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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

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Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Stages of General Anesthesia01:22

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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Related Experiment Video

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Isolation and Flow Cytometric Analysis of Glioma-infiltrating Peripheral Blood Mononuclear Cells
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Anesthesia for meningioma surgery.

Claas Siegmueller1, Oana Maties1, Adrian Gelb1

  • 1Department of Anesthesia & Perioperative Care, University of California San Francisco, San Francisco, CA, United States.

Handbook of Clinical Neurology
|June 20, 2020
PubMed
Summary

Anesthesia management is crucial for meningioma patients undergoing surgery or radiation. It involves careful preoperative, intraoperative, and postoperative care to ensure patient safety and optimal outcomes.

Keywords:
Airway assessmentAnesthetic agentsCardiorespiratory assessmentCerebral blood flowIntravenous fluid managementNeuromonitoringPain controlPatient positioningPostoperative nausea and vomitingPreoperative investigationsPreoperative testing

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Area of Science:

  • Neurosurgery
  • Anesthesiology

Background:

  • Meningioma treatment often necessitates anesthesia for procedures like craniotomy, tumor embolization, and radiosurgery.
  • Effective perioperative anesthesia management is essential for patient care throughout the treatment journey.

Purpose of the Study:

  • To outline the critical components of anesthesia management for meningioma patients.
  • To emphasize the anesthesiologist's role in optimizing patient care across all treatment phases.

Main Methods:

  • Preoperative assessment focusing on cardiorespiratory, neurologic, and airway status, alongside comorbidity management.
  • Intraoperative care aimed at maintaining brain physiology, supporting surgery, and preserving homeostasis.
  • Postoperative management including pain control, nausea/vomiting prevention, and intensive care when needed.

Main Results:

  • Comprehensive anesthesia management ensures patient safety and facilitates successful meningioma treatment.
  • Addressing comorbidities preoperatively optimizes patient condition for surgical intervention.
  • Maintaining physiological stability during surgery is key to preserving brain function and overall homeostasis.

Conclusions:

  • Anesthesia management is a vital, continuous process for meningioma patients from preoperative evaluation through postoperative recovery.
  • The anesthesiologist plays a critical role in managing complex patient needs, ensuring optimal outcomes for meningioma treatment.
  • Multifaceted anesthesia care, encompassing all perioperative phases, is integral to successful meningioma patient management.