degree of impairment the patient is experiencing as well as the…
Intracranial Aneurysms
Women by a 3:2 ratio are more likely to have a SAH than men [3]. B. Outcome. Approximately 15% of patients with acute SAH do not survive to hospital admission….
