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Adv Tech Stand Neurosurg · Jan 2014
Anaesthesiological and intensive care management in craniovertebral junction surgery.
- Orazio Genovese, Federica Tosi, Marco Piastra, Antonio Chiaretti, Giorgio Conti, Concezio Di Rocco, and Massimiliano Visocchi.
- Pediatric Intensive Care Unit, Institute of Anesthesiology and Intensive Care, Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, Rome, 00168, Italy, hor6505@yahoo.com.
- Adv Tech Stand Neurosurg. 2014 Jan 1; 40: 171-97.
AbstractThe main factors of modern perioperative care of the craniovertebral junction surgery include a comprehensive approach to the patients, including a thorough cardiorespiratory, neurophysiological, and metabolic assessment, intraoperative monitoring of spinal cord function, safe airway management, and judicious use of fluids and blood transfusions. Admission in PICU shortly after the CVJ surgery is mandatory to ensure haemodynamic and respiratory stability and to recognize postoperative complications. Anticipating complications in order to achieve an early treatment and adverse event prophylaxis can contribute to reduced morbidity and mortality and increased patients' safety. Multidisciplinary management of perioperative patient care and careful pain control is mandatory in order to improve the outcomes.
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