Controversies in the Anesthetic Management of Intraoperative Rupture of Intracranial Aneurysm

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dc.contributor.authorChowdhury, Tumul
dc.contributor.authorPetropolis, Andrea
dc.contributor.authorWilkinson, Marshall
dc.contributor.authorSchaller, Bernhard
dc.contributor.authorSandu, Nora
dc.contributor.authorCappellani, Ronald B.
dc.date.accessioned2014-08-14T06:45:14Z
dc.date.available2014-08-14T06:45:14Z
dc.date.issued2014-3-3
dc.date.updated2014-08-14T06:45:15Z
dc.description.abstractDespite great advancements in the management of aneurysmal subarachnoid hemorrhage (SAH), outcomes following SAH rupture have remained relatively unchanged. In addition, little data exists to guide the anesthetic management of intraoperative aneurysm rupture (IAR), though intraoperative management may have a significant effect on overall neurological outcomes. This review highlights the various controversies related to different anesthetic management related to aneurysm rupture. The first controversy relates to management of preexisting factors that affect risk of IAR. The second controversy relates to diagnostic techniques, particularly neurophysiological monitoring. The third controversy pertains to hemodynamic goals. The neuroprotective effects of various factors, including hypothermia, various anesthetic/pharmacologic agents, and burst suppression, remain poorly understood and have yet to be further elucidated. Different management strategies for IAR during aneurysmal clipping versus coiling also need further attention.
dc.description.versionPeer Reviewed
dc.identifier.citationTumul Chowdhury, Andrea Petropolis, Marshall Wilkinson, Bernhard Schaller, Nora Sandu, and Ronald B. Cappellani, “Controversies in the Anesthetic Management of Intraoperative Rupture of Intracranial Aneurysm,” Anesthesiology Research and Practice, vol. 2014, Article ID 595837, 10 pages, 2014. doi:10.1155/2014/595837
dc.identifier.doihttp://dx.doi.org/10.1155/2014/595837
dc.identifier.urihttp://hdl.handle.net/1993/23765
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderCopyright © 2014 Tumul Chowdhury et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleControversies in the Anesthetic Management of Intraoperative Rupture of Intracranial Aneurysm
dc.typeJournal Article
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