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Perioperative Care of the Pediatric Neurosurgical Patient

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Perioperative Medicine in Pediatric Anesthesia

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Abstract

Age-related differences have to be considered when a child is scheduled for a neurosurgical procedure. Differences in neurophysiology of the developing human brain influence the approach to these patients. The anesthesiologist should pay attention to age-specific symptoms and signs of raised intracranial pressure during preanesthesia assessment. Anesthesia induction and maintenance should be targeted to an adequate age-related perfusion pressure to avoid cerebral ischemia. Main complications could be related to intraoperative blood losses, postoperative metabolic disorders, and seizures. New development in pediatric neurosurgery and critical care allowed improving outcomes of children with neurological and neurosurgical problems. At the same time, specific pediatric neuroanesthesia training should be assured for better management of infants and small children.

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Authors and Affiliations

  1. Anesthesiology Institute, Cleveland Clinic Abu Dhabi (CCAD), Swing Wing L7-207, Swing Wing L7-207, # 112412, Al Maryah Island, Abu Dhabi, United Arab Emirates (UAE)

    Massimo Lamperti MD

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  1. Massimo Lamperti MD
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Correspondence to Massimo Lamperti MD .

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Editors and Affiliations

  1. UCO di Anestesia e Rianimazione, AO-U Policlinico di Catania, Catania, Italy

    Marinella Astuto

  2. MUHC Montreal Children’s Hosp, McGill Un, Department of Anesthesia, Montreal, Canada

    Pablo M Ingelmo

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Lamperti, M. (2016). Perioperative Care of the Pediatric Neurosurgical Patient. In: Astuto, M., Ingelmo, P. (eds) Perioperative Medicine in Pediatric Anesthesia. Anesthesia, Intensive Care and Pain in Neonates and Children. Springer, Cham. https://doi.org/10.1007/978-3-319-21960-8_8

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  • DOI: https://doi.org/10.1007/978-3-319-21960-8_8

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21959-2

  • Online ISBN: 978-3-319-21960-8

  • eBook Packages: MedicineMedicine (R0)

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