Neurosurgical Anesthesia: Optimizing Outcomes with Agent Selection

Author:

Nguyen Andrew1,Mandavalli Akhil1,Diaz Michael Joseph1,Root Kevin Thomas1ORCID,Patel Aashay1ORCID,Casauay Jed1,Perisetla Priyanka1,Lucke-Wold Brandon2ORCID

Affiliation:

1. College of Medicine, University of Florida, Gainesville, FL 32611, USA

2. Department of Neurosurgery, University of Florida, Gainesville, FL 32608, USA

Abstract

Anesthesia in neurosurgery embodies a vital element in the development of neurosurgical intervention. This undisputed interest has offered surgeons and anesthesiologists an array of anesthetic selections to utilize, though with this allowance comes the equally essential requirement of implementing a maximally appropriate agent. To date, there remains a lack of consensus and official guidance on optimizing anesthetic choice based on operating priorities including hemodynamic parameters (e.g., CPP, ICP, MAP) in addition to the route of procedure and pathology. In this review, the authors detail the development of neuroanesthesia, summarize the advantages and drawbacks of various anesthetic classes and agents, while lastly cohesively organizing the current literature of randomized trials on neuroanesthesia across various procedures.

Publisher

MDPI AG

Subject

General Biochemistry, Genetics and Molecular Biology,Medicine (miscellaneous)

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