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Updated: Jul 6, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
The Funnel: From the Skull Base to the Sacrum. New Trends and Technologies in Anaesthesia for the Adult Patient
F Tosi1, R Festa1, Massimiliano Visocchi2
1, Rome, Italy.
Insights
Managing pediatric neurosurgery requires a multidisciplinary approach, addressing preoperative, intraoperative, and postoperative challenges like blood transfusions and anesthesia to ensure patient safety.
Area of Science:
- Pediatric Neurosurgery
- Anesthesiology
- Critical Care Medicine
Background:
- Pediatric neurosurgery involves complex patient management.
- Challenges include massive transfusions, prolonged anesthesia, and airway issues.
Purpose of the Study:
- To optimize and enhance the safety of pediatric neurosurgery.
- To highlight critical aspects across perioperative phases.
Main Methods:
- Multidisciplinary team approach.
- Systematic review of perioperative challenges.
- Focus on preoperative, intraoperative, and postoperative phases.
Main Results:
- Identification of key risks in pediatric neurosurgical care.
- Emphasis on anesthetic and airway management strategies.
- Importance of blood product management.
Conclusions:
- A comprehensive, multidisciplinary strategy is essential for safe pediatric neurosurgery.
- Addressing perioperative complexities improves patient outcomes.
- Continuous optimization of care pathways is crucial.
Abstract:
The management of children affected by neurosurgical pathologies is multidisciplinary and should be set on several fronts.The potential need for massive blood components transfusions, the prolonged anaesthesia in paediatric age that may be often complicated by various forms of syndrome-related problems, and airway management are often encountered.The problems may be divided schematically into three large groups: preoperative, intraoperative and postoperative problems.The aim of this work is to optimize and make paediatric neurosurgery safe by highlighting the most important aspects in the various perioperative phases.
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