By Paul Mongan MD, Dr. Sulpicio G Soriano III, Dr. Tod B Sloan, Glenn P. Gravlee MD
Each bankruptcy presents a complete overview of scientific perform targeting key issues, medical pearls, and key references. This new textual content offers specialist tips about severe pre-operative, intra-operative and post-operative take care of either grownup and pediatric sufferers present process neurosurgical and neuroradiologic procedures.
A useful method of Neuroanesthesia is a concise, transportable reference appropriate to be used by means of anesthesia citizens and fellows, training anesthesiologists, nurse anesthetists, and anesthesiologist assistants.
Inside You’ll find:
· A specialise in either grownup and pediatric neuroanesthesiology and neuroradiological strategies, that's serious to delivering the main complete textual content on hand for neuroanesthesiology
· Outline layout with highlighted key references, key issues, and scientific pearls makes very important details effortless to find
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Additional info for A Practical Approach to Neuroanesthesia
C) 2015 Wolters Kluwer. All Rights Reserved. 2 Anesthetic Effects on Cerebral Blood Flow and Metabolism Mark F. Mueller and Verna L. Inhalational agents 11 A. Volatile anesthetics 11 B. Nitrous oxide 15 C. Xenon 15 D. Intravenous anesthetics 15 A. Induction agents 15 B. Benzodiazepines 17 C. Opioids 17 D. Muscle relaxants 17 E. Dexmedetomidine 17 III. Vasoactive medications 17 A. Sodium nitroprusside 17 B. Nitroglycerine 18 C. Nicardipine 18 D. Milrinone 18 E. Dobutamine 18 F. Dopamine 18 G.
Dexmedetomidine 17 III. Vasoactive medications 17 A. Sodium nitroprusside 17 B. Nitroglycerine 18 C. Nicardipine 18 D. Milrinone 18 E. Dobutamine 18 F. Dopamine 18 G. Ephedrine 18 H. Epinephrine 19 I. Norepinephrine 19 J. Phenylephrine 19 K. Vasopressin 19 L. Esmolol 19 M. Labetalol 19 IV. Conclusion 19 Key points 1 . Inhalational anesthetics cause a dose-dependent decrease in cerebral metabolism with an increase in cerebral blood flow (decoupling of flow from metabolism). 2 . Nitrous oxide and ketamine are notable exceptions to these rules.
2001;48(4):723–728. 60. Oh YJ, Kim SH, Shinn HK, et al. Effects of milrinone on jugular bulb oxygen saturation and cerebrovascular carbon dioxide reactivity in patients undergoing coronary artery bypass graft surgery. Br J Anaesth. 2004;93(5):634–638. 61. Berré J, De Backer D, Moraine JJ, et al. Dobutamine increases cerebral blood flow velocity and jugular bulb hemoglobin saturation in septic patients. Crit Care Med. 1997;25(3):392–398. 62. Haenggi M, Andermatt A, Anthamatten C, et al. CO(2)-dependent vasomotor reactivity of cerebral arteries in patients with severe traumatic brain injury: time course and effect of augmentation of cardiac output with dobutamine.