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Case 72 - Neurologiccomplications following cardiothoracic surgery
from Section I - Neuroanesthesia
- By Donn Marciniak, Colleen G. Koch
Edited by George A. Mashour, Ehab Farag
Book: Case Studies in Neuroanesthesia and Neurocritical Care
Published online: 03 May 2011
Print publication: 03 February 2011, pp 241-243
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Summary

A ventriculoperitoneal (VP) shunt, a series of catheters with a unidirectional valve to divert cerebrospinal fluid (CSF) from the brain by draining it into the peritoneum, may be implanted from birth onwards as a definitive surgical correction for hydrocephalus. This chapter presents a case study of a 15-month-old female with a history significant for stenosis of the aqueduct of Sylvius, epilepsy, and VP shunt placement as an infant, presented to the emergency department for evaluation. Endotracheal intubation via direct laryngoscopy was confirmed and general anesthesia was maintained with intravenous anesthesia and intermittent opioids. Communicating hydrocephalus means that CSF can still flow between ventricles but flow is blocked as it exits the ventricles. The obtunded child with acute hydrocephalus requires careful preoperative assessment and monitoring in order to formulate an appropriate anesthetic plan to avoid further rises in intracranial pressure (ICP).

Contributors
- By Basem Abdelmalak, Joseph Abdelmalak, Alaa A. Abd-Elsayed, David L. Adams, Eric E. Adelman, Maged Argalious, Endrit Bala, Gene H. Barnett, Sheron Beltran, Andrew Bielaczyc, William Bingaman, James M. Blum, Alina Bodas, Vera Borzova, Richard Bowers, Adam Brown, Chad M. Brummett, Alexandra S. Bullough, James F. Burke, Juan P. Cata, Neeraj Chaudhary, Michael J. Claybon, Miguel Cruz, Milind Deogaonkar, Vikram Dhawan, Thomas Didier, D. John Doyle, Zeyd Ebrahim, Hesham Elsharkawy, Wael Ali Sakr Esa, Ehab Farag, Ryen D. Fons, Joseph J. Gemmete, Matt Giles, Phil Gillen, Goodarz Golmirzaie, Marcos Gomes, Lisa Grilly, Maged Guirguis, David W. Healy, Heather Hervey-Jumper, Shawn L. Hervey-Jumper, Paul E. Hilliard, Samuel A. Irefin, George K. Istaphanous, Teresa L. Jacobs, Ellen Janke, Greta Jo, James W. Jones, Rami Karroum, Allen Keebler, Stephen J. Kimatian, Colleen G. Koch, Robert Scott Kriss, Andrea Kurz, Jia Lin, Michael D. Maile, Negmeldeen F. Mamoun, Mariel Manlapaz, Edward Manno, Donn Marciniak, Piyush Mathur, Nicholas F. Marko, Matthew Martin, George A. Mashour, Marco Maurtua, Scott T. McCardle, Julie McClelland, Uma Menon, Paul S. Moor, Laurel E. Moore, Ruairi Moulding, Dileep R. Nair, Todd Nelson, Julie Niezgoda, Edward Noguera, Jerome O’Hara, Aditya S. Pandey, Mauricio Perilla, Paul Picton, Marc J. Popovich, J. Javier Provencio, Venkatakrishna Rajajee, Mohit Rastogi, Stacy Ritzman, Lauryn R. Rochlen, Leif Saager, Vivek Sabharwal, Oren Sagher, Kenneth Saliba, Milad Sharifpour, Lesli E. Skolarus, Paul Smythe, Wolf H. Stapelfeldt, William R. Stetler, Peter Stiles, Vijay Tarnal, Khoi D. Than, B. Gregory Thompson, Alparslan Turan, Christopher R. Turner, Justin Upp, Sumeet Vadera, Jennifer Vance, Anthony C. Wang, Robert J. Weil, Marnie B. Welch, Karen K. Wilkins, Erin S. Williams, George N. Youssef, Asma Zakaria, Sherif S. Zaky, Andrew Zura
Edited by George A. Mashour, Ehab Farag
Book: Case Studies in Neuroanesthesia and Neurocritical Care
Published online: 03 May 2011
Print publication: 03 February 2011, pp x-xvi
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Case 72 - Neurologiccomplications following cardiothoracic surgery

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Case 72 - Neurologiccomplications following cardiothoracic surgery

Summary

Contributors