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Anesthesia for intracranial aneurysm surgery.

I A Herrick1, A W Gelb

  • 1Department of Anaesthesia, University of Western Ontario, London, Canada.

Journal of Clinical Anesthesia
|January 1, 1992
PubMed
Summary

Aneurysmal rupture causing subarachnoid hemorrhage has poor outcomes. Optimizing perioperative anesthetic management for intracranial aneurysms can improve patient recovery and surgical conditions.

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Area of Science:

  • Neurosurgery
  • Anesthesiology
  • Neurology

Background:

  • Aneurysmal rupture is the leading cause of subarachnoid hemorrhage (SAH), often resulting in death or disability.
  • Despite advances, the overall prognosis for SAH remains poor.
  • Intracranial aneurysms pose significant surgical risks.

Purpose of the Study:

  • To review current concepts in perioperative management for intracranial aneurysms.
  • To emphasize anesthetic strategies for optimizing surgical conditions and patient recovery.
  • To discuss risks such as rebleeding and vasospasm.

Main Methods:

  • Review of current literature on perioperative management of intracranial aneurysms.
  • Focus on anesthetic considerations for surgical facilitation and patient safety.
  • Discussion of rebleeding, vasospasm, and surgical timing.

Main Results:

  • Advances in neurosurgery, anesthesia, and radiology have reduced operative risk.
  • Overall outcomes following SAH remain disappointing.
  • Perioperative management principles can optimize outcomes for surgical candidates.

Conclusions:

  • Adherence to optimized perioperative anesthetic management is crucial.
  • Strategies focus on facilitating surgery and minimizing complications.
  • Improved outcomes are possible for patients undergoing surgery for intracranial aneurysms.

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