TY - JOUR
T1 - Anaesthesiological and intensive care management in craniovertebral junction surgery
AU - Genovese, Orazio
AU - Tosi, Federica
AU - Piastra, Marco
AU - Chiaretti, Antonio
AU - Conti, Giorgio
AU - Di Rocco, Concezio
AU - Visocchi, Massimiliano
PY - 2014
Y1 - 2014
N2 - The main factors of modern perioperative care of the craniovertebral junction surgery include a comprehensive approach to the patients, including a thorough cardiorespiratory, neurophysiological, and metabolic assessment, intraoperative monitoring of spinal cord function, safe airway management, and judicious use of fluids and blood transfusions. Admission in PICU shortly after the CVJ surgery is mandatory to ensure haemodynamic and respiratory stability and to recognize postoperative complications. Anticipating complications in order to achieve an early treatment and adverse event prophylaxis can contribute to reduced morbidity and mortality and increased patients' safety. Multidisciplinary management of perioperative patient care and careful pain control is mandatory in order to improve the outcomes.
AB - The main factors of modern perioperative care of the craniovertebral junction surgery include a comprehensive approach to the patients, including a thorough cardiorespiratory, neurophysiological, and metabolic assessment, intraoperative monitoring of spinal cord function, safe airway management, and judicious use of fluids and blood transfusions. Admission in PICU shortly after the CVJ surgery is mandatory to ensure haemodynamic and respiratory stability and to recognize postoperative complications. Anticipating complications in order to achieve an early treatment and adverse event prophylaxis can contribute to reduced morbidity and mortality and increased patients' safety. Multidisciplinary management of perioperative patient care and careful pain control is mandatory in order to improve the outcomes.
KW - intensive care medicine
KW - intensive care medicine
UR - http://hdl.handle.net/10807/52249
U2 - 10.1007/978-3-319-01065-6_5
DO - 10.1007/978-3-319-01065-6_5
M3 - Article
SN - 0095-4829
VL - 40
SP - 171
EP - 197
JO - Advances and technical standards in neurosurgery
JF - Advances and technical standards in neurosurgery
ER -