Abstract
Acute brain swelling or the explosion of injured brain from the opened skull during surgery provides no indication for brain hypothermia treatment because multiple mechanical brain tissue lacerations occur in the deep brain. To prevent these complications or the worsening of brain injury, strategies are required that concern anesthesia, surgical position, lowering of brain and core temperature, surgical considerations, and equipment for monitoring the patient in the intensive care unit (ICU).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Binnert C, Tappy L (2002) Microdialysis in the intensive care unit: a novel tool for clinical investigation or monitoring? Curr Opin Clin Nutr Metab Care 5:185–188
Caldwell JE, Heier T, Wright PM, Lin S, McCarthy G, Szenohradszky J, Sharma ML, Hing JP, Schroeder M, Sessler DI (2000) Temperature-dependent pharmacokinetics and pharmacodynamics of vecuronium. Anesthesiology 92:84–93
Clark LC Jr, Spokane RB, Hoffmann RE, Sudan R, Homan MM, Maloney AC, Jacobs SJ, Stroup TL, Winston PE (1988) Polarographic cerebral oxygen availability, fluorocarbon blood levels and efficacy of oxygen transport by emulsions. Biomater Artif Cells Artif Organs. 16:375–393
Hayashi N (2000) Enhanced neuronal damage in severely brain injured patients by hypothalamus, pituitary, and adrenal axis neuro-hormonal changes. In: Hayashi N (ed) Brain hypothermia. Springer, Berlin Heidelberg New York Tokyo, pp 3–26
Hayashi N (2000) The clinical issue and effectiveness of brain hypothermia treatment for severe brain injured patients. In: Hayashi N (ed) Brain hypothermia. Springer, Berlin Heidelberg New York Tokyo, pp 121–151
Leslie K, Bjorksten AR, Ugoni A, Mitchell P (2002) Mild core hypothermia and anesthetic requirement for loss of responsiveness during propofol anesthesia for craniotomy. Anesth Analg 94:1298–1303
Sahin A, Aypar U (2002) Effect of amino acid solutions on intraoperative hypothermia and postoperative shivering. Comparison of two anesthetic regimens. Acta Anaesthesiol Scand 46:64–67
Spitzfaden AC, Jimenez DF, Tobias JD (1999) Propofol for sedation and control of intracranial pressure in children. Pediatr Neurosurg 31:194–200
Triolo AJ, Osterholm JL, Alexander GM, Bell RD, Frazer GD (1990) Local cerebral glucose metabolism after global ischemia: treatment by ventriculocisternal perfusion with a fluorocarbon emulsion. Neurosurgery 26:487–488
Zis AP, McGarvey KA, Clark CM, Lam RW, Adams SA (1992) The role of dopamine in seizure-induced prolactin release in humans. Convuls Ther 8:126–130
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer Japan
About this chapter
Cite this chapter
Hayashi, N., Dietrich, D.W. (2004). Neuron Protection in Injured Brain Tissue During Surgery. In: Brain Hypothermia Treatment. Springer, Tokyo. https://doi.org/10.1007/978-4-431-53953-7_42
Download citation
DOI: https://doi.org/10.1007/978-4-431-53953-7_42
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-67964-6
Online ISBN: 978-4-431-53953-7
eBook Packages: Springer Book Archive