Fundamentals of Neuroanesthesia: A Physiologic Approach to Clinical Practice

ISBN : 9780199755981

Keith J. Ruskin; Stanley H. Rosenbaum; Ira J. Rampil
384 ページ
223 x 282 mm

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


KJR: Professor of Anesthesiology and Neurosurgery, Yale School of Medicine, New Haven, Connecticut SHR: Professor and Vice Chair for Academic Affairs, Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut IJR: Professor of Anesthesiology and Neurologic Surgery, State University of New York, Stony Brook, New York