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  • Chapter 26 - Anaesthesia for Neurosurgery in Children

  • Edited by James Ip, Great Ormond Street Hospital for Children, London, Grant Stuart, Great Ormond Street Hospital for Children, London, Isabeau Walker, Great Ormond Street Hospital for Children, London, Ian James, Great Ormond Street Hospital for Children, London
  • Book:
    Core Topics in Paediatric Anaesthesia
    Published online:
    06 February 2025
    Print publication:
    13 February 2025, pp 291-301

  • Summary

    The safe and effective delivery of neuroanaesthesia in children requires knowledge of normal development and neurophysiology. Preoperative assessment must pay particular attention to the symptoms and signs of raised intracranial pressure. The conduct of anaesthesia is influenced by the underlying pathology, the procedure being performed and the need for intraoperative neuromonitoring. Extreme vigilance is required in circumstances where venous air embolus (VAE) is a risk, and the provision of appropriate facilities is essential.