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Anaesthesiological and Intensive Care Management in Craniovertebral Junction Surgery

  • Orazio GenoveseEmail author
  • Federica Tosi
  • Marco Piastra
  • Antonio Chiaretti
  • Giorgio Conti
  • Concezio Di Rocco
  • Massimiliano Visocchi
Chapter
Part of the Advances and Technical Standards in Neurosurgery book series (NEUROSURGERY, volume 40)

Abstract

The main factors of modern perioperative care of the craniovertebral junction surgery include a comprehensive approach to the patients, including a thorough cardiorespiratory, neurophysiological, and metabolic assessment, intraoperative monitoring of spinal cord function, safe airway management, and judicious use of fluids and blood transfusions. Admission in PICU shortly after the CVJ surgery is mandatory to ensure haemodynamic and respiratory stability and to recognize postoperative complications. Anticipating complications in order to achieve an early treatment and adverse event prophylaxis can contribute to reduced morbidity and mortality and increased patients’ safety. Multidisciplinary management of perioperative patient care and careful pain control is mandatory in order to improve the outcomes.

Keywords

Cervical spine surgery Paediatric intensive care Postoperative pain Difficult airway Craniovertebral junction anomalies 

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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Orazio Genovese
    • 1
    Email author
  • Federica Tosi
    • 1
  • Marco Piastra
    • 1
  • Antonio Chiaretti
    • 1
  • Giorgio Conti
    • 1
  • Concezio Di Rocco
    • 2
  • Massimiliano Visocchi
    • 3
  1. 1.Pediatric Intensive Care UnitInstitute of Anesthesiology and Intensive Care, Università Cattolica del Sacro CuoreRomeItaly
  2. 2.Department of Pediatric NeurosurgeryUniversità Cattolica del Sacro CuoreRomeItaly
  3. 3.Institute of Neurosurgery, Università Cattolica del Sacro CuoreRomeItaly

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