Making Endovascular Neurosurgery Safer: Role of the Neuroanesthesiologist

The increasing use of endovascular technique for treating neurovascular diseases underscores the need for the neuroanesthesiologist to be aware of its potentially serious perioperative complications that can directly impact the anesthetic outcome. These unique complications, including intracranial t...

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Bibliographic Details
Main Authors: Megha Uppal Sharma, Pragati Ganjoo, Sachin Jain
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-09-01
Series:Journal of Neuroanaesthesiology and Critical Care
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1670930
Description
Summary:The increasing use of endovascular technique for treating neurovascular diseases underscores the need for the neuroanesthesiologist to be aware of its potentially serious perioperative complications that can directly impact the anesthetic outcome. These unique complications, including intracranial thromboembolism, hemorrhage, and vasospasm, and significant non-neurological complications that necessitate deft handling by experienced anesthesiologists. However, anesthesia for endovascular neurosurgery is generally being managed in remote hospital locations by relatively junior anesthesiologists who are likely to underestimate the importance of these closed-cranium procedures. This review reacquaints the anesthetist with the periprocedural complications of endovascular neurosurgery that would enable their anticipation, prompt diagnosis, and effective management.
ISSN:2348-0548
2348-926X