Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Neuroanesthesia. Some new aspects]

P Ravussin1, N de Tribolet, G Boulard

  • 1Service d'Anesthésiologie, Centre Hospitalier Universitaire Vaudois, Lausanne.

Neuro-Chirurgie
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Emergence of Bacterial Leaf Blight of Rice in Madagascar: A Recent Introduction from Asia.

Phytopathology·2026
Same author

Proteins of seminal fluid and spermatozoa in the trout (Oncorhynchus mykiss): Partial characterization and variations.

Fish physiology and biochemistry·2013
Same author

Purification of chinook salmon (Oncorhynchus tshawytscha) GH for receptor study.

Fish physiology and biochemistry·2013
Same author

Subfrontal endoscopic fenestration of lamina terminalis: an anatomical study.

Minimally invasive neurosurgery : MIN·2008
Same author

Subarachnoid haemorrhage of unknown cause: Clinical, neuroradiological and evolutive aspects.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia·2008
Same author

Osteoplastic mastoidectomy followed by single-flap temporo-suboccipital craniotomy: combined supra- and infratentorial approach.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia·2008
Same journal

Full-endoscopic uniportal wiltse paraspinal approach with inferior foraminal docking for extraforaminal lumbar disc herniation and foraminal stenosis: technical note and preliminary clinical outcomes.

Neuro-Chirurgie·2026
Same journal

Beyond "Time to Surgery": a structured evidence review and multi-clock framework for emergency cranial neurosurgery.

Neuro-Chirurgie·2026
Same journal

Clinical predictors of overall survival in very elderly patients with spinal osteosarcoma: an analysis of the surveillance, epidemiology, and end results database.

Neuro-Chirurgie·2026
Same journal

Advances in tailored intraparenchymal delivery of regenerative medicine for spinal cord injury: a review of preclinical studies and clinical trials.

Neuro-Chirurgie·2026
Same journal

The renal involvement during lateral lumbar interbody fusion: a radioanatomical study for surgical risk stratification.

Neuro-Chirurgie·2026
Same journal

Chronic inflammatory involvement of the sacral multifidus insertion, predominantly observed after lumbar surgery.

Neuro-Chirurgie·2026
See all related articles

Neuroanesthesia practices are shifting towards maintaining moderate hypocarbia and normal mean arterial pressure (MAP) to ensure optimal cerebral perfusion pressure (CPP) and brain homeostasis.

Area of Science:

  • Neuroanesthesia and Neurosurgery
  • Cerebral Physiology
  • Intensive Care Medicine

Context:

  • Physiologic data from intensive care units (ICUs) regarding oxygen delivery (DO2) and consumption (VO2) are influencing operating room practices.
  • A paradigm shift is occurring in the management of neurosurgical patients, integrating advanced physiological insights.

Purpose:

  • To outline the evolving principles of brain homeostasis in neuroanesthesia.
  • To detail the updated therapeutic strategies for optimizing cerebral function during neurosurgery.

Summary:

  • Current neuroanesthesia emphasizes moderate hypocarbia, avoiding deep levels.
  • Maintaining normal mean arterial pressure (MAP) and cerebral perfusion pressure (CPP) is crucial, supported by normovolemia, a hematocrit of approximately 30%, and light anesthesia.

Related Experiment Videos

  • Appropriate crystalloid solutions (e.g., NaCl 0.9%) and optimized brain relaxation techniques (including mannitol, head elevation, and lumbar drainage) are recommended.

    • Impact:

    • These updated guidelines aim to improve patient outcomes by ensuring adequate brain oxygenation and reducing brain retraction pressures.
    • The integration of new physiologic data promotes a more refined approach to managing brain homeostasis in the perioperative period.