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2007, Number S1

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Rev Mex Anest 2007; 30 (S1)

Brain protection - The clinical reality

Patel P

Language: English
References: 55
Page: 101-107
PDF size: 72.37 Kb.


Text Extraction

One of the most feared complications of anesthesia and surgery is the occurrence of cerebral ischemia and neuronal injury. Although the incidence of stroke during surgery is quite low, during certain procedures the risk of stroke can be high. For example, the incidence of neurologic complications during cardiac surgery has been reported to be approximately 2-6%(1). The majority of these complications occur during the intraoperative period(2). The risk of perioperative stroke in patients undergoing carotid endarterectomy ranges from a high of about 15% to the more recently reported risk of 2.1%(3). Neurosurgical procedures, particularly aneurysm and AVM surgery, entail a significant risk of ischemia. Given the large number of patients who undergo these procedures, the “at risk” population is substantial. This has fostered a considerable amount of interest in not only evaluating measures designed to prevent cerebral ischemia but also in identifying anesthetic agents that might decrease the brain’s vulnerability to ischemia.


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