The Anesthetic Management of Patients During Posterior Fossa Aneurysm Surgery
The goals of the anesthetic management of patients with cerebral aneurysms are to facilitate the operation and patient recovery while minimizing the risk of intraoperative rupture and the occurrence of neurological deficits. During posterior fossa aneurysm surgery, there are other factors to consider in the management of the patient. These include the positioning of the patient which may be sitting, park bench or prone, and the complications related to these positions. Second, potential complications may occur as a result of the manipulation of vital centers in the brain stem. This chapter will discuss the anesthetic management, positioning, complications and the monitoring of brain stem function during posterior fossa aneurysm surgery. We describe the techniques that we have used and found to be successful. More general reviews are available elsewhere.
KeywordsCerebral Perfusion Pressure Cerebral Spinal Fluid Anesthetic Management Transmural Pressure Spontaneous Ventilation
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