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12 - Critical Care Management before and after Open and Intravascular Procedures

Published online by Cambridge University Press:  19 May 2022

Andrew M. Naidech
Affiliation:
Northwestern University, Illinois
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Summary

Neurosurgical patients often require care in the neurocritical care unit, and neurocritical care patients often need neurosurgical procedures. A multidisciplinary approach is beneficial for care of these patients. The neurointensivist must have a basic understanding of the indications, operative procedures, and complications of neurosurgical procedures. These include open craniotomies, transsphenoidal skull base surgery, bedside intracranial pressure monitoring, and an ever-expanding array of endovascular procedures. This chapter serves as an introduction to neurosurgical procedures that may be seen by a neurointensivist and a primer for postoperative expectations and management. Disease-specific considerations are included for neurovascular pathologies, operative trauma management, and metastatic tumors.

Type
Chapter
Information
Neurocritical Care , pp. 227 - 251
Publisher: Cambridge University Press
Print publication year: 2022

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References

Greenberg, MS. Handbook of neurosurgery, 7th ed. New York: Thieme; 2010.Google Scholar
Koenig, MA. Cerebral edema and elevated intracranial pressure. Continuum. 2018;24(6):1588–602. doi:10.1212/con.0000000000000665.Google ScholarPubMed
Powers, WJ, Rabinstein, AA, Ackerson, T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50(12):344418. doi:10.1161/str.0000000000000211.CrossRefGoogle Scholar
Morris, P. Practical neuroangiography, 3rd ed. Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins; 2013.Google Scholar
Lamanna, A, Maingard, J, Barras, CD, et al. Carotid artery stenting: current state of evidence and future directions. Acta Neurol Scand. 2019;139:318–33. doi:10.1111/ane.13062.Google ScholarPubMed
Engelter, ST, Traenka, CT, Lyrer, PT. Dissection of cervical and cerebral arteries. Curr Neurol Neurosci Rep. 2017;17(59). doi:10.1007/s11910-017-0769-3.CrossRefGoogle ScholarPubMed
Fried, HI, Nathan, BR, Rowe, AS, et al. The insertion and management of external ventricular drains: an evidence-based consensus statement. Neurocrit Care. 2016;24(1):6181. doi:10.1007/s12028-015-0224-8.CrossRefGoogle ScholarPubMed
Tavakoli, S, Peitz, G, Ares, W, Hafeez, S, Grandhi, R. Complications of invasive intracranial pressure monitoring devices in neurocritical care. Neurosurg Focus. 2017;43(5). doi:10.3171/2017.8.focus17450.CrossRefGoogle ScholarPubMed
Li, Q, Gao, Y, Xin, W, et al. Meta-analysis of prognosis of different treatments for symptomatic moyamoya disease. World Neurosurg. 2019;127:354–61. doi:10.1016/j.wneu.2019.04.062.CrossRefGoogle ScholarPubMed
Derdeyn, CP, Zipfel, GJ, Albuquerque, FC, et al. Management of brain arteriovenous malformations: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2017;48(8):200–24. doi: 10.1161/str.0000000000000134.CrossRefGoogle ScholarPubMed
Gross, BA, Jankowitz, BT, Friedlander, RM. Cerebral intraparenchymal hemorrhage. JAMA. 2019;321(13):1295–303. doi:10.1001/jama.2019.2413.CrossRefGoogle ScholarPubMed
Nahed, BV, Alvarez-Breckenridge, C, Brastianos, PK, et al. Congress of neurological surgeons systematic review and evidence-based practice guidelines on the role of surgery in the management of adults with metastatic brain tumors. Neurosurgery. 2019;84(3):152–55. doi:10.1093/neuros/nyy542.CrossRefGoogle ScholarPubMed

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