Anesthesia

Awake Craniotomy Anesthesia

The anesthesiologist should know that the essential element of an “anesthetic” for an Awake Craniotomy Anesthesia is the surgeon’s local anesthetic technique. Craniotomy is required for removal of space occupying lesions, intracranial vascular pathologies and for drainage of extradural or intradural haematoma. Most important postoperative considerations are regulation of patient’s ICP status, maintenance of cerebral […]

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Anesthesia in Neurological Disease

Patients with primary neurodegenerative undergoing Anesthesia in Neurological Disease  (Parkinson’s disease, Huntington’s chorea, Alzheimer’s, amyotrophic lateral sclerosis ) or demyelinating diseases (Guillain-Barre’ syndrome, multiple sclerosis, myeloneuropathies) suffer from progressive and sometimes incurable neurologic impairment, neuromuscular involvement, dysautonomia and pulmonary insufficiency. Elective surgery should be scheduled to coincide with periods of remission along with right application

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Anesthesia for Posterior Fossa Surgery

Posterior fossa is a tight infratentorial compartment which harbors vital centers like cerebellum, pons and medulla. Anesthesia for Posterior Fossa Surgery  is employed in carious types of space-occupying lesions, i.e., cerebellar tumours, cerebellopontine angle lesions, medulloblastoma, brainstem glioma occur in this area. The patients with posterior fossa tumor presents with features of raised intracranial pressure, brain

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Anesthesia for Interventional Neuroradiology

Anesthesia for Interventional Neuroradiology has progressed from minimally invasive therapy to complex interventional radiology. In the past, anesthesiologists used to be called for resuscitation after some catastrophe had occurred. Interventional neuroradiology (or endovascular neurosurgery) is the radiologically guided endovascular approach to lesions of the central nervous system or its related circulatory structures to deliver therapeutic

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Acoustic Surgery

Acoustic Surgery can be accomplished with suboccipital, translabyrinthine and middle fossa approaches. The sitting, supine, lateral or park-bench position can be used for the suboccipital approach. Small or medium sized tumours are associated with essentially no mortality, whereas large tumors (>4 cm) have mortality rates of 2-4%. Compromise of the anterior inferior cerebellar artery and

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ACDU Scale

McNarry and Goldhill compared ACDU Scale (Alert, Confused, Drowsy, Unresponsive) and AVPU scale (Alert, responds to Voice, responds to Pain, Unresponsive) by the American college of surgeons with GCS scale for neurological assessment of critically ill ward patients. Just like GCS the ACDS Scale is a method to assess the neurological status and level of

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