Anesthesia in neurosurgery

This is an automatically translated article.

The article is expertly consulted by Master, Doctor Ton That Quang - Head of Anesthesia - Anesthesia Unit - Department of General Surgery - Vinmec Nha Trang International General Hospital.
Neurosurgical Anesthesia is a sub-specialty of critical care anesthesia. This is a specialty that undertakes anesthetic resuscitation and assists in performing surgeries involving the central nervous system, including the brain and spinal cord, through the assessment of parameters such as intracranial pressure. , cerebral perfusion and cerebral metabolic index during anesthesia

1. Overview of neurosurgery anesthesia

Anesthesiologists in the field of neurosurgery are experts in the field of health care for patients with conditions related to the nervous system such as cerebral aneurysms, arteriovenous malformations, Intracranial tumors, head trauma, neuroradiation procedures, spine surgery and other types of neurosurgery in children.
In addition to the general standards of anesthesia for surgical resuscitation, complex neurosurgery methods also require anesthesiologists to have a thorough understanding of the anatomy and physiology of the nervous system. , learn techniques for in-depth monitoring of brain and spinal cord function. The evaluation of drug effects on cerebral perfusion index, intracranial pressure and cerebral metabolic index as specific intervention methods. Pulmonary artery catheterization or transesophageal echocardiography allows monitoring of brain-related physiological changes and drug effects in neurosurgery

2. Purpose of anesthesia in neurosurgery

The purpose of neurosurgical anesthesia is:
Maintain cerebral perfusion pressure at a level sufficient to supply nerve cells. Maintain stable intracranial pressure. Create necessary and sufficient conditions to conduct surgery. Ensure the patient is under general, balanced anesthesia Allows the patient to recover quickly after surgery. Anesthesia and neurosurgery can carry many risks. Therefore, patients need to perform neurosurgery anesthesia in large hospitals, with adequate facilities to perform anesthesia, and at the same time minimize possible complications.

Vinmec International General Hospital is one of the hospitals that strictly applies safe surgical anesthesia practice standards according to international guidelines. With a team of experienced anesthesiologists and nurses, along with modern equipment such as nerve detectors, ultrasound machines, Karl Storz difficult airway control system, anesthesia monitoring system GE's comprehensive AoA (Adequate of Anesthesia) including monitoring of anesthesia, pain and muscle relaxation will deliver high quality and safety, helping patients to have adequate anesthesia, not awake, no residual relaxant muscle after surgery. Vinmec Health System is also proud to be the first hospital in Vietnam to sign with the World Anesthesiology Association (WFSA) towards the goal of becoming the safest hospital for surgical anesthesia in Southeast Asia.
Master. Dr. Ton That Quang has more than 15 years of experience working in the Anesthesia - Resuscitation industry. Doctor Quang was a doctor at the Department of Anesthesiology and Resuscitation at Khanh Hoa General Hospital and a lecturer at the provincial level of Emergency Resuscitation in Obstetrics and Gynecology before being an Anesthesiologist and Resuscitation Doctor at the Department of General Surgery, General Hospital. International Vinmec Nha Trang.
References: en.wikipedia.org, wfsahq.org
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