Anesthesia for Neurosurgical Procedures
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Pediatric Neuroanesthesia is a field that combines the nuances of anesthesia in children with the distinct considerations to bear in mind in neurosurgical disease and emergencies. The conditions range from congenital malformations requiring immediate surgery in infants to the evolution of these disorders in older children, acute worsening of chronic neurological conditions, and also encompass emergencies secondary to trauma, tumors, and vascular conditions. This chapter outlines the unique concerns to bear in mind for the most common conditions seen in the pediatric population, but is by no means an exhaustive review. A thorough understanding of the changes in neurophysiology with each condition and its anesthetic implications is essential. This is a rapidly developing field; the demands on the anesthesiologist continue to evolve, especially as the field of neurosurgery is rapidly growing. As we become more involved in remote locations such as neuroimaging, the Interventional Radiology Suite, and non-invasive surgeries such as Gamma Knife, it is important that we maintain a thorough understanding of the procedure being performed, and the anesthetic requirements.
KeywordsNeurophysiology Autoregulation Neuromonitoring
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