THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY
The types of anaesthesia care for patients with drug-resistant epilepsy during stereotaxic operations for epilepsy pathways have been analyzed.Objective: to assess the adequacy of anesthesia and optimal values of EEG for total intravenous anesthesia based of Propofol, Midazolam and Fentanyl in stere...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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IRBIS LLC
2017-03-01
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| Series: | Эпилепсия и пароксизмальные состояния |
| Subjects: | |
| Online Access: | https://www.epilepsia.su/jour/article/view/316 |
| _version_ | 1797879461177196544 |
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| author | A. S. Shershever G. V. Cherkasov S. A. Lavrova |
| author_facet | A. S. Shershever G. V. Cherkasov S. A. Lavrova |
| author_sort | A. S. Shershever |
| collection | DOAJ |
| description | The types of anaesthesia care for patients with drug-resistant epilepsy during stereotaxic operations for epilepsy pathways have been analyzed.Objective: to assess the adequacy of anesthesia and optimal values of EEG for total intravenous anesthesia based of Propofol, Midazolam and Fentanyl in stereotaxic operations for epilepsy.Materials and Methods. We enrolled 60 patients aged 17 to 35 years old. The study group included 40 patients with drug-resistant epilepsy while the control group consisted of 20 patients with brain tumors and epileptic seizures.Results. Comparative analysis of systemic hemodynamic parameters and adequacy of anaesthesia regimen revealed that total intravenous anaesthesia based on Propofol, Midazolam and Fentanyl at stage 3 on EEG by Courtin as an adequate protection from surgical stress decreasing the risk of intraoperative kindling without new foci of epileptic activity.Conclusion. The selected method of anesthesia provides electrophysiological identification of the focus of paroxysmal activity. It has been noted that a cooperation between a surgeon, an anesthesiologist and a neurophysiologist regarding stereotaxic operations for epilepsy is of great importance for successful operation. |
| first_indexed | 2024-04-10T02:48:02Z |
| format | Article |
| id | doaj.art-a169ba103b0e46fd8b547c363e728035 |
| institution | Directory Open Access Journal |
| issn | 2077-8333 2311-4088 |
| language | Russian |
| last_indexed | 2024-04-10T02:48:02Z |
| publishDate | 2017-03-01 |
| publisher | IRBIS LLC |
| record_format | Article |
| series | Эпилепсия и пароксизмальные состояния |
| spelling | doaj.art-a169ba103b0e46fd8b547c363e7280352023-03-13T07:44:15ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882017-03-0184394810.17749/2077-8333.2016.8.4.039-048311THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERYA. S. Shershever0G. V. Cherkasov1S. A. Lavrova2Sverdlovsk Regional Oncological Dispensary; Ural State Medical UniversitySverdlovsk Regional Oncological DispensarySverdlovsk Regional Oncological DispensaryThe types of anaesthesia care for patients with drug-resistant epilepsy during stereotaxic operations for epilepsy pathways have been analyzed.Objective: to assess the adequacy of anesthesia and optimal values of EEG for total intravenous anesthesia based of Propofol, Midazolam and Fentanyl in stereotaxic operations for epilepsy.Materials and Methods. We enrolled 60 patients aged 17 to 35 years old. The study group included 40 patients with drug-resistant epilepsy while the control group consisted of 20 patients with brain tumors and epileptic seizures.Results. Comparative analysis of systemic hemodynamic parameters and adequacy of anaesthesia regimen revealed that total intravenous anaesthesia based on Propofol, Midazolam and Fentanyl at stage 3 on EEG by Courtin as an adequate protection from surgical stress decreasing the risk of intraoperative kindling without new foci of epileptic activity.Conclusion. The selected method of anesthesia provides electrophysiological identification of the focus of paroxysmal activity. It has been noted that a cooperation between a surgeon, an anesthesiologist and a neurophysiologist regarding stereotaxic operations for epilepsy is of great importance for successful operation.https://www.epilepsia.su/jour/article/view/316drug-resistant epilepsystereotaxic operationanaesthesiologyelectroencephalographystage of anaesthetic depthanesthesiological management |
| spellingShingle | A. S. Shershever G. V. Cherkasov S. A. Lavrova THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY Эпилепсия и пароксизмальные состояния drug-resistant epilepsy stereotaxic operation anaesthesiology electroencephalography stage of anaesthetic depth anesthesiological management |
| title | THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY |
| title_full | THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY |
| title_fullStr | THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY |
| title_full_unstemmed | THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY |
| title_short | THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY |
| title_sort | problems of cooperation between anaesthesiology neurosurgery and functional diagnostics in case of epilepsy surgery |
| topic | drug-resistant epilepsy stereotaxic operation anaesthesiology electroencephalography stage of anaesthetic depth anesthesiological management |
| url | https://www.epilepsia.su/jour/article/view/316 |
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