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Anaesthesiological and Intensive Care Management in Craniovertebral Junction Surgery

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Pediatric Craniovertebral Junction Diseases

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 40))

Abstract

The main factors of modern perioperative care of the craniovertebral junction surgery include a comprehensive approach to the patients, including a thorough cardiorespiratory, neurophysiological, and metabolic assessment, intraoperative monitoring of spinal cord function, safe airway management, and judicious use of fluids and blood transfusions. Admission in PICU shortly after the CVJ surgery is mandatory to ensure haemodynamic and respiratory stability and to recognize postoperative complications. Anticipating complications in order to achieve an early treatment and adverse event prophylaxis can contribute to reduced morbidity and mortality and increased patients’ safety. Multidisciplinary management of perioperative patient care and careful pain control is mandatory in order to improve the outcomes.

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Authors and Affiliations

  1. Pediatric Intensive Care Unit, Institute of Anesthesiology and Intensive Care, Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, Rome, 00168, Italy

    Orazio Genovese MD, Federica Tosi MD, Marco Piastra MD, Antonio Chiaretti MD & Giorgio Conti MD

  2. Department of Pediatric Neurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy

    Concezio Di Rocco MD

  3. Institute of Neurosurgery, Università Cattolica del Sacro Cuore, Rome, Italy

    Massimiliano Visocchi MD

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  1. Orazio Genovese MD
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  2. Federica Tosi MD
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  3. Marco Piastra MD
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  4. Antonio Chiaretti MD
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  6. Concezio Di Rocco MD
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  7. Massimiliano Visocchi MD
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Correspondence to Orazio Genovese MD .

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Editors and Affiliations

  1. INI-International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Department of Neurosurgery, Hacettepe University, Sihhiye, Ankara, Turkey

    Nejat Akalan

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Genovese, O. et al. (2014). Anaesthesiological and Intensive Care Management in Craniovertebral Junction Surgery. In: Di Rocco, C., Akalan, N. (eds) Pediatric Craniovertebral Junction Diseases. Advances and Technical Standards in Neurosurgery, vol 40. Springer, Cham. https://doi.org/10.1007/978-3-319-01065-6_5

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  • DOI: https://doi.org/10.1007/978-3-319-01065-6_5

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