Sethuraman Manikandan, Bidkar Prasanna Udupi, Mariappan Ramamani, Deopujari Rajshree C, Vanamoorthy Ponniah, Massand Mayank
Division of Neuroanaesthesia and Neurocritical Care, Sree Chitra Tirunal Institute for Medical Science and Technology (SCTIMST), Thiruvananthapuram, Kerala, India.
Department of Anaesthesiology and Critical Care, Jawaharlal Nehru Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.
Indian J Anaesth. 2023 Jan;67(1):85-90. doi: 10.4103/ija.ija_949_22. Epub 2023 Jan 21.
The practice of neuroanaesthesia has expanded significantly in recent years to keep up with various challenges posed in the perioperative care of patients for neurosurgical, interventional, neuroradiological, and diagnostic procedures. Technological advancements in neuroscience include the intraoperative use of computed tomography scans and angiograms for vascular neurosurgery, magnetic resonance imaging, neuronavigation, expansion of minimally invasive neurosurgery, neuroendoscopy, stereotaxy, radiosurgery, the performance of increasingly complex procedures, advancements in neurocritical care, etc. Recent advancements in neuroanaesthesia that can meet these challenges include the resurgence of ketamine, opioid-free anaesthesia, total intravenous anaesthesia, techniques to facilitate intraoperative neuromonitoring, awake neurosurgical and spine surgeries, etc. The current review provides an update on the recent advancements in neuroanaesthesia and neurocritical care.
近年来,神经麻醉的实践有了显著扩展,以应对神经外科、介入、神经放射和诊断手术患者围手术期护理中提出的各种挑战。神经科学的技术进步包括术中使用计算机断层扫描和血管造影进行血管神经外科手术、磁共振成像、神经导航、微创神经外科手术的扩展、神经内镜检查、立体定向、放射外科手术、越来越复杂手术的开展、神经重症监护的进展等。能够应对这些挑战的神经麻醉最新进展包括氯胺酮的复兴、无阿片类麻醉、全静脉麻醉、促进术中神经监测的技术、清醒神经外科和脊柱手术等。本综述提供了神经麻醉和神经重症监护最新进展的最新情况。