Department of Anesthesia and Perioperative Care, University of California , San Francisco, San Francisco, California, USA.
Department of Anaesthesiology, Queen Mary Hospital, University of Hong Kong , Hong Kong.
Neurosurgery. 2022 Jan 1;90(1):1-6. doi: 10.1093/neuros/nyab022.
The perioperative multidisciplinary team approach has probably been best exemplified by the care of awake craniotomy patients. Advancement in anesthesia and meticulous perioperative care has supported the safety and complexity of the surgical and mapping efforts in glioma resection. The discussions in this review will emphasize on anesthetic and perioperative management strategies to prevent complications and minimize their effects if they occur, including current practice guidelines in anesthesia, updates on the applications of anesthetic medications, and emerging devices. Planning the anesthetic and perioperative management is based on understanding the pharmacology of the medications, the goals of different stages of the surgery and mapping, and anticipating potential problems.
围手术期多学科团队方法在清醒开颅术患者的治疗中可能得到了最好的体现。麻醉学的进步和精心的围手术期护理支持了胶质瘤切除术中手术和映射工作的安全性和复杂性。本综述中的讨论将重点介绍预防并发症的麻醉和围手术期管理策略，并在并发症发生时尽量减少其影响，包括麻醉中的当前实践指南、麻醉药物应用的更新以及新兴设备。麻醉和围手术期管理的规划基于对药物药理学、手术和映射不同阶段的目标以及潜在问题的预测的理解。
