Neurosurgical procedures are becoming more common and are taking place in the operating room and in interventional suites. Procedures that used to be performed only at major academic institutions are also being done in small community hospitals, and anesthesiologists in private practice are being asked to care for these patients. In many cases, treatment options are controversial or rapidly evolving. Close cooperation between the anesthesiologist and neurosurgeon is essential to achieve optimal outcomes and early recognition of any adverse events so appropriate therapy can be implemented. Fundamentals of Neuroanesthesia is a comprehensive guide to neuroanesthesia that discusses neurophysiology, neuroanatomy, and neurosurgical procedures and offers practical approaches and solutions to administering neuroanesthesia and providing perioperative care for neurosurgical patients. Chapters emphasize clinical management of neurosurgical problems that may be encountered in community practice as well as major academic medical centers. Highlighted key points, figures, algorithms, and management procedures supplement the text. This book is a must-have volume for general anesthesiologists, anesthesiology fellows, and subspecialists.
1. Central Nervous System Anatomy 2. Therapeutic Control of Brain Volume and Blood Flow 3. Monitoring Blood Flow and Metabolism 4. Monitoring Neurologic Function 5. Cerebral Ischemia and Neuroprotection 6. Neuroimaging Techniques 7. Intravenous Induction Agents and Opioids 8. Inhaled Anesthetics 9. Neuromuscular Blocking Agents 10. Fluid Management in the Neurosurgical Patient 11. Intracranial Tumors 12. Pituitary and Neuroendocrine Surgery 13. Neurovascular Surgery 14. Stereotactic Neurosurgery 15. Awake Craniotomy 16. Posterior Fossa Surgery 17. Epilepsy Surgery 18. Severe Head Injury 19. Spinal Cord Surgery 20. Interventional Neuroradiology 21. Carotid Endarterectomy and Carotid Artery Bypass 22. Surgical Positioning 23. Airway Management in the Patient with an Unstable Cervical Spine 24. Pediatric Neurosurgery 25. Neurosurgery in the Hemodynamically Unstable Patient 26. Occlusive Cerebrovascular Disease 27. Neurosurgical Critical Care 28. Ethical Considerations and Brain Death 29. Quality Management