Minerva anestesiologica
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Minerva anestesiologica · Apr 1989
Review[Common problems for the neurosurgeon and the anesthesiologist in pediatric neurosurgery].
In pediatric neurosurgery the cooperation between neurosurgeon and anaesthesist is very tight. It begins with the clinical evaluation of preoperative conditions (weight, trophism, age, etc.), then continues with the through preparation of the operative position of the little patient and with the control of unfavourable side-effects of some particular positions (intraoperative air embolism in the sitting position, postoperative tension pneumocephalus). At last this cooperation is very important to analyse the vital functions and the neurological picture in the immediate postoperative period.
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Minerva anestesiologica · Apr 1989
[Autotransfusion technic in surgery of craniostenoses in children].
The extensive blood loss during the surgical correction of craniosynostosis in infancy needs usually homologous transfusion. The Authors report a program of preoperative and intraoperative hemodilution and their experience in six infants, the very first in pediatric neurosurgery. Prevention of homologous blood transfusion achieved in 4 out 6 cases can be considered a success that could be further improved introducing minor changes in our protocol.