Anesthesia for intracranial surgery in infants and children

作者：McClain Craig D; Soriano Sulpicio G^*

来源：Current Opinion in Anaesthesiology, 2014, 27(5): 465-469.

DOI：10.1097/ACO.0000000000000112

• childhood tumors
• epilepsy surgery
• neuroanesthesia
• pediatric anesthesia

Purpose of review
Age-related differences in the surgical lesions, anatomy and physiological responses to surgery and anesthesia underlie the clinically relevant differences between pediatric patients and their adult counterparts. Anesthesiologists need to be aware of the unique challenges in the anesthetic management of the pediatric neurosurgical patient.
Recent findings
Neurosurgeons with subspecialty training in pediatrics have driven advances in intracranial surgery in infants and children. Subspecialization in pediatric neurosurgery and critical care has resulted in more favorable outcomes. Innovations in tumor, epilepsy and endoscopic and cerebrovascular neurosurgery are constantly being adapted to the pediatric patient. The highly specialized nature of these and other pediatric neurosurgical procedures prompt calls for similarly trained anesthesiologists for management of these infants and children.
Summary
The aim of this review is to highlight the impact of these techniques on the intraoperative management of the pediatric neurosurgical patient. These issues are essential in minimizing perioperative morbidity and mortality.

• 出版日期2014-10