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A Craniotomy Surgery Procedure for Chronic Brain Imaging

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Fluid-therapy for Brain Surgery: A Narrative Review.

Maria Paola Lauretta¹, Luca Marino², Başak Akça³

¹Policlinico Sant'Orsola-Malpighi, Department of Emergency-Urgency, Anaesthesia and Pain Therapy Unit, Bologna, Italy.

Turkish Journal of Anaesthesiology and Reanimation

|October 2, 2025

Summary

Fluid therapy in brain surgery is complex. This review provides updated information on fluid management strategies and their impact on patient outcomes in both elective and emergency neurosurgical procedures.

Keywords:

Blood products brain surgery colloids crystalloids

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Area of Science:

Neurosurgery
Anesthesiology
Critical Care Medicine

Background:

Brain surgery poses unique challenges for anesthesiology teams due to patient and procedural complexity.
Effective fluid therapy management is crucial in neurosurgery, requiring deep knowledge of fluid types and administration protocols.

Purpose of the Study:

To review updated information on fluid therapy in elective and emergency brain surgery.
To provide specific insights into the clinical outcomes associated with different fluid therapy approaches in neurosurgical patients.

Main Methods:

Systematic literature review of current fluid therapy guidelines and research.
Analysis of clinical outcomes data related to fluid management in brain surgery.

Main Results:

Identification of key fluid administration regimens and their effects.
Correlation of specific fluid therapies with patient outcomes, including neurological recovery and complications.

Conclusions:

Optimized fluid therapy is essential for improving patient outcomes in brain surgery.
Further research is needed to refine fluid management strategies for complex neurosurgical cases.