Indian Journal of Neurosurgery 2012; 01(01): 066-071
DOI: 10.4103/2277-9167.94374
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

What our colleagues says.... Basic anesthetic considerations in neurosurgery

Indu,
Arvind Chaturvedi

Subject Editor:
Further Information

Publication History

Publication Date:
18 January 2017 (online)

Abstract

Rapid development in neurosurgical practice poses new challenges for anaesthesiologists requiring search for newer and safer anaesthetic agents and modification in basic anaesthetic techniques. The present article describes the basic neuroanaesthetic considerations and some of the newer developments in anaesthetic drugs and techniques which are important during neurosurgical practice.

 
  • References

  • 1 Wilson-Smith E, Karsli C, Luginbuehl IA, Bissonnette B. The effect of nitrous oxide on cerebral blood flow velocity in children anesthetized with propofol. Acta Anaesthesiol Scand 2003; 47: 307-311
  • 2 Reinstrup P, Ryding E, Algotsson L, Berntman L, Uski T. Effects of nitrous oxide on human regional cerebral blood flow and isolated pial arteries. Anesthesiology 1994; 81: 396-402
  • 3 Watts AD, Luney SR, Lee D, Gelb AW. Effect of nitrous oxide on cerebral blood flow velocity after induction of hypocapnia. J Neurosurg Anesthesiol 1998; 10: 142-145
  • 4 Koenig HM, Pelligrino DA, Albrecht RF. Halothane vasodilation and nitric oxide in rat pial vessels. J Neurosurg Anesthesiol 1993; 5: 264-271
  • 5 McPherson RW, Kirsch JR, Moore LE, Traystman RJ. N omega-nitro-l-arginine-nitro- arginine methyl ester prevents cerebral hyperemia by inhaled anesthetics in dogs. Anesth Analg 1993; 77: 891-897
  • 6 Moore LE, Kirsch JR, Helfaer MA, Tobin JR, McPherson RW, Traystman RJ. Nitric oxide and prostanoids contribute to isoflurane-induced cerebral hyperemia in pigs. Anesthesiology 1994; 80: 1328-1337
  • 7 Madsen JB, Cold GE, Hansen ES, Bardrum B. The effect of isoflurane on cerebral blood flow and metabolism in humans during craniotomy for small supratentorial cerebral tumors. Anesthesiology 1987; 66: 332-336
  • 8 Schlunzen L, Cold GE, Rasmussen M, Vafaee MS. Effects of dose-dependent levels of isoflurane on cerebral blood flow in healthy subjects studied using positron emission tomography. Acta Anaesthesiol Scand 2006; 50: 306-312
  • 9 Kaisti KK, Metsahonkala L, Teras M, Oikonen V, Aalto S, Jaaskelainen S. et al Effects of surgical levels of propofol and sevoflurane anesthesia on cerebral blood flow in healthy subjects studied with positron emission tomography. Anesthesiology 2002; 96: 1358-1370
  • 10 Schlunzen L, Vafaee MS, Cold GE, Rasmussen M, Nielsen JF, Gjedde A. Effects of subanaesthetic and anaesthetic doses of sevoflurane on regional cerebral blood flow in healthy volunteers: A positron emission tomographic study. Acta Anaesthesiol Scand 2004; 48: 1268-1276
  • 11 Reinstrup P, Ryding E, Algotsson L, Berntman L, Uski T. Effects of nitrous oxide on human regional cerebral blood flow and isolated pial arteries. Anesthesiology 1994; 81: 396-402
  • 12 Cho S, Fujigaki T, Uchiyama Y, Fukusaki M, Shibata O, Sumikawa K. Effects of sevoflurane with and without nitrous oxide on human cerebral circulation: Transcranial Doppler study. Anesthesiology 1996; 85: 755-760
  • 13 Kuroda Y, Murakami M, Tsuruta J, Murakawa T, Sakabe T. Blood flow velocity of middle cerebral artery during prolonged anesthesia with halothane, isoflurane and sevoflurane in humans. Anesthesiology 1997; 87: 527-532
  • 14 Matta BF, Heath KJ, Tipping K, Summors AC. Direct cerebral vasodilatory effects of sevoflurane and isoflurane. Anesthesiology 1999; 91: 677-680
  • 15 Holmstrom A, Akeson J. Desflurane increases intracranial pressure more and sevoflurane less than isoflurane in pigs subjected to intracranial hypertension. J Neurosurg Anesthesiol 2004; 16: 136-143
  • 16 Lutz LJ, Milde JH, Milde LN. The cerebral functional, metabolic, and hemodynamic effects of desflurane in dogs. Anesthesiology 1990; 73: 125-131
  • 17 Mielck F, Stephan H, Buhre W, Weyland A, Sonntag H. Effects of 1 MAC desflurane on cerebral metabolism, blood flow and carbon dioxide reactivity in humans. Br J Anaesth 1998; 81: 155-160
  • 18 Milde LN, Milde JH, Michenfelder JD. Cerebral functional, metabolic and hemodynamic effects of etomidate in dogs. Anesthesiology 1985; 63: 371-377
  • 19 McCulloch TJ, Thompson CL, Turner MJ. A randomized crossover comparison of the effects of propofol and sevoflurane on cerebral hemodynamics during carotid endarterectomy. Anesthesiology 2007; 106: 56-64
  • 20 Kikuta K, Takagi Y, Nozaki K, Yamada K, Miyamoto S, Kataoka H. et al Effects of intravenous anesthesia with propofol on regional cortical blood flow and in tracranial pressure in surgery for moyamoya disease. Surg Neurol 2007; 68: 421-424
  • 21 Albanese J, Durbec O, Viviand X, Potie F, Alliez B, Martin C. Sufentanil increases intracranial pressure in patients with head trauma. Anesthesiology 1993; 79: 493-497
  • 22 Sperry RJ, Bailey PL, Reichman MV, Peterson JC, Petersen PB, Pace NL. Fentanyl and sufentanil increase intracranial pressure in head trauma patients. Anesthesiology 1992; 77: 416-420
  • 23 Tateishi A, Maekawa T, Takeshita H, Wakuta K. Diazepam and intracranial pressure. Anesthesiology 1981; 54: 335-337
  • 24 Lanier WL, laizzo PA, Milde JH. Cerebral blood flow and afferent muscle activity following IV succinylcholine in dogs. Anesthesiol Rev 1987; 14: 60-66
  • 25 Tankisi A, Rasmussen M, Juul N, Cold GE. The effects of 10 degrees reverse Trendelenburg on subdural intracranial pressure and cerebral perfusion pressure in patients subjected to craniotomy for cerebral aneurysm. J Neurosurg Anesthesiol 2006; 18: 11-17
  • 26 Stilling M, Karatasi E, Rasmussen M, Tankisi A, Juul N, Cold GE. Subdural intracranial pressure, cerebral perfusion pressure and degree of cerebral swelling in supra- and infra-tentorial space occupying lesions in children. Acta Neurochir Suppl 2005; 95: 133-136
  • 27 Harrison EA, Mackersie A, McEwan A, Facer E. The sitting position for neurosurgery in children: A review of 16 years experience. Br J Anaesth 2002; 88: 12-17
  • 28 Leslie K, Hui R, Kaye AH. Venous air embolism and the sitting position: A case series. J Clin Neurosci 2006; 13: 419-422
  • 29 Alperin N, Hushek SG, Lee SH, Sivaramakrishnan A, Lichtor T. MRI study of cerebral blood flow and CSF flow dynamics in an upright posture: The effect of posture on the intracranial compliance and pressure. Acta Neurochir Suppl 2005; 95: 177-181