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Chapter 44 - Cerebral Aneurysm Surgery

from Section 3 - Neuroanesthesia

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 60-year-old woman presents to the emergency department with a history of “the worst headache of her life.” Paramedics report that although she is presently drowsy, she did briefly lose consciousness in the ambulance. Her blood pressure is 175/80 mm Hg with a heart rate of 60. Her other vital signs are all stable. A CT scan reveals a grade 3 subarachnoid hemorrhage (SAH). The neurosurgical team posts the case as an aneurysm clipping scheduled for the following morning. What are your concerns? How will you evaluate the patient? How will you induce and maintain general anesthesia in this patient?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 197 - 200
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Lippincott Williams & Wilkins, 2017, pp. 1018–19.Google Scholar
Butterworth, JF, Mackey, DC, Wasnick, JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York: McGraw-Hill Education, 2018, pp. 612–14.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 1886–90, 2683–5.Google Scholar
Muroi, C, Keller, M, Pangalu, A, et al. Neurogenic pulmonary edema in patients with subarachnoid hemorrhage. J Neurosurg Anesth 2008;20(3):188–92.CrossRefGoogle ScholarPubMed
Priebe, HJ. Aneurysmal subarachnoid haemorrhage and the anaesthetist. Br J Anaesth 2007;99(1):102–18.CrossRefGoogle ScholarPubMed
Sriganesh, K, Venkataramaiah, S. Concerns and challenges during anesthetic management of aneurysmal subarachnoid hemorrhage. Saudi J Anesth 2015:9(3):306–13.Google ScholarPubMed

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