Neuroanesthesia

Handb Clin Neurol. 2014:121:1623-33. doi: 10.1016/B978-0-7020-4088-7.00106-1.

Abstract

Neuroanesthesia is a subspecialty area of anesthesia that deals with the complex relationships of anesthetic medications, neurosurgical procedures, and the critical care issues that surround the management of these patients. In this chapter we will focus on a brief overview of the key features associated with the management of patients undergoing neurosurgical procedures, including a review of hemodynamic/neurologic effects of anesthetic agents, neurophysiologic monitoring, and unique medical complications associated with these procedures. For successful patient outcomes, multidisciplinary approaches and effective team communications are essential in these high-intensity environments. This chapter should serve as an introduction to the multitude of issues that face the anesthesiologist and surgeon when dealing with this patient population.

Keywords: Anesthesia; inhalational agents; neuroanesthesia; neurophysiologic monitoring; neuroprotection; positioning injury.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Analgesics, Opioid
  • Anesthesia* / adverse effects
  • Anesthetics
  • Anesthetics, Inhalation
  • Cognition Disorders / etiology
  • Cognition Disorders / prevention & control
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Monitoring, Intraoperative
  • Muscle Relaxants, Central
  • Nervous System Diseases / complications
  • Neuroprotective Agents / therapeutic use
  • Neurosurgery / history
  • Neurosurgery / methods*
  • Neurosurgical Procedures
  • Patient Positioning
  • Peripheral Nervous System Diseases / etiology
  • Postoperative Complications / prevention & control
  • Postoperative Complications / psychology

Substances

  • Analgesics, Opioid
  • Anesthetics
  • Anesthetics, Inhalation
  • Muscle Relaxants, Central
  • Neuroprotective Agents