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Comparative Studies of Therapeutic Measures to Reduce Subdural Intracranial Pressure During Craniotomy

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Monitoring of Cerebral and Spinal Haemodynamics During Neurosurgery

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Abstract

The level of ICP is of importance in the surgical management of space-occupying cerebral lesions. For many years hyperventilation-induced reduction of cerebral blood volume and mannitol treatment based on osmotic withdrawal of brain tissue water have been used to reduce dural tension before opening of dura mater. Other therapeutic measures to reduce ICP during craniotomy include intravenous administration of indomethacin, placing the patient in the reverse Trendelenburg position and decompression by puncture of cystic tumours. In this chapter three studies are presented. The ICP-reducing effects of hyperventilation, 10 degrees reverse Trendelenburg position, mannitol treatment, indomethacin or surgical decompression in patients subjected to craniotomy in the supine and prone positions in either propofol-fentanyl or propofol-remifentanil anaesthesia are discussed.

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Author information

Authors and Affiliations

  1. Department of Neuroanaesthesia, Aarhus University Hospital, Noorebrogade 44, 8000, Aarhus C, Denmark

    Mads Rasmussen

  2. Hojkolvej 2, 8210, Aarhus V, Denmark

    Georg E. Cold

Authors
  1. Mads Rasmussen
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  2. Georg E. Cold
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Editor information

Editors and Affiliations

  1. Hojkolvej 2, 8210, Aarhus V, Denmark

    Georg E. Cold

  2. Department of Neuroanaesthesia, Aarhus University Hospital, Norrebrogade 44, 8000, Aarhus C, Denmark

    Niels Juul

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© 2008 Springer-Verlag Berlin Heidelberg

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Rasmussen, M., Cold, G. (2008). Comparative Studies of Therapeutic Measures to Reduce Subdural Intracranial Pressure During Craniotomy. In: Cold, G., Juul, N. (eds) Monitoring of Cerebral and Spinal Haemodynamics During Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77873-8_17

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  • DOI: https://doi.org/10.1007/978-3-540-77873-8_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77872-1

  • Online ISBN: 978-3-540-77873-8

  • eBook Packages: MedicineMedicine (R0)

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