Peri-operative fluid management during neurosurgical procedures
The management of fluids and electrolytes in neurosurgical patients aims to reduce the risk of cerebral oedema, reduce ICP and at the same time maintain haemodynamic stability and cerebral perfusion. Neurosurgical patients commonly receive diuretics (mannitol and furosemide), developing complication...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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NESON
2021-06-01
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| Series: | Nepal Journal of Neuroscience |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/NJN/article/view/33373 |
| _version_ | 1818598368603013120 |
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| author | Carlos Darcy Bersot Rafael Linhares Carolina Araujo Barbosa Jose Eduardo Pereira |
| author_facet | Carlos Darcy Bersot Rafael Linhares Carolina Araujo Barbosa Jose Eduardo Pereira |
| author_sort | Carlos Darcy Bersot |
| collection | DOAJ |
| description | The management of fluids and electrolytes in neurosurgical patients aims to reduce the risk of cerebral oedema, reduce ICP and at the same time maintain haemodynamic stability and cerebral perfusion. Neurosurgical patients commonly receive diuretics (mannitol and furosemide), developing complications such as bleeding and diabetes insipidus. These patients may require large volumes of intravenous fluids and even blood transfusions for volume resuscitation, treatment of cerebral vasospasm, correction of preoperative dehydration or maintenance of haemodynamic stability. Goal-oriented therapy is recommended in neurological patients, with the aim of maintaining circulating volume and tolerating the changes induced by anaesthesia (vasodilation and myocardial depression). |
| first_indexed | 2024-12-16T12:02:35Z |
| format | Article |
| id | doaj.art-9b3679c246bf48148bbff73d31492004 |
| institution | Directory Open Access Journal |
| issn | 1813-1948 1813-1956 |
| language | English |
| last_indexed | 2024-12-16T12:02:35Z |
| publishDate | 2021-06-01 |
| publisher | NESON |
| record_format | Article |
| series | Nepal Journal of Neuroscience |
| spelling | doaj.art-9b3679c246bf48148bbff73d314920042022-12-21T22:32:25ZengNESONNepal Journal of Neuroscience1813-19481813-19562021-06-0118291410.3126/njn.v18i2.3337333373Peri-operative fluid management during neurosurgical proceduresCarlos Darcy Bersot0Rafael LinharesCarolina Araujo Barbosa1Jose Eduardo PereiraHospital Federal da LagoaDepartment of Anaesthesiology, Hospital Universitário Gaffrée e Guinle RJ, BrazilThe management of fluids and electrolytes in neurosurgical patients aims to reduce the risk of cerebral oedema, reduce ICP and at the same time maintain haemodynamic stability and cerebral perfusion. Neurosurgical patients commonly receive diuretics (mannitol and furosemide), developing complications such as bleeding and diabetes insipidus. These patients may require large volumes of intravenous fluids and even blood transfusions for volume resuscitation, treatment of cerebral vasospasm, correction of preoperative dehydration or maintenance of haemodynamic stability. Goal-oriented therapy is recommended in neurological patients, with the aim of maintaining circulating volume and tolerating the changes induced by anaesthesia (vasodilation and myocardial depression).https://www.nepjol.info/index.php/NJN/article/view/33373brain ischemianeuroanaesthesianeurosurgeryperi-operative fluidpulse pressure variation |
| spellingShingle | Carlos Darcy Bersot Rafael Linhares Carolina Araujo Barbosa Jose Eduardo Pereira Peri-operative fluid management during neurosurgical procedures Nepal Journal of Neuroscience brain ischemia neuroanaesthesia neurosurgery peri-operative fluid pulse pressure variation |
| title | Peri-operative fluid management during neurosurgical procedures |
| title_full | Peri-operative fluid management during neurosurgical procedures |
| title_fullStr | Peri-operative fluid management during neurosurgical procedures |
| title_full_unstemmed | Peri-operative fluid management during neurosurgical procedures |
| title_short | Peri-operative fluid management during neurosurgical procedures |
| title_sort | peri operative fluid management during neurosurgical procedures |
| topic | brain ischemia neuroanaesthesia neurosurgery peri-operative fluid pulse pressure variation |
| url | https://www.nepjol.info/index.php/NJN/article/view/33373 |
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