Haldar Rudrashish, Singh Bajwa Sukhminder Jit
Department of Anaesthesiology, SGPGI Lucknow, India.
Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Patiala, Punjab, India.
Asian J Neurosurg. 2019 Jul-Sep;14(3):621-625. doi: 10.4103/ajns.AJNS_37_17.
Endoscopic techniques are being used extensively used in the current times for the diagnosis and treatment of numerous intracranial pathologies. Although the morbidity associated with these procedures is lower as compared to other conventional surgical modalities, neuroendoscopic techniques have its own fair share of distinct complications such as bleeding, cerebrospinal fluid leakage, and subdural hematoma. However, certain specific complication fall within the purview of the attending anesthesiologist who should remain vigilant, anticipating these problems to occur and should be well equipped to deal with such contingencies. This review attempts to sensitize the anesthesiologists regarding the well-known as well as rare complications of intracranial neuroendoscopic procedures and to familiarize them with their diverse presentations, preventive strategies, and management protocols.
目前，内镜技术被广泛应用于多种颅内疾病的诊断和治疗。尽管与其他传统手术方式相比，这些手术相关的发病率较低，但神经内镜技术也有其自身独特的并发症，如出血、脑脊液漏和硬膜下血肿。然而，某些特定并发症属于麻醉医生的职责范围，他们应保持警惕，预见这些问题的发生，并应做好应对此类突发事件的充分准备。本综述旨在提高麻醉医生对颅内神经内镜手术常见及罕见并发症的认识，并使他们熟悉这些并发症的不同表现、预防策略和处理方案。
