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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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PEDIATRIC ANESTHESIA  SMART 2003 - Milan, may 28-30, 2003

Minerva Anestesiologica 2003 May;69(5):472-7

language: Italian

Anesthesia for neurosurgery in children: techniques and monitoring

Pietrini D., Pusateri A., Forte E., Concina G., Scorzoni M., Tosi F., Zanghi F.

Istituto di Anestesiologia e Rianimazione, Università Cattolica del Sacro Cuore, Roma, Italia


Pediatric neuroanesthesia can be seen as a specific branch of anesthesia half way in between pediatric anesthesia and neuroanesthesia. As a matter of fact, we must keep well in mind the peculiarities of the pediatric patient and the different pharmadynamic and pharmacochinetic properties of the anesthetic drugs, particularly in neonates and infants. Other relevant problems are: 1) high complexity of surgical procedures implying a difficult anesthesiological management; 2) complex blood loss management either if we want to apply a blood sparing technique strategy or if we consider the problems related to diagnosis and treatment of coagulative disorders caused by intraoperative massive blood loss; 3) management of patients with latex allergy for the high incidence, in pediatric neuroanesthesia, of patients belonging to high risk groups; 4) need of repeated radiological examinations implying several anesthesiological procedures.
In this article aspects related to the anesthesiological techniques and to the hemodynamic and neurophysiological monitoring of pediatric neurosurgical patients were also di­scussed.

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