- 810 Downloads
Since 1994 we have followed the principles of current neuroanaesthesia, including measurement of subdural ICP and cerebral perfusion pressure, and the data have been prospectively registered. In the first study of the procedure we described the method of subdural ICP monitoring during anaesthesia and found a fairly good correlation in paired subdural ICP measurements and almost identical pressure waves and levels of ICP. In this chapter the method for subdural ICP monitoring and the monitoring of other physiological parameters that we utilize are described in detail. The anaesthetic techniques used, both inhaled and intravenous, are discussed. The scale for the surgeons’ estimation of dural tension is disclosed, and the comparative studies mentioned in subsequent chapters are briefly described. A short summary of the statistical methods used is added.
KeywordsInternal Jugular Vein Cerebral Perfusion Pressure Minimal Alveolar Concentration Cerebral Tumour Radial Artery Catheter
Unable to display preview. Download preview PDF.
- Clenaghan S, McLaughlin RE, Martyn C et al (2005) Relationship between Trendelenburg tilt and internal jugular vein diameter. Emerg Med J 23:661Google Scholar
- Petersen KD, Landsfeldt U, Cold GE et al (2003) Intracranial pressure and cerebral hemodynamic in patients with cerebral tumours. A randomized prospective study of patients subjected to craniotomy in propofol-fentanyl, isoflurane-fentanyl, or sevoflurane-fentanyl. Anesthesiology 98:329–336PubMedCrossRefGoogle Scholar