Functional Neurosurgery

Nov 25, 2016 by in ANESTHESIA Comments Off on Functional Neurosurgery

FIGURE 14.1 Deep brain nuclei: Targets for brain electrodes. 1. Parkinson’s disease. Parkinson’s disease is a neurodegenerative condition due to loss of dopaminergic cells in the substantia nigra. Dopamine inhibits…

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Traumatic Brain Injury

Nov 25, 2016 by in ANESTHESIA Comments Off on Traumatic Brain Injury

CLINICAL PEARL In-hospital treatment of TBI should focus on minimizing secondary insults to the injured brain due to hypotension, hypoxemia, hypercarbia, hypocarbia, hyperthermia, intracranial hypertension, seizures, hypoglycemia, and hyperglycemia. A….

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Sitting Position During Surgery

Nov 25, 2016 by in ANESTHESIA Comments Off on Sitting Position During Surgery

FIGURE 21.1 A: Sagittal MRI of the brain with gadolinium demonstrating large pineal region mass compressing the tectal plate and effacing the posterior third ventricle. B: Sagittal MRI following sitting…

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Carotid Endarterectomy

Nov 25, 2016 by in ANESTHESIA Comments Off on Carotid Endarterectomy

FIGURE 7.1 Carotid plaque. (Courtesy of Dr. Ed. Uthman, MD) FIGURE 7.2 Cerebral autoregulation. (Reused from Kincaid MS, Lam AM. Anesthesia for neurosurgery. In: Barash PG, Cullen BF, Stoelting RK,…

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Neurosurgery in the Pregnant Patient

Nov 25, 2016 by in ANESTHESIA Comments Off on Neurosurgery in the Pregnant Patient

2. Aortocaval compression occurs at approximately 20 weeks of gestation when the parturient is positioned supine and the gravid uterus compresses both the aorta and inferior vena cava. This makes…

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Craniofacial Surgery—Pediatric Considerations

Nov 25, 2016 by in ANESTHESIA Comments Off on Craniofacial Surgery—Pediatric Considerations

FIGURE 18.1 Morphologic types of craniosynostosis. Diagrammatic views of different morphologic types of craniosynostosis are shown in the center of the figure. The premature closed suture is marked as a…

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Stroke and Brain Protection

Nov 25, 2016 by in ANESTHESIA Comments Off on Stroke and Brain Protection

23 Stroke and Brain Protection John Dunford I. Introduction II. Pathophysiology of cerebral ischemia A. Histopathologic events B. Biochemical events C. Necrotic cell death D. Apoptotic cell death E. Autophagy…

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