TY - JOUR
T1 - Anesthetic Management of Asleep and Awake Craniotomy for Supratentorial Tumor Resection
AU - Xu, Yifan
AU - Vagnerova, Kamila
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2021/3
Y1 - 2021/3
N2 - Understanding how anesthetics impact cerebral physiology, cerebral blood flow, brain metabolism, brain relaxation, and neurologic recovery is crucial for optimizing anesthesia during supratentorial craniotomies. Intraoperative goals for supratentorial tumor resection include maintaining cerebral perfusion pressure and cerebral autoregulation, optimizing surgical access and neuromonitoring, and facilitating rapid, cooperative emergence. Evidence-based studies increasingly expand the impact of anesthetic care beyond immediate perioperative care into both preoperative optimization and minimizing postoperative consequences. New evidence is needed for neuroanesthesia's role in neurooncology, in preventing conversion from acute to chronic pain, and in decreasing risk of intraoperative ischemia and postoperative delirium.
AB - Understanding how anesthetics impact cerebral physiology, cerebral blood flow, brain metabolism, brain relaxation, and neurologic recovery is crucial for optimizing anesthesia during supratentorial craniotomies. Intraoperative goals for supratentorial tumor resection include maintaining cerebral perfusion pressure and cerebral autoregulation, optimizing surgical access and neuromonitoring, and facilitating rapid, cooperative emergence. Evidence-based studies increasingly expand the impact of anesthetic care beyond immediate perioperative care into both preoperative optimization and minimizing postoperative consequences. New evidence is needed for neuroanesthesia's role in neurooncology, in preventing conversion from acute to chronic pain, and in decreasing risk of intraoperative ischemia and postoperative delirium.
KW - Awake craniotomy
KW - Craniotomy
KW - Intracranial perfusion management
KW - Neuroanesthesia
KW - Supratentorial tumor resection
UR - http://www.scopus.com/inward/record.url?scp=85100558183&partnerID=8YFLogxK
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U2 - 10.1016/j.anclin.2020.11.007
DO - 10.1016/j.anclin.2020.11.007
M3 - Review article
C2 - 33563387
AN - SCOPUS:85100558183
SN - 1932-2275
VL - 39
SP - 71
EP - 92
JO - Anesthesiology Clinics
JF - Anesthesiology Clinics
IS - 1
ER -