Neurosurgical procedures

Mendelowitsch A, Sekhar LN, Caputy AJ, Shuaib A. 1998. Intraoperative on-line monitoring of cerebral pH by microdialysis in neurosurgical procedures. Neurol Res 20(2) 142-148. 

Intrathecal therapy may be considered an alternative to destructive neurosurgical procedures. Prior to implantation of a device for chronic intrathecal infusion, patients must show a response in a screening trial. 

Sufentanil is much more potent than fentanyl and is indicated specihcally for long neurosurgical procedures. In such patients, sufentanil maintains anesthesia over a long period when myocardial and cerebral oxygen balance are critical. 

Contraindications Neurosurgical procedures, open wounds, severe hypertension, severe hepatic or renal damage, spinal puncture, uncontrolled bleeding, ulcers... 

A neurosurgical procedure used for the treatment of therapy-resistant depression. 

The use of deep brain stimulation (DBS) as a therapeutic tool in psychiatry is in the early stages of development. The treatment has been used for several years as a neurosurgical procedure, especially in the treatment of movement disorders (e.g., Parkinson s disease), and it is considered by... 

Increasing doses of desflurane caused no demonstrable fall in cerebral blood flow. Consequently, it can be advocated for patients undergoing neurosurgical procedures (10). 

Tibet performed a series of experiments on fully conscious patients during the exposure of a cerebral hemisphere for some neurosurgical procedure. The postcentral gyrus was electrically stimulated with extreme care in order to establish the conscious perception of this stimulation. 

Sufentanil, an opioid analgesic (8 mcg/kg IV administered with nitrous oxide and oxygen), is indicated in patients undergoing major surgical procedures, such as cardiovascular surgery or neurosurgical procedures in the sitting position, in order to provide favorable myocardial and... 

Nervous System Isoflurane reduces cerebral metabolic consumption and causes less cerebral vasodilation than do either enflurane or halothane, making it a preferred agent for neurosurgical procedures. The modest effects of isoflurane on cerebral blood flow can be reversed readily by hyperventilation. 

Short Acting Amobarbital Pentobarbital Duration 3-6 hours. Both are metabolized by P450 enzymes in liver. Amobarbital is sometimes administered by psychiatrists during analysis or therapy. Prior to some neurosurgical procedures (e.g., temporal lobectomy for intractable seizures) amobarbital is injected unilaterally into the carotid artery to determine the dominant hemisphere of the brain. ... 

Goradia, T. M., R. H. Taylor, and L. M. Auer, Robot-assisted minimally invasive neurosurgical procedures First experimental experience, in Proc. First Joint Conference of CVRMed and MRCAS, 1997, Grenoble, France, Springer. 

Human cadaveric dermis (AlloDerm ) has been used in a variety of neurosurgical procedures. In a prospective multicenter study by Bejjani et al., ° porcine small intestinal submucosa (SIS) was used to replace dura matter resected during neurosurgery in 59 patients 18 of the patients underwent tumor resection and 32 patients underwent decompression of a Type I Chiari malformation. A water-tight seal was achieved in all 59 cases interoperatively. Mean follow-up was 7.3 months and both CSF leak rate (1.7%) and wound infection rate (3.4%) were comparable to rates reported in the literature for other materials in dural repair. There were no adverse reactions to the graft and SIS was deemed by the authors to be suitable for use in dural repair. 

Excludes deaths associated with neurosurgical procedures known to present a high risk of intravascular air embolism. 

NeuroMate (Varma et al. 2003) Integrated Surgical Systems (Davis, CA, USA) More than 1600 neurosurgical procedures CT... 

Craniotomy Surgical entrance into the brain cavity to perform a neurosurgical procedure. 

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