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Monitoring of Cerebral and Spinal Haemodynamics During Neurosurgery is a comprehensive description of subdural monitoring of intracranial pressure (ICP) during neurosurgery. It offers thorough analysis of a comprehensive database consisting of measurements of ICP, cerebral perfusion pressure and other relevant physiological data from more than 1,800 patients subjected to intracranial surgery at Aarhus University Hospital. Features of anaesthesia, both inhalation and total intravenous, are discussed, and measures to reduce ICP are described. A majority of the patients had supratentorial tumours, but the database also includes patients with infratentorial tumours and patients with no intracranial space-occupying lesions. A chapter is reserved for discussion of the special features of children with cerebral tumours.
List of contents
Monitoring of Intracranial Pressure (ICP): A Review.- Material Included in the Database.- Method.- Comparative Studies of Intracranial Pressure in Patients With and Without Space-Occupying Lesions.- Studies of Regional Subdural Pressure Gradients During Craniotomy.- Subdural Intracranial Pressure and Degree of Swelling After Opening of Dura in Patients with Supratentorial Tumours.- Subdural Intracranial Pressure, Cerebral Haemodynamics, Dural Tension and Degree of Swelling After Opening of Dura in Patients with Infratentorial Tumours.- Subdural Intracranial Pressure During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours.- Effect of Sevoflurane on Subdural Intracranial Pressure and Cerebral Haemodynamics During Craniotomy.- Effect of Hyperventilation on Subdural Intracranial Pressure.- Effect of Indomethacin on Subdural Intracranial Pressure and Cerebral Haemodynamics.- Effect of Dihydroergotamine on Subdural Intracranial Pressure and Cerebral Haemodynamics.- Effect of a Bolus Dose of an Analgetic on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours.- Effect of a Propofol Bolus Dose on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours.- Effect of Reverse Trendelenburg Position on Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Supratentorial Cerebral Tumours.- Effect of Evacuation of Cerebral Cysts on Subdural Intracranial Pressure and Cerebral Perfusion Pressure.- Comparative Studies of Therapeutic Measures to Reduce Subdural Intracranial Pressure During Craniotomy.- Effect of Positive End-Expiratory Pressure on Subdural Intracranial Pressure in Patients Undergoing Supratentorial Craniotomy.- Subdural Intracranial Pressure and Cerebral Haemodynamics During General Anaesthesia for Craniotomy in Patients with Cerebral Aneurysm.- Subdural Intracranial Pressure in Children.- Subdural Spinal Pressure During Surgery for Intradural Tumours and Surgery for Tethered Cord.- Studies of Jugular Pressure.- Differences in PCO2, pH, Lactate, K + and Na+ Between Arterial Blood and Jugular Bulb Blood in Patients Subjected to Craniotomy in Either Propofol-Fentanyl or Propofol-Remifentanil Anaesthesia.- Limitations and Complications Connected with Monitoring of Subdural Intracranial Pressure and Insertion of Jugular Catheter.
Summary
Monitoring of Cerebral and Spinal Haemodynamics During Neurosurgery is a comprehensive description of subdural monitoring of intracranial pressure (ICP) during neurosurgery. It offers thorough analysis of a comprehensive database consisting of measurements of ICP, cerebral perfusion pressure and other relevant physiological data from more than 1,800 patients subjected to intracranial surgery at Aarhus University Hospital. Features of anaesthesia, both inhalation and total intravenous, are discussed, and measures to reduce ICP are described. A majority of the patients had supratentorial tumours, but the database also includes patients with infratentorial tumours and patients with no intracranial space-occupying lesions. A chapter is reserved for discussion of the special features of children with cerebral tumours.
Additional text
From the reviews:
"The present book on monitoring of cerebral and spinal haemodynamics is focussed on the huge database of more than 1,800 patients of a single institution … . It describes the subdural measuring of intracranial pressure during neurosurgical surgery. … The book contains an updated bibliography with the most relevant literature … . this is a book with a lot of new information on the pathophysiology of ICP that might be of interest for colleagues who are interested in a specialisation in neuroanaesthesiology." (Ulrich Sure and Beate Schoch, Neurosurgical Review, Vol. 32, 2009)
Report
From the reviews:
"The present book on monitoring of cerebral and spinal haemodynamics is focussed on the huge database of more than 1,800 patients of a single institution ... . It describes the subdural measuring of intracranial pressure during neurosurgical surgery. ... The book contains an updated bibliography with the most relevant literature ... . this is a book with a lot of new information on the pathophysiology of ICP that might be of interest for colleagues who are interested in a specialisation in neuroanaesthesiology." (Ulrich Sure and Beate Schoch, Neurosurgical Review, Vol. 32, 2009)
