Abstract Posterior fossa neurosurgical procedures pose significant risk of damage to the brain stem and cranial nerves contained within, resulting in severe life-threatening consequences. In addition, during posterior fossa surgeries,…
Abstract The need for circulatory arrest during surgical clipping of intracranial aneurysms is uncommon given the recent advances in endovascular options and microsurgical techniques. However, intracranial aneurysms that are large,…
Abstract Refractory status epilepticus (RSE) is a medical and neurologic emergency. Patients who do not respond to standard treatment regimens for status epilepticus are considered to have RSE. The occurrence…
Abstract Advances in monitoring and specifically in echocardiography have enabled anesthesiologists to use a gold standard technology across various clinical scenarios encountered in neurosurgical anesthesia. Transesophageal echocardiography in the hands…
Abstract Emergence from general anesthesia and tracheal extubation is frequently associated with an intense physiologic and metabolic response. These reactions may lead to homeostasis alterations, especially in patients with comorbidities….
Abstract In this era of technology, available monitoring devices in the operating room are multiplying and becoming less and less invasive. They provide insight into multiple systems physiology and help…
Abstract Drugs used in neuroanesthesia should be able to provide optimal brain conditions for surgery and also help maintain adequate brain tissue perfusion to meet increased regional metabolic demands. The…
Abstract The burden is on the anesthesiologist to provide the neurosurgical patient with measures that will protect the brain from the inevitable injury that occurs during neurosurgery. Brain protection can…
Abstract Preanesthetic evaluation is a process of clinical assessment, risk stratification, and optimization before surgery to reduce the perioperative morbidity and mortality. Most neurosurgical procedures are considered to be moderate-…
Abstract Annually, millions of surgeries are carried out worldwide under general anesthesia. Patients undergoing elective or emergency procedures may have important comorbidities affecting significant functions such as cardiovascular, neurologic, and…
