Anesthesiological Techniques in Laser Neurosurgery
The introduction of laser use in neurosurgery has modified operative techniques and improved the quality of surgical management, as well as influencing general anesthesia. Surgical and anesthesiological procedures in neurosurgery, more than in the other surgical fields, are strictly complementary. Surgery may be facilitated and its consequences better controlled but anesthesiological procedures may also cause serious damage indirectly to healthy tissue surrounding a lesion. However selective and less traumatic surgical maneuvers can facilitate anesthesia and limit the negative effects of drugs and anesthetic techniques by allowing less prolonged administration and lower doses of drugs, and by requiring less complicated and dangerous techniques or reducing at least the time of their use. The direct relationship of anesthesia to cerebral physiology and intracranial dynamics in surgical procedures suggests on the operative field some anesthesiological considerations for those operations in which laser sources (CO2-Nd-YAG and argon) are routinely employed.
KeywordsNeurosurgical Procedure Anaesthetic Consideration Exposed Brain Cerebral Physiology Deep General Anesthesia
Unable to display preview. Download preview PDF.
- 1.Alexander, A., Birch, M. D., 1973: Anaesthetic considerations during laser surgery. Anesth. Analg. (Cleve) 52, 53–58.Google Scholar
- 3.Ceruho, L. J., Koht, A., 1983: Anesthesiologic considerations in laser neurosurgery. Laser in Surgery and Medicine 5, 35–38.Google Scholar
- 5.Fasano, V. A., 1984: Experiences on the use of various laser sources (CO2− argon-Nd-YAG) in neurosurgery. In: Proceedings of the American Congress on Laser Neurosurgery II, pp. 32–38. Chicago.Google Scholar
- 6.Fasano, V. A., Lombard, G. F., Urciuoh, R., Benech, F., Ponzio, R. M., Menzio, D., 1984: The influence of the advanced technologies on the traditional surgical techniques. In: Proceedings of the American Congress on Laser Neurosurgery II, pp. 52–58. Chicago.Google Scholar
- 9.Koht, A., 1981: Anesthesiological considerations in laser microneurosurgery. In: Proceedings of the First American Congress on Laser Neurosurgery, pp. 67–69. Chicago.Google Scholar
- 10.Koht, A., Slodan, T. B., 1984: The use of evoked potential and cortical mapping during laser neurosurgery. In: Proceedings of the First Congress of L.A.N.S.L, p. 11. Salzburg.Google Scholar
- 12.Urciuoh, R., Bergamasco, B., Benna, P., Lo Russo, G., 1981: EcoG changes during cerebral tumor laser surgery. In: Laser Tokyo 81 (Atsumi, K., Nimsakul, N., eds.), pp. 16–19. Internat. Society for Laser Surgery.Google Scholar
- 13.Urciuoh, R., 1982: Laser use in neurosurgery and anaesthetic considerations. In: Proceedings of American Congress of Soc. Neurosurgical Anesthesia and Neurologic Supportive Care, pp. 33–38. Las Vegas.Google Scholar
- 14.Urciuoh, R., 1984: High frequency jet ventilation in neurosurgical procedures by laser use. In: Proceedings of the American Congress on Laser Neurosurgery II, pp. 31. ChicagoGoogle Scholar