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Updated: Jun 10, 2026
05:43
Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
Published on: January 13, 2017
Anaesthesia for endoscopic neurosurgical procedures.
Neus Fàbregas1, Rosemary Ann Craen
1Anaesthesiology Department, Hospital Clínic, Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain. fabregas@ub.edu
Current Opinion in Anaesthesiology
|August 19, 2010
Summary
Neuroendoscopic procedures require continuous monitoring of intracranial pressure and blood pressure to detect cerebral ischemia. Tachycardia and hypertension are common complications, necessitating close postoperative observation.
Area of Science:
- Neurosurgery
- Anesthesiology
Background:
- Endoscopic neurosurgery is increasingly used for intracranial diseases.
- Intraventricular procedures may cause sudden increases in intracranial pressure due to irrigating solutions.
- Nasal endoscopic approaches are utilized for skull base surgery, including aneurysms and tumors.
Purpose of the Study:
- To review anesthesia management for neuroendoscopic procedures.
- To identify perioperative complications associated with neuroendoscopy.
Main Methods:
- Analysis of published articles on neuroendoscopic procedures.
- Review of anesthesia management strategies.
- Identification of perioperative complications.
Main Results:
- Cerebral perfusion pressure decreases do not elicit the traditional Cushing's response.
- Tachycardia and hypertension are frequent hemodynamic complications.
- Intraoperative hemorrhage and neural structure injury are key concerns with transnasal approaches.
Conclusions:
- Continuous invasive arterial and intracranial pressure monitoring is crucial for early detection of cerebral ischemia.
- General anesthesia is the preferred anesthetic technique.
- Close postoperative monitoring is essential for managing complications like hemorrhage, hydrocephalus, and electrolyte imbalance.
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