Total intravenous anesthesia: advantages for intracranial surgery.

  title={Total intravenous anesthesia: advantages for intracranial surgery.},
  author={Chad Douglas Cole and Oren N. Gottfried and Dhanesh K Gupta and William T. Couldwell},
  volume={61 5 Suppl 2},
  pages={369-77; discussion 377-8}
OBJECTIVE Although volatile anesthetics have been widely accepted in anesthetic management for neurosurgery, they reduce vascular resistance, resulting in increased cerebral blood flow and increased intracranial pressure (ICP). In patients with elevated ICP who undergo craniotomy, the increase in ICP during surgery from inhaled anesthetics can make the surgery more difficult, thereby increasing the risk of ischemic cerebral insults. Total intravenous anesthesia (TIVA) using propofol and… CONTINUE READING


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