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Essentials of Neurosurgical Anesthesia & Critical Care pp 185–195Cite as

Massive Hemorrhage During Craniotomy: Emergency Management

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Abstract

The brain is a highly vascular organ, receiving approximately 20% of cardiac output at rest. Thus, rapid exsanguination can result from uncontrolled hemorrhage during a craniotomy. The reported morbidity and mortality from hemorrhage is very high, varying between 5–27% and 0–4%, respectively, in one series and between 8% and 1%, respectively, in another. Therefore, the anesthesiologist must anticipate and prepare for potential massive intraoperative hemorrhage during craniotomy. Intraoperative hemorrhage is more likely to occur during surgical procedures that involve the intracranial vasculature, such as clipping of aneurysms and resection of arteriovenous malformations (AVMs).

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Suggested Reading

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, The State University of New York Downstate Medical Center, Brooklyn, NY, USA

    Lawrence Lai MD & Audrée A. Bendo MD

Authors
  1. Lawrence Lai MD
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  2. Audrée A. Bendo MD
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Corresponding author

Correspondence to Lawrence Lai MD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, and Perioperative Medicine, Professor, University School of Medicine, Portland, 97214, Oregon, USA

    Ansgar M. Brambrink

  2. Department of Anesthesiology, and Perioperative Medicine, Professor and Chair, University School of Medicine, Portland, 97214, Oregon, USA

    Jeffrey R. Kirsch

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© 2012 Springer Science+Business Media, LLC

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Lai, L., Bendo, A.A. (2012). Massive Hemorrhage During Craniotomy: Emergency Management. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09562-2_19

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  • DOI: https://doi.org/10.1007/978-0-387-09562-2_19

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-09561-5

  • Online ISBN: 978-0-387-09562-2

  • eBook Packages: MedicineMedicine (R0)

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