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ISSN 1025-0255 (Electronic)

2013, Number 2

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AMC 2013; 17 (2)

Prevention of perioperative neurologic complications

Fernández RH, Pozo RJA, Correa BM

Language: Spanish
References: 34
Page: 246-259
PDF size: 102.84 Kb.


ABSTRACT

Background: perioperative neurologic complications are a challenge to contemporary anesthesiology as a consequence of the development of new surgical techniques. Neurologic damages can develop or worsen as a result of mal practice of anesthesia. That is the reason why a specialist should have the knowledge and the skills that allow them to draw up strategies for the control and prevention of harmful effects that deteriorate permanently the nervous system.
Objective: to make an updated revision concerning the measures for the prevention of perioperative neurologic complications.
Method: a bibliographic revision of 88 published articles was made. Thirty-four articles for the last decade were chosen to constitute the investigation. A group of preventive interventions were showed with the objective of avoiding and minimizing the risk of central and peripheral perioperative neurologic complications related to general and local anesthesia; were shown as well some considerations that should be taken into account during the application of neurosurgical anesthesia to avoid the increase of intracranial pressure.
Conclusions: the physiopathologic, physiologic, and anatomic knowledge of the nervous system; the measures to keep the intracranial pressure, the blood flow and the perfusion pressure to the brain; the right practice of local anesthesia and the correct posture of the anesthetized patient contributed to the prevention of complications and peripheral and central neurologic damages during the perioperative stage.


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