الفهرس يوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
the optics and miniaturization, neuroendoscopic procedures have recently started gaining acceptance with increased success rates for various neurosurgical problems. The major anesthetic goals are to provide an adequately anesthetized or sedated immobile patient during the procedure who can undergo rapid neurologic assessment immediately after the procedure, and to monitor for the occurrence of various procedure-specific complications. In cooperative adult patients, the procedure can be done under sedation and local anesthesia but in most patients general anesthesia with short acting narcotics, inhalational anesthetic, and controlled ventilation of lungs from the basic requirement for the procedure. Procedure related complications might be caused by instrumentation (such as bleeding within inherent difficulty in its control, or neural tissue trauma), sudden decompression of distended ventricles (such as bradycardia, cardiac arrest, difficulty in visualization, subdural hematoma, pneumoencephalus, and convulsions) or caused by the use of perfusate for irrigation (such as hypothermia, toxic manifestations such as fever, headaches, neck rigidity, and cellular reaction). Strict vigilance should be maintained on heart rate and blood pressure during irrigation of the ventricles with the perfusate, as potentially fatal complications can occur. In the recovery room, all patients should be closely observed for apnea, cardiac rhythm, blood pressure, and for any change in neurological status.