Introduction Monitoring systemic and central nervous system physiology is fundamental to the perioperative and critical care management of patients with neurologic disease. The clinical neurologic examination remains the cornerstone of…
The use of evoked electrophysiological responses during surgery on the nervous system has become a common tool in the operating room. It is used to map the location of structures…
Acknowledgment The authors wish to thank Dr. Michael M. Todd for the inspiration for Figs. 9.4, 9.5 , and 9.6 and Dr. Mark Zornow for permission to use Figs. 9.7…
Introduction Imaging, with its diverse array of modalities, forms an integral part of decision making in patients with neurological disorders. Diagnostic, prognostic, and pathophysiological information is provided in broadly two…
Introduction The major goals in neurosurgical anesthesia are to provide adequate tissue perfusion to the brain (and spinal cord) so that the regional metabolic demand is met and to provide…
The first section of this chapter reviews cerebrospinal fluid (CSF) with respect to the anatomy of the CSF-containing spaces, physiology, and the effects of anesthetics and other influences. The second…
Acknowledgments The authors would like to express their gratitude and great respect for the late William L. Young, MD, James P. Livingston Professor and Vice Chair, Department of Anesthesiology, University…
Brain metabolism involves both the production and the utilization of energy; catabolism is the breakdown and anabolism is the synthesis of components and molecules in the cells. For energy formation…
Risk • Arnold-Chiari malformation (Chiari Malformation type II or CMII) is found exclusively in pts with myelomeningocele. • Myelomeningocele occurs in 0.6 of 1000 live births. Perioperative Risks • Vocal…
Risk • 15:1,000,000 live births • Equal M:F ratio Perioperative Risk • Aspiration • Bronchospasm • Resp depression • Airway obstruction Perioperative Risk • Aspiration • Bronchospasm • Resp depression…
