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Postoperative Neurosurgical Care: Recovery Room Misadventures and Immediate Concerns

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Textbook of Neurointensive Care

Abstract

This chapter presents numerous cases in which patients demonstrated postoperative complications. These presentations segue into broader discussions of problems that may be encountered by patients following assorted neurosurgical interventions and various anesthetic techniques.

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References

  1. Gan TJ, Meyer TA, Apfel CC. Society for ambulatory anesthesia guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2007;105:1615–28.

    Article  PubMed  Google Scholar 

  2. Wong GK, Chan MT, Poon WS, et al. Magnesium therapy within 48 hours of an aneurysmal subarachnoid hemorrhage: neuro-panacea. Neurol Res. 2006;28:431–5.

    Article  PubMed  CAS  Google Scholar 

  3. Westermaier T, Stetter C, Vince GH. Prophylactic intravenous magnesium sulfate for the treatment of aneurysmal subarachnoid hemorrhage: a randomized, placebo-controlled clinical study. Crit Care Med. 2010;38:1284–90.

    Article  PubMed  CAS  Google Scholar 

  4. Black S, Enneking FK, Cucchiara RF. Failure to awaken after general anesthesia due to cerebrovascular events. J Neurosurg Anesthesiol. 1998;10:10–5.

    Article  PubMed  CAS  Google Scholar 

  5. De Witte J, Sessler DI. Perioperative shivering: physiology and pharmacology. Anesthesiology. 2002;96:467–84.

    Article  PubMed  Google Scholar 

  6. Xiong J, Kurz A, Sessler DI, et al. Isoflurane produces marked and nonlinear decreases in the vasoconstriction and shivering thresholds. Anesthesiology. 1996;85:240–5.

    Article  PubMed  CAS  Google Scholar 

  7. MacIntyre PE, Pavlin EG, Dwersteg JF. Effect of meperidine on oxygen consumption, carbon dioxide production, and respiratory gas exchange in post anesthesia shivering. Anesth Analg. 1987;66:751–5.

    Article  PubMed  CAS  Google Scholar 

  8. Frank SM, Fleisher LA, Breslow MJ, et al. Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events: a randomized clinical trial. JAMA. 1997;277:1127–34.

    Article  PubMed  CAS  Google Scholar 

  9. Cucchiara RF. Differential awakening. Anesth Analg (Letter). 1992;75:467.

    Article  CAS  Google Scholar 

  10. Strebel S, Lam A, Matta B, et al. Dynamic and static cerebral autoregulation during isoflurane, desflurane, and propofol anesthesia. Anesthesiology. 1995;83:66–76.

    Article  PubMed  CAS  Google Scholar 

  11. Bruder N, Pellissier D, Grillot P, et al. Cerebral hyperemia during recovery from general anesthesia in neurosurgical patients. Anesth Analg. 2002;94:650–4.

    Article  PubMed  Google Scholar 

  12. Shubert A. Cerebral hyperemia, systemic hypertension, and perioperative intracranial morbidity: is there a smoking gun? Anesth Analg. 2002;94:485.

    Article  Google Scholar 

  13. Basali A, Mascha E, Kalfas I, et al. Relation between perioperative hypertension and intracranial hemorrhage after craniotomy. Anesthesiology. 2000;93:48–54.

    Article  PubMed  CAS  Google Scholar 

  14. Lee VH, Connolly HM, Fulgham JR, Manno EM, Brown RD, Wijdicks EFM. Tako-tsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: an underappreciated ventricular dysfunction. J Neurosurg. 2006;105:264–70.

    Article  PubMed  Google Scholar 

  15. Balkin DM, Cohen LS. Takotsubo syndrome. Coron Artery Dis. 2011;22:206–14.

    Article  PubMed  Google Scholar 

  16. Hanna AS, Grindle CR, Patel AA, Rosen MR, Evans JJ. Inadvertent insertion of nasogastric tube into the brain stem and spinal cord after endoscopic skull base surgery. Am J Otolaryngol. 2012;33:178–80.

    Article  PubMed  Google Scholar 

  17. Schade K, Borzotta A, Michaels A. Intracranial malposition of nasopharyngeal airway. J Trauma. 2000;49:967–8.

    Article  PubMed  CAS  Google Scholar 

  18. Shen Y, Drum M, Roth S. The prevalence of perioperative visual loss in the United States: a 10-year study from 1996 to 2005 of spinal, orthopedic, cardiac, and general surgery. Anesth Analg. 2009;109:1534–45.

    Article  PubMed  Google Scholar 

  19. Jeffrey D, Coe JD, Arlet V, et al. Complications in spinal fusion for adolescent idiopathic scoliosis in the new millennium. A Report of the Scoliosis Research Society Morbidity and Mortality Committee. Spine. 2006;31:345–9.

    Article  Google Scholar 

  20. Agarwal A, Sinha PK, Pandey CM, et al. Effect of a subanesthetic dose of intravenous ketamine and/or local anesthetic infiltration on hemodynamic responses to skull-pin placement. J Neurosurg Anesthesiol. 2001;13:189–94.

    Article  PubMed  CAS  Google Scholar 

  21. Nuttall GA, Garrity JA, Dearani JA, et al. Risk factors for ischemic optic neuropathy after cardiopulmonary bypass: a matched case/control study. Anesth Analg. 2001;93:1410–6.

    Article  PubMed  CAS  Google Scholar 

  22. Hashimoto T, Young WL, Prohovnik I, et al. Increased cerebral blood flow after brain arteriovenous malformation resection is substantially independent of changes in cardiac output. J Neurosurg Anesthesiol. 2002;14:204–8.

    Article  PubMed  Google Scholar 

  23. Fardo DJ, Hankins WT, Houskamp W, et al. The hemodynamic effects of local anesthetic injection into the carotid body during carotid endarterectomy. Am Surg. 1999;65:648–51; discussion 651–2.

    PubMed  CAS  Google Scholar 

  24. Maher CO, Wetjen NM, Friedman JA, et al. Intraoperative lidocaine injection into the carotid sinus during endarterectomy. J Neurosurg. 2002;97:80–3.

    Article  PubMed  Google Scholar 

  25. Gravenstein D, Gravenstein N. Intraoperative and immediate postoperative neuroanesthesia. In: Layon AJ, Gabrielli A, Friedman WA, editors. Textbook of neurointensive care. Philadelphia: WB Saunders; 2004.

    Google Scholar 

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Correspondence to Dietrich Gravenstein MD .

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Herman, M.A., Gravenstein, N., Gravenstein, D. (2013). Postoperative Neurosurgical Care: Recovery Room Misadventures and Immediate Concerns. In: Layon, A., Gabrielli, A., Friedman, W. (eds) Textbook of Neurointensive Care. Springer, London. https://doi.org/10.1007/978-1-4471-5226-2_42

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  • DOI: https://doi.org/10.1007/978-1-4471-5226-2_42

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5225-5

  • Online ISBN: 978-1-4471-5226-2

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