Neurosurgical procedures are becoming more common and are taking place in the operating room and in interventional suites. Procedures that used to be performed only at major academic institutions are also being done in small community hospitals, and anesthesiologists in private practice are being asked to care for these patients. In many cases, treatment options are controversial or rapidly evolving. Close cooperation between the anesthesiologist and neurosurgeon is essential to achieve optimal outcomes and early recognition of any adverse events so appropriate therapy can be implemented. Fundamentals of Neuroanesthesia is a comprehensive guide to neuroanesthesia that discusses neurophysiology, neuroanatomy, and neurosurgical procedures and offers practical approaches and solutions to administering neuroanesthesia and providing perioperative care for neurosurgical patients. Chapters emphasize clinical management of neurosurgical problems that may be encountered in community practice as well as major academic medical centers. Highlighted key points, figures, algorithms, and management procedures supplement the text. This book is a must-have volume for general anesthesiologists, anesthesiology fellows, and subspecialists.
Preface |
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vii | |
Acknowledgments |
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ix | |
Contributors |
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xi | |
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1 Central Nervous System Anatomy |
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1 | (15) |
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2 Therapeutic Control of Brain Volume |
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16 | (9) |
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3 Monitoring Cerebral Blood Flow and Metabolism |
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25 | (25) |
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4 Neuromonitoring Basics: Optimizing the Anesthetic |
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50 | (11) |
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5 Cerebral Ischemia and Neuroprotection |
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61 | (16) |
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6 Neuroimaging Techniques |
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77 | (13) |
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7 Pharmacology of Intravenous Sedative---Hypnotic Agents |
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90 | (19) |
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8 Pharmacology of Opioids |
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109 | (11) |
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120 | (11) |
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10 Neuromuscular Blockade in the Patient with Neurologic Disease |
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131 | (11) |
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11 Fluid Management in the Neurosurgical Patient |
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142 | (9) |
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151 | (11) |
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13 Pituitary and Neuroendocrine Surgery |
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162 | (9) |
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14 Anesthesia for Skull Base and Neurovascular Surgery |
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171 | (14) |
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15 Anesthesia for Stereotactic Radiosurgery and Intraoperative Magnetic Resonance Imaging |
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185 | (16) |
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201 | (8) |
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17 Anesthesia for Posterior Fossa Surgery |
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209 | (14) |
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223 | (13) |
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19 Severe Traumatic Brain Injury |
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236 | (10) |
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246 | (10) |
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21 Interventional Neurovascular Surgery |
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256 | (7) |
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22 Carotid Endarterectomy and Carotid Artery Bypass |
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263 | (11) |
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23 Positioning for Neurosurgery |
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274 | (14) |
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24 Airway Management for the Patient with an Unstable Cervical Spine |
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288 | (16) |
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25 Neurosurgery in Pediatrics |
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304 | (8) |
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26 Acute Care Surgery in the Critically Ill Neurosurgical Patient |
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312 | (7) |
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27 Occlusive Cerebrovascular Disease---Perioperative Management |
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319 | (13) |
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28 Neurosurgical Critical Care |
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332 | (15) |
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29 Ethical Considerations and Brain Death |
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347 | (7) |
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30 Quality Management and Perioperative Safety |
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354 | (11) |
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Index |
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365 | |
KJR: Professor of Anesthesiology and Neurosurgery, Yale School of Medicine, New Haven, Connecticut SHR: Professor and Vice Chair for Academic Affairs, Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut IJR: Professor of Anesthesiology and Neurologic Surgery, State University of New York, Stony Brook, New York