Controversies in the Anesthetic Management of Intraoperative Rupture of Intracranial Aneurysm
Joint Authors
Chowdhury, Tumul
Wilkinson, Marshall
Cappellani, Ronald B.
Petropolis, Andrea
Sandu, Nora
Schaller, Bernhard
Source
Anesthesiology Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-03
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Despite great advancements in the management of aneurysmal subarachnoid hemorrhage (SAH), outcomes following SAH rupture have remained relatively unchanged.
In addition, little data exists to guide the anesthetic management of intraoperative aneurysm rupture (IAR), though intraoperative management may have a significant effect on overall neurological outcomes.
This review highlights the various controversies related to different anesthetic management related to aneurysm rupture.
The first controversy relates to management of preexisting factors that affect risk of IAR.
The second controversy relates to diagnostic techniques, particularly neurophysiological monitoring.
The third controversy pertains to hemodynamic goals.
The neuroprotective effects of various factors, including hypothermia, various anesthetic/pharmacologic agents, and burst suppression, remain poorly understood and have yet to be further elucidated.
Different management strategies for IAR during aneurysmal clipping versus coiling also need further attention.
American Psychological Association (APA)
Chowdhury, Tumul& Petropolis, Andrea& Wilkinson, Marshall& Schaller, Bernhard& Sandu, Nora& Cappellani, Ronald B.. 2014. Controversies in the Anesthetic Management of Intraoperative Rupture of Intracranial Aneurysm. Anesthesiology Research and Practice،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-483746
Modern Language Association (MLA)
Chowdhury, Tumul…[et al.]. Controversies in the Anesthetic Management of Intraoperative Rupture of Intracranial Aneurysm. Anesthesiology Research and Practice No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-483746
American Medical Association (AMA)
Chowdhury, Tumul& Petropolis, Andrea& Wilkinson, Marshall& Schaller, Bernhard& Sandu, Nora& Cappellani, Ronald B.. Controversies in the Anesthetic Management of Intraoperative Rupture of Intracranial Aneurysm. Anesthesiology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-483746
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-483746