• Hemanshu Prabhakar, Charu Mahajan, and Indu Kapoor.
• Department of Neuroanaesthesiology and Critical Care, Neurosciences Center, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi, India.
• Curr Opin Anaesthesiol. 2017 Oct 1; 30 (5): 546-550.

Purpose Of ReviewWith an ultimate aim of improving patients overall outcome and satisfaction, minimally invasive surgical approach is becoming more of a norm. The related anesthetic evidence has not expanded at the same rate as surgical and technological advancement. This article reviews the recent evidence on anesthesia and perioperative concerns for patients undergoing minimally invasive neurosurgery.Recent FindingsMinimally invasive cranial and spinal surgeries have been made possible only by vast technological development. Points of surgical interest can be precisely located with the help of stereotaxy and neuronavigation and special endoscopes which decrease the tissue trauma. The principles of neuroanethesia remain the same, but few concerns are specific for each technique. Dexmedetomidine has a favorable profile for procedures carried out under sedation technique. As the new surgical techniques are coming up, lesser known anesthetic concerns may also come into light.SummaryOver the last year, little new information has been added to existing literature regarding anesthesia for minimally invasive neurosurgeries. Neuroanesthesia goals remain the same and less invasive surgical techniques do not translate into safe anesthesia. Specific concerns for each procedure should be taken into consideration.

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