Anesthesia for the patient with a recently diagnosed concussion: think about the brain!
Some patients require emergent, urgent, or elective surgery in the time period immediately following diagnosis of concussion. However, changes in brain homeostatic mechanisms following a concussion and concern for secondary brain injury can complicate the decision as to whether or not a surgery shou...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2020-02-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-19272.pdf |
| _version_ | 1819114618417577984 |
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| author | Mohammed R. Rasouli Michelle Kavin Stephen Stache Michael E. Mahla Eric S. Schwenk |
| author_facet | Mohammed R. Rasouli Michelle Kavin Stephen Stache Michael E. Mahla Eric S. Schwenk |
| author_sort | Mohammed R. Rasouli |
| collection | DOAJ |
| description | Some patients require emergent, urgent, or elective surgery in the time period immediately following diagnosis of concussion. However, changes in brain homeostatic mechanisms following a concussion and concern for secondary brain injury can complicate the decision as to whether or not a surgery should proceed or be postponed. Given the paucity of available evidence, further evaluation of the use of anesthesia in a patient with concussion is warranted. This article summarizes what is currently known about the relevant pathophysiology of concussion, intraoperative anesthesia considerations, and effects of anesthesia on concussion outcomes in an attempt to help providers understand the risks that may accompany surgery and anesthesia in this patient population. While most contraindications to the use of anesthesia in concussed patients are relative, there are nonetheless pathophysiologic changes associated with a concussion that can increase risk of its use. Understanding these changes and anesthetic implications can help providers optimize outcomes in this patient population. |
| first_indexed | 2024-12-22T04:48:10Z |
| format | Article |
| id | doaj.art-6fbd20043503457889252a86c141b49f |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-22T04:48:10Z |
| publishDate | 2020-02-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-6fbd20043503457889252a86c141b49f2022-12-21T18:38:33ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632020-02-017313710.4097/kja.192728599Anesthesia for the patient with a recently diagnosed concussion: think about the brain!Mohammed R. Rasouli0Michelle Kavin1Stephen Stache2Michael E. Mahla3Eric S. Schwenk4 Department of Anesthesiology, Duke University School of Medicine Durham, NC, USA Rothman Orthopaedics, Philadelphia, PA, USA Rothman Orthopaedics, Philadelphia, PA, USA Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA Department of Anesthesiology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USASome patients require emergent, urgent, or elective surgery in the time period immediately following diagnosis of concussion. However, changes in brain homeostatic mechanisms following a concussion and concern for secondary brain injury can complicate the decision as to whether or not a surgery should proceed or be postponed. Given the paucity of available evidence, further evaluation of the use of anesthesia in a patient with concussion is warranted. This article summarizes what is currently known about the relevant pathophysiology of concussion, intraoperative anesthesia considerations, and effects of anesthesia on concussion outcomes in an attempt to help providers understand the risks that may accompany surgery and anesthesia in this patient population. While most contraindications to the use of anesthesia in concussed patients are relative, there are nonetheless pathophysiologic changes associated with a concussion that can increase risk of its use. Understanding these changes and anesthetic implications can help providers optimize outcomes in this patient population.http://ekja.org/upload/pdf/kja-19272.pdfbrain concussionbrain ischemiageneral anesthesiaintracranial hypotensionpost-concussion syndrome |
| spellingShingle | Mohammed R. Rasouli Michelle Kavin Stephen Stache Michael E. Mahla Eric S. Schwenk Anesthesia for the patient with a recently diagnosed concussion: think about the brain! Korean Journal of Anesthesiology brain concussion brain ischemia general anesthesia intracranial hypotension post-concussion syndrome |
| title | Anesthesia for the patient with a recently diagnosed concussion: think about the brain! |
| title_full | Anesthesia for the patient with a recently diagnosed concussion: think about the brain! |
| title_fullStr | Anesthesia for the patient with a recently diagnosed concussion: think about the brain! |
| title_full_unstemmed | Anesthesia for the patient with a recently diagnosed concussion: think about the brain! |
| title_short | Anesthesia for the patient with a recently diagnosed concussion: think about the brain! |
| title_sort | anesthesia for the patient with a recently diagnosed concussion think about the brain |
| topic | brain concussion brain ischemia general anesthesia intracranial hypotension post-concussion syndrome |
| url | http://ekja.org/upload/pdf/kja-19272.pdf |
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