Abstract
Brain tumors constitute the majority of neurosurgical pathology that presents for surgery. Tumors vary from benign meningiomas to the aggressive malignant gliomas. Eighty percent of brain tumors are located in the supratentorial fossa, the remaining 20% are located in the posterior fossa.
Neurosurgical anesthesia is a delicate balance between providing adequate cerebral perfusion and optimizing surgical conditions while compensating for underlying neuropathology. Thorough understanding of neurological physiology and how it is affected by anesthetic techniques are imperative for the safe and effective care of the neurosurgical patient.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gracia I, Fabregas N. Craniotomy in sitting position: anesthesiology management. Curr Opin Anesthesiol. 2014;27(5):474–83.
Kumaresan A, Kasper E, Bose R. Anesthetic management of supratentorial tumors. Int Anesthesiol Clin. 2015;53(1):74–86.
Mokri B. The Monro–Kellie hypothesis applications in CSF volume depletion. Neurology. 2001;56(12):1746–8.
Sayegh ET, Fakurnejad S, Oh T, Bloch O, Parsa AT. Anticonvulsant prophylaxis for brain tumor surgery: determining the current best available evidence: a review. J Neurosurg. 2014;121(5):1139–47.
Perks A, Chakravarti S, Manninen P. Preoperative anxiety in neurosurgical patients. J Neurosurg Anesthesiol. 2009;21(2):127–30.
Nilsson UG. Intraoperative positioning of patients under general anesthesia and the risk of postoperative pain and pressure ulcers. J Perianesth Nurs. 2013;28(3):137–43.
Dawson DM, Krarup C. Perioperative nerve lesions. Arch Neurol. 1989;46(12):1355–60.
Kamel I, Barnette R. Positioning patients for spine surgery: avoiding uncommon position-related complications. World J Orthop. 2014;5(4):425.
Lassen NA. Cerebral blood flow and oxygen consumption in man. Physiol Rev. 1959;39(2):183–238.
Czosnyka M, Smielewski P, Piechnik S, Steiner LA, Pickar JD. Cerebral autoregulation following head injury. J Neurosurg. 2001;95(5):756–63.
Schwarz S, Georgiadis D, Aschoff A, Schwab S. Effects of induced hypertension on intracranial pressure and flow velocities of the middle cerebral arteries in patients with large hemispheric stroke. Stroke. 2002;33(4):998–1004.
Strandgaard S. Autoregulation of cerebral blood flow in hypertensive patients. The modifying influence of prolonged antihypertensive treatment on the tolerance to acute, drug-induced hypotension. Circulation. 1976;53(4):720–7.
SAFE Study Investigators, Australian and New Zealand Intensive Care Society Clinical Trials Group, Australian Red Cross Blood Service, George Institute for International Health, Myburgh J, Cooper DJ, Finfer S, Bellomo R, Norton R, Bishop N, Kai Lo S, Vallance S. Saline or albumin for fluid resuscitation in patients with traumatic brain injury. N Engl J Med. 2007;357(9):874.
Schubert A, Mascha E, et al. Effect of cranial surgery and brain tumor size on emergence from anesthesia. Anesthesiology. 1996;85:513–21.
From RP, Warner DS, Todd MM, Sokol MD. Anesthesia for craniotomy: a double blind comparison of alfentinal, fentanyl, and sufentanil. Anesthesiology. 1990;73:896–904.
Bruder NJ. Awakening management after neurosurgery for intracranial tumours. Curr Opin Anaesthesiol. 2002;15(5):477–82.
Muzzi DA, Black S, Losasso TJ, Cucchiara RF. Labetalol and esmolol in the control of hypertension after intracranial surgery. Anesth Analg. 1990;70:68–71.
Basali A, Mascha EJ, Kalfas I, Schubert A. Relation between perioperative hypertension and intracranial hemorrhage after craniotomy. Anesthesiology. 2000;93:48–54.
Kross R, Ferri E, Leung D, et al. A comparative study between a calcium channel blocker (nicardipine) and a combined alpha-beta-blocker (labetalol) for the control of emergence hypertension during craniotomy for tumor surgery. Anesth Analg. 2000;91:904–9.
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.
Sarangi S. Delayed awakening from anesthesia. Internet J Anaesthesiol. 2009;19(1).
Herminghaus A, Löser S, Wilhelm W. Anesthesia for geriatric patients: Part 2: anesthetics, patient age and anesthesia management. Anaesthesist. 2012;61(4):363–74. https://doi.org/10.1007/s00101-012-1985-5.
Frost E. Differential diagnosis of delayed awakening from general anesthesia: a review. Middle East J Anaesthesiol. 2014;22(6):537–48.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Fisicaro, M.D., Shah, A., Audu, P. (2018). Supratentorial Masses: Anesthetic Considerations. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_56
Download citation
DOI: https://doi.org/10.1007/978-3-319-74766-8_56
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-74765-1
Online ISBN: 978-3-319-74766-8
eBook Packages: MedicineMedicine (R0)