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2016, Número 2

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Rev Mex Anest 2016; 39 (2)


Manejo perioperatorio de la cirugía de descompresión microvascular

López-Castruita VM

Idioma: Español
Referencias bibliográficas: 31
Paginas: 137-141
Archivo PDF: 224.72 Kb.


RESUMEN

La cirugía de descompresión microvascular es el tratamiento quirúrgico de primera línea para los síndromes de disfunción hiperactiva de nervios craneales cuando los fármacos fracasan por efectos insuficientes o indeseables. La técnica quirúrgica consiste en desviar el asa vascular que comprime la raíz nerviosa. A pesar de ser una cirugía de mínima invasión y relativamente rápida, el neuroanestesiólogo debe tener en cuenta que se trata de la fosa posterior y con esto prevenir complicaciones y consideraciones anestésicas. Los puntos más destacados son la valoración anestésica para evaluar comorbilidades y fármacos de interacción; la elección de la técnica anestésica y el monitoreo a considerar; la posición quirúrgica con sus respectivos cambios hemodinámicos, ventilatorios y riesgos de complicación; los momentos críticos de la cirugía en los que la participación del neuroanestesiólogo es fundamental y los aspectos del postanestésico que debemos observar para garantizar la adecuada evolución del paciente.


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