Contemporary Management of Increased Intraoperative Intracranial Pressure: Evidence-Based Anesthetic and Surgical Review

Desai, Virendra R.; Sadrameli, Saeed S.; Hoppe, Szymon; Lee, Jonathan J.; Jenson, Amanda V.; Steele, William J.; Nguyen, Huong Thi Linh; McDonagh, David L.; Britz, Gavin W.

doi:10.1016/j.wneu.2019.05.224

Cited by 6 publications

(3 citation statements)

References 68 publications

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“…Osmolar agents such as mannitol reduce cerebral edema by excreting water content from intracellular tissue into the intravascular compartment. 20 …”

Section: Discussionmentioning

confidence: 99%

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Upward Herniation in Awake Craniotomy: A Case Report

Amparado, MD,

Jose, MD

2024

Acta Med Philipp

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Awake craniotomy has been gaining popularity for the last decade. It allowed maximum tumor resection while avoiding neurological morbidity. However, this technique presents several challenges to both the neurosurgeon and anesthesiologist. In this case, we present a 33-year-old male who was diagnosed with low-grade glioma in the left parieto-occipital, which required surgical resection. Anatomically, the tumor was located in the language area. Hence, it was decided to perform an awake craniotomy excision of the tumor to allow intraoperative cortical mapping to preserve language functions. Intraoperative, a subdural hematoma was noted, and severe pain occurred. Eventually, this leads to an upward herniation of the brain parenchyma. The crisis was addressed promptly with maneuvers to decrease intracranial pressure. Awake craniotomy was abandoned, and the procedure was converted to general anesthesia without the benefit of intraoperative cortical mapping. It is important to note that complications may arise during the procedure, leading to significant harm and debilitation for the patient. Prompt crisis management is necessary to address these potential issues and ensure the highest level of care is provided.

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“…Osmolar agents such as mannitol reduce cerebral edema by excreting water content from intracellular tissue into the intravascular compartment. 20 …”

Section: Discussionmentioning

confidence: 99%

“…Osmolar agents such as mannitol reduce cerebral edema by excreting water content from intracellular tissue into the intravascular compartment. 20 CONClUSION Awake craniotomy has become common in neurosurgical centers. As with any surgical procedure, awake craniotomy presents its own set of complications.…”

Section: Discussionmentioning

confidence: 99%

Upward Herniation in Awake Craniotomy: A Case Report

Amparado, MD,

Jose, MD

2024

Acta Med Philipp

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“…El reconocimiento oportuno del SHIC permite tomar acciones para mejorar desenlaces de pacientes neurocríticos. Es importante recordar que el énfasis no solo está en reducir la hipertensión intracraneana (HIC), sino en optimizar la oxigenación cerebral y homeostasis sistémica, con la finalidad de mejorar sobrevida y recuperación funcional 4 . El siguiente documento tiene por objetivo hacer una revisión sobre el manejo terapéutico del SHIC en general, pero con particular referencia al traumatismo encefalocraneano (TEC), e invitar al lector a familiarizarse con los pacientes neurocríticos de manera práctica.…”

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Actualización en el tratamiento del síndrome de hipertensión intracraneana

et al. 2022

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Update on the management of intracranial hypertension syndromeElevated intracranial pressure (ICP) is a devastating complication, with great impact on neurological status and high morbidity and mortality. Intracranial hypertension (ICH) has multiple etiologies. The natural history of this condition can lead to brain death. The successful management of patients with elevated ICP (> 20-25 mmHg) requires fast and timely recognition, judicious use of invasive monitoring and therapies aimed to reversing its underlying cause. Therefore, it must be managed as a neurological emergency. The objective of this review is to present in a friendly way the diagnostic approach and the management of ICH, focused on general practitioners.

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Airway Management in Neuroanesthesia

Bharadwaj

Sriganesh

2023

The Airway Manual

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Contemporary Management of Increased Intraoperative Intracranial Pressure: Evidence-Based Anesthetic and Surgical Review

Cited by 6 publications

References 68 publications

Upward Herniation in Awake Craniotomy: A Case Report

Upward Herniation in Awake Craniotomy: A Case Report

Actualización en el tratamiento del síndrome de hipertensión intracraneana

Airway Management in Neuroanesthesia

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