Abstract
Prolonged emergence after a neurosurgical procedure is a very disconcerting problem for both the surgeon and anesthesiologist. Delayed emergence may lead to expensive neuroradiologic testing that would otherwise not be done. Failure to emerge from anesthesia after a neurosurgical procedure may be multifactorial in nature and may be affected by the type of anesthesia used, the area of the brain traumatized by surgery, the size of the tumor, and medications administered to the patient prior to surgery (see Fig. 42.1).
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Bhagat H, Dash HH, Bithal PK, Chouhan RS, Pandia MP. Planning for early emergence in neurosurgical patients: a randomized prospective trial of low-dose anesthetics. Anesth Analg. 2008;107(4):1348–55.
Bruder NJ. Awakening management after neurosurgery for intracranial tumours. Curr Opin Anesthesiol. 2002;15(5):477–82.
Grover VK, Tewari MK, Mahajav R. Cranial surgery: impact of tumour size and location on emergence from anaesthesia. J Anesth Clin Phamacol. 2007;23(3):263–8.
Himmelseher S, Pfenninger EB. Anesthetic management of neurosurgical patients. Curr Opin Anaesthesiol. 2001;14(5):483–90.
Schubert A, Mascha E, Bloomfield EL, DeBoer FE, Gupta MK, Ebrahim ZY. Effect of cranial surgery and brain tumor size on emergence from anesthesia. Anesthesiology. 1996;85(3):513–21.
Zelcer J, Wells DG. Anesthetic-related recovery room complications. Anaesth Intensive Care. 1996;15:168.
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© 2012 Springer Science+Business Media, LLC
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Jellish, W.S. (2012). Arousal from Anesthesia After Neurosurgical Operations. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09562-2_42
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DOI: https://doi.org/10.1007/978-0-387-09562-2_42
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