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Anesthesia in High-Risk Patients pp 213–225Cite as

Patients with Cerebral Diseases

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Abstract

Embolic and haemodynamic events constitute the main neurological complication during anaesthesia and postoperative period. Ischaemic stroke after major cardiac and vascular surgeries is well described. Conversely, such occurrence seems rare but more insidious in the context of general surgeries. Prevention should start with identification of high-risk patients for perioperative stroke with potential modifiable factors. Then the perioperative strategy should be adapted to individuals. Those patients might benefit from the development of personalized perioperative medicine.

Other patients with chronic disorders like epilepsy, or neurodegenerative diseases (i.e. Alzheimer’s or Parkinson’s), or ageing patients will preferentially present delirium or postoperative cognitive decline and acute clinical deterioration after surgery. These adverse events seem associated with unfavourable outcome. The impact of anaesthetic strategy on the course of the disease remains debated. Future clinical investigations might propose suitable anaesthetic strategy for those patients.

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Authors and Affiliations

  1. Anesthesia and Critical Care Department, Neurological Hospital Pierre Wertheimer, 59 bvd Pinel, 69383, Lyon Cedex 03, France

    C. Binet & A. C. Lukaszewicz

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  1. C. Binet
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  2. A. C. Lukaszewicz
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Correspondence to A. C. Lukaszewicz .

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Editors and Affiliations

  1. Department of Anaesthesiology and Critical Care Medicine, Louis Pradel Hosp, Hospices Civils Lyon, Lyon, Rhône, France

    Jean-Luc Fellahi

  2. Service d'Anesthésie-Réanimation, Hôpital Nord, Marseille cedex 20, France

    Marc Leone

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Binet, C., Lukaszewicz, A.C. (2018). Patients with Cerebral Diseases. In: Fellahi, JL., Leone, M. (eds) Anesthesia in High-Risk Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-60804-4_14

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  • DOI: https://doi.org/10.1007/978-3-319-60804-4_14

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