Huerta MC, Reyes CJL, Gil WW, Acevedo CA, Moscoso JMB

Language: Spanish
References: 103
Page: 42-54
PDF size: 132.58 Kb.

ABSTRACT

Anaesthetic care in patients with brain damage due to trauma includes cerebral resuscitation, other vital organs resuscitation, the “anesthesia” administration, and the abnormal physiologic responses in surgery. The adverse responses to surgery, like hypertension, high cardiac frequencies, cough and effort can increase intracranial pressure (PIC). The air way manipulation can increase wounds in the spinal cord and increase the PIC. Anaesthetic agents can increase the hemodinamic instability, the cerebral blood volume and the PIC, and cause respiratory depression. Cerebral reanimation during surgery resembles preparatory and postoperatory periods. The PIC measure and the jugular vein saturation monitoring (SJO₂) can help to define what behavior to follow. There is a great variety of anaesthetic techniques and a great variety of anaesthetic agents with their advantages and disadvantages. The agents and techniques choice is made taking into account the nature and the severity of the patients wounds and the previous diseases. The research of medicines that can prevent patients against cerebral ischemia include anaesthetics that don’t seem to be as effective. The hypothermia during the surgery has been proven as a cerebral protector.

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