Neuroanesthesia, An Issue of Anesthesiology Clinics

1st Edition, Volume 39-1 - February 8, 2021
Editors: Jeffrey R. Kirsch, Cynthia A. Lien
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 6 2 4 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 6 2 5 - 5

This issue of Anesthesiology Clinics, guest edited by Drs. Jeffrey Kirsch and Cindy Lien, focuses on Neuroanesthesia. This is one of four issues each year selected by the series co… Read more

Neuroanesthesia, An Issue of Anesthesiology Clinics

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This issue of Anesthesiology Clinics, guest edited by Drs. Jeffrey Kirsch and Cindy Lien, focuses on Neuroanesthesia. This is one of four issues each year selected by the series consulting editor, Dr. Lee Fleisher. Articles in this issue include, but are not limited to: Degenerative Spine Disease, Craniosynostosis, Supratentorial tumors (including awake craniotomies), Suboccipital Procedures, Acute Stroke, Acute Spinal cord injury, Decompressive surgery for patients with TBI, Neuromonitoring and more.　

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Intracranial Vascular Procedures
Key points
Introduction
Background
Clinical grading & evaluation
Goals
Discussion
Summary
Clinical care points
Perioperative and Anesthetic Considerations for Patients with Degenerative Spine Disease
Key points
Introduction
Preoperative evaluation and management of spine surgery patients
Intraoperative management of spine surgery patients
Postoperative management of spine surgery patients
Summary
Anesthesia for Carotid Endarterectomy, Angioplasty, and Stent
Key points
Introduction
Symptomatic carotid disease management
Asymptomatic carotid disease management
Preoperative evaluation for carotid stenting and carotid endarterectomy
Anesthetic considerations
Summary
Anesthetic Considerations for Pediatric Craniofacial Surgery
Key points
Introduction
Background
Surgical intervention
Preoperative considerations
Special anesthetic concerns
Anesthetic management
Transfusion management
Postoperative management
Summary
Clinical care points
Anesthetic Management of Asleep and Awake Craniotomy for Supratentorial Tumor Resection
Key points
Introduction
Pathophysiology of cerebral perfusion, intracranial pressure, and blood-brain barrier
Surgical considerations
Anesthetic considerations
Intraoperative management
Choice of anesthetic for improved postoperative outcomes and neuroprotection
Role of multimodal pain control and anesthetic adjuncts
Intraoperative monitoring: maintaining adequate perfusion and assessing neural damage
Awake craniotomy
Summary
Clinics Care Points
Anesthetic Management of Patients Undergoing Open Suboccipital Surgery
Key points
Introduction
Anatomy
Surgical indications
Preoperative evaluation
Intraoperative considerations
Summary
Acute Ischemic Stroke
Key points
Introduction
Acute ischemic stroke
Pathophysiology
Grading severity, imaging, treatment
Pathology and hemorrhagic conversion
Endovascular thrombectomy and anesthesia
Perioperative stroke
Predictors of perioperative stroke
Malignant stroke
Perioperative medications and stroke
Summary
Clinics Care Points
Anesthesia for Acute Spinal Cord Injury
Key points
Introduction
A brief overview of spinal anatomy and function
Overview of blood supply to the spinal cord
Mechanisms of spinal cord injury
Signs and symptoms of acute spinal cord injury
Initial evaluation and treatment of spinal cord injury
Principles of management
Anesthetic considerations for emergent spinal cord surgery
Long-term complications
Summary
Clinics Care points
Spinal Cord Tumor Surgery
Key points
Introduction
Definition of spinal cord tumors/background/types of tumors
Evaluation
Treatment
Preoperative considerations
Intraoperative considerations
Postoperative considerations
Summary
Anesthetic Management of Patients Undergoing Intravascular Treatment of Cerebral Aneurysms and Arteriovenous Malformations
Key points
Introduction
Anesthesia for intravascular treatment of cerebral aneurysms
Anesthesia for intravascular management of arteriovenous malformations
Decompressive Surgery for Patients with Traumatic Brain Injury
Key points
Background
Diagnosis
Prognosis
Clinical management
Disease complications
Techniques
Evidence and controversies
Summary
Pain Management in Neurosurgery: Back and Lower Extremity Pain, Trigeminal Neuralgia
Key points
Introduction to low back pain
Minimally invasive techniques to diagnose spine disorders
Therapeutic injections that treat pain from neurologic disorders
Enhanced pain treatment by multimodal approach
Common minimally invasive techniques for back pain treatment
Minimally invasive procedures for nonspine neurologic disorders
Summary
Clinics Care Points
Basics of Neuromonitoring and Anesthetic Considerations
Key points
Introduction
Electroencephalography
Somatosensory evoked potentials
Motor evoked potentials
Cranial nerve electromyogram monitoring
Brainstem auditory evoked potentials
Recommendations for choice of anesthetics during the use of various neuromonitoring modalities
Controversies in neuromonitoring
Intraoperative MRI for Adult and Pediatric Neurosurgery
Key points
Introduction
History of intraoperative MRI
Intraoperative MRI field strengths
Evidence supporting intraoperative MRI use in neurosurgery
Anesthetic considerations for intraoperative MRI
The physical forces of MRI
Equipment and monitoring issues
Limitations of monitoring in the intraoperative MRI environment
Patient positioning and access considerations during intraoperative MRI cases
Contraindications to intraoperative MRI
Creating a culture of safety in the intraoperative MRI suite
Future directions for intraoperative MRI in neurosurgery
Summary
Anesthetic Considerations for Functional Neurosurgery
Key points
Introduction
Functional neurosurgery for movement disorders
Specific procedures and anesthetic considerations
Functional neurosurgery for epilepsy
Summary

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Jeffrey R. Kirsch