Case Studies in Neuroanesthesia and Neurocritical Care (Case Studies in Neurology)

"The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations"--Provided by publisher. Cover......Page 1 Half-title......Page 3 Title......Page 5 Copyright......Page 6 Contents......Page 7 Contributors......Page 12 Preface......Page 19 Section I: Neuroanesthesia......Page 21 Case description......Page 23 4. Develop a plan......Page 24 References......Page 25 Discussion......Page 27 References......Page 30 Case description......Page 31 Discussion......Page 32 References......Page 34 Discussion......Page 35 References......Page 36 Intravenous analgesics......Page 37 Regional anesthesia......Page 38 Endnote......Page 40 Discussion......Page 41 Cerebellopontine angle......Page 42 References......Page 43 Discussion......Page 44 References......Page 46 Discussion......Page 47 References......Page 49 Discussion......Page 50 References......Page 52 Pathophysiology......Page 53 Conclusion......Page 54 References......Page 55 Discussion......Page 56 References......Page 57 Case description......Page 58 Discussion......Page 59 References......Page 60 Discussion......Page 61 References......Page 64 Case description......Page 65 Discussion......Page 66 References......Page 67 Discussion......Page 68 References......Page 70 Discussion......Page 71 Scenario 1 – Patient with no coronary stents......Page 72 References......Page 73 Case description......Page 75 Discussion......Page 76 References......Page 77 Discussion......Page 79 References......Page 81 Discussion......Page 83 References......Page 85 Discussion......Page 86 References......Page 88 Discussion......Page 90 References......Page 92 Discussion......Page 93 References......Page 95 Case description......Page 97 Discussion......Page 98 References......Page 99 Discussion......Page 100 References......Page 101 Discussion......Page 103 References......Page 104 Discussion......Page 105 References......Page 106 Monitors of cerebral oxygenation and metabolism......Page 108 Electrophysiologic monitors......Page 109 References......Page 110 Discussion......Page 111 Preventing neurologic decline......Page 112 References......Page 113 Discussion......Page 114 References......Page 115 Discussion......Page 116 References......Page 117 Discussion......Page 119 References......Page 120 Parkinsons disease......Page 123 Conclusion......Page 124 References......Page 125 Discussion......Page 126 References......Page 127 Interactions between the STN DBS and levodopa......Page 128 References......Page 129 Discussion......Page 130 References......Page 132 Discussion......Page 133 References......Page 136 Case description......Page 137 Discussion......Page 138 References......Page 139 Case description......Page 141 Discussion......Page 142 References......Page 144 Delayed consequences......Page 145 References......Page 146 Discussion......Page 148 General principles – preoperative history and physical examination......Page 149 Anesthetic technique......Page 150 Conclusion......Page 151 References......Page 152 Sensory evoked potentials......Page 153 Motor evoked potentials......Page 154 Intraoperative changes......Page 155 References......Page 156 Discussion......Page 157 Inhalational agents......Page 158 References......Page 159 Discussion......Page 160 References......Page 161 Case description......Page 163 Discussion......Page 164 References......Page 165 Case description......Page 166 Discussion......Page 167 References......Page 168 References......Page 169 Mechanism of injury......Page 170 Ischemic optic neuropathy (anterior and posterior)......Page 171 Prevention of postoperative visual loss......Page 172 References......Page 173 Discussion......Page 174 References......Page 176 Discussion......Page 177 References......Page 179 Discussion......Page 180 Strategies for difficult extubation......Page 181 References......Page 182 Discussion......Page 183 References......Page 184 Discussion......Page 185 References......Page 187 Case description......Page 188 Discussion......Page 189 References......Page 191 Discussion......Page 192 Conclusion......Page 194 References......Page 195 Case description 1......Page 197 Case description 2......Page 198 References......Page 201 Discussion......Page 202 References......Page 203 Discussion......Page 204 References......Page 205 Preoperative assessment......Page 207 Intraoperative management......Page 208 References......Page 209 Case description......Page 211 Discussion......Page 212 References......Page 214 Discussion......Page 215 References......Page 218 Case description......Page 219 Discussion......Page 220 References......Page 222 Case description......Page 223 Discussion......Page 224 References......Page 226 Preoperative management......Page 227 Intraoperative management......Page 228 References......Page 229 Discussion......Page 230 References......Page 232 Discussion......Page 235 References......Page 237 Term gestation......Page 238 References......Page 240 Discussion......Page 241 Treatment of convulsions......Page 244 Delivery......Page 245 References......Page 246 Case description......Page 247 Discussion......Page 248 References......Page 249 Common causes of acute liver failure......Page 250 Neurologic manifestations of acute liver failure: encephalopathy, cerebral edema, and increased intracranial pressure......Page 251 References......Page 252 Case description......Page 253 Discussion......Page 255 References......Page 256 Discussion......Page 258 References......Page 259 Discussion......Page 261 References......Page 263 Discussion......Page 264 Conclusion......Page 266 References......Page 267 Section II: Neurocritical care......Page 269 Preload......Page 271 References......Page 272 Modes of mechanical ventilation......Page 273 Ventilator weaning......Page 274 Mechanical ventilation in patients with neurologic disorders......Page 275 References......Page 276 Case description......Page 277 Discussion......Page 278 References......Page 279 Discussion......Page 280 References......Page 281 Discussion......Page 282 Conclusion......Page 283 References......Page 284 Discussion......Page 285 Initiation of cooling......Page 286 References......Page 287 Discussion......Page 289 Conclusion......Page 290 References......Page 291 Discussion......Page 292 References......Page 294 Discussion......Page 295 References......Page 296 Discussion......Page 297 References......Page 299 Discussion......Page 301 References......Page 303 Discussion......Page 304 References......Page 306 Discussion......Page 307 References......Page 309 Anticoagulants......Page 311 Reversal of anticoagulation......Page 312 Conclusions......Page 313 References......Page 314 Presentation and diagnosis......Page 315 Medical management......Page 316 Conclusion......Page 317 References......Page 318 Discussion......Page 319 References......Page 323 Who to treat......Page 324 Optimizing cerebral blood flow and oxygenation......Page 325 Reducing cerebral oxygen consumption and demand......Page 326 References......Page 328 References......Page 329 Discussion......Page 331 References......Page 333 Case description......Page 334 Discussion......Page 335 References......Page 336 Discussion......Page 337 References......Page 338 Discussion......Page 341 References......Page 343 Discussion......Page 344 References......Page 345 Discussion......Page 347 References......Page 348 Case description......Page 349 Discussion......Page 350 References......Page 352 Index......Page 353

The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.