Mölders Patrick, Alders Jörg Benedikt
Anasthesiol Intensivmed Notfallmed Schmerzther. 2018 Sep;53(9):618-630. doi: 10.1055/s-0043-111004. Epub 2018 Sep 3.
Central aspects of anesthesia management of intracranial interventions are the maintenance of cerebral homeostasis and the prevention of secondary brain damage. The focus is on cerebral metabolism and perfusion pressure, cerebral blood flow and intracranial pressure. Ensuring the balance of these parameters is the essential task of the anesthetist. This article provides insight into current anesthesia procedures. These include clinical cases of elective tumor resection to wake craniotomy. Furthermore this review covers emergencies with acute intracranial pressure increase and intracranial hemorrhage.
颅内手术麻醉管理的核心要点是维持脑内环境稳定并预防继发性脑损伤。重点在于脑代谢和灌注压、脑血流量及颅内压。确保这些参数的平衡是麻醉医生的首要任务。本文深入探讨了当前的麻醉程序。这些包括择期肿瘤切除至清醒开颅手术的临床病例。此外，本综述还涵盖了急性颅内压升高和颅内出血的紧急情况。
