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2016, Number 2

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Rev Mex Anest 2016; 39 (2)

Perioperative management of microvascular decompression surgery

López-Castruita VM

Language: Spanish
References: 31
Page: 137-141
PDF size: 224.72 Kb.


ABSTRACT

Microvascular decompression surgery is the first line surgical treatment for hyperactive dysfunction syndrome of the cranial nerves, whenever drugs fail due to insufficient or undesirable effects. The surgical technique involves separating the vascular loop compressing the nerve root and despite being minimally invasive surgery relatively short, the neuroanesthesiologist should note that this is within the posterior fossa and thereby prevent complications and have anesthetic considerations. The highlights is the anesthetic assessment to evaluate comorbidities and drug interaction; the choice of anesthetic technique and monitoring to consider; surgical position with their respective complication risks, hemodynamic and ventilatory changes; the critical moments of the surgery in which neuroanesthesiologist participation is essential and aspects of postanesthetic period we must observe to ensure proper patient outcomes.


REFERENCES

  1. Gardner WJ. Concerning the mechanism of trigeminal neuralgia and hemifacial spasm. J Neurosurg. 1962;19:947-958.

  2. Jannetta PJ. Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg. 1967;26:159-162.

  3. Gomez-Amador J, Osorio-Santiago M. Manejo anestésico para neurocirugía en abordajes de mínima invasión. In: Carrilllo-Esper R, Castelazo-Arredondo J, editors. Neuroanestesiología y cuidados intensivos neurológicos. México, D.F.: Editorial Alfil; 2007. p. 313-331.

  4. Santos-Franco JA, Santos-Ditto RA, Revuelta GR. Neuralgia del trigémino. Arch Neurocien. 2005;10:95-104.

  5. Miller JP, Magill ST, Acar F, Burchiel KJ. Predictors of long-term success after microvascular decompression for trigeminal neuralgia. J Neurosurg. 2009;110:620-626.

  6. Sekula RF Jr., Frederickson AM, Jannetta PJ, Quigley MR, Aziz KM, Arnone GD. Microvascular decompression for elderly patients with trigeminal neuralgia: a prospective study and systematic review with meta-analysis. J Neurosurg. 2011;114:172-179.

  7. Smith DS. Anesthetic management for posterior fossa surgery. Cottrell and Young’s Neuroanesthesia. 5a ed. Philadelphia PA: Mosby Elsevier; 2010.

  8. Schott M, Suhr D, Jantzen JPA. Perioperative challenges during posterior fossa surgery. In: Brambrink AM, Kirsch JR, editors. Essentials of neurosurgical anesthesia & critical care. New York NY: Springer; 2012.

  9. Rozet I, Vavilala MS. Risks and benefits of patient positioning during neurosurgical care. Anesthesiol Clin. 2007;25:631-653.

  10. Knight D, Mahajan R. Patient positioning in anaesthesia. Contin Educ Anaesth Crit Care Pain. 2004;4:160-163.

  11. Sade B, Lee JH. Microvascular decompression for trigeminal neuralgia. Neurosurg Clin N Am. 2014;25:743-749.

  12. Møller AR, Jannetta PJ. Monitoring of facial nerve function during removal of acoustic tumor. Am J Otol. 1985:27-29.

  13. Fang Y, Zhang H, Liu W, Li Y. A comparison of three induction regimens using succinylcholine, vecuronium, or no muscle relaxant: impact on the intraoperative monitoring of the lateral spread response in hemifacial spasm surgery: study protocol for a randomized controlled trial. Trials. 2012;13:160.

  14. Chung YH, Kim WH, Chung IS, Park K, Lim SH, Seo DW, et al. Effects of partial neuromuscular blockade on lateral spread response monitoring during microvascular decompression surgery. Clin Neurophysiol. 2015;11:2233-2240.

  15. Drummond JC, Patel PM, Lemkuil BP. Anesthesia for Neurosurgic Surgery. In: Miller RD, editor. Miller’s Anesthesia. 8a ed: Saunders Elsevier; 2015. p. 2158-99.

  16. Schaller B, Cornelius JF, Prabhakar H, Koerbel A, Gnanalingham K, Sandu N, et al. The trigemino-cardiac reflex: an update of the current knowledge. J Neurosurg Anesthesiol. 2009;21:187-195.

  17. Schaller B, Probst R, Strebel S, Gratzl O. Trigeminocardiac reflex during surgery in the cerebellopontine angle. J Neurosurg. 1999;90:215-220.

  18. Chowdhury T, Mendelowith D, Golanov E, Spiriev T, Arasho B, Sandu N, et al. Trigeminocardiac reflex: the current clinical and physiological knowledge. J Neurosurg Anesthesiol. 2015;27:136-147.

  19. Schaller B. Trigemino-cardiac reflex during microvascular trigeminal decompression in cases of trigeminal neuralgia. J Neurosurg Anesthesiol. 2005;17:45-48.

  20. Meuwly C, Chowdhury T, Sandu N, Reck M, Erne P, Schaller B. Anesthetic influence on occurrence and treatment of the trigemino-cardiac reflex: a systematic literature review. Medicine (Baltimore). 2015;94:e807.

  21. Caglayan HZ, Colpak IA, Kansu T. A diagnostic challenge: dilated pupil. Curr Opin Ophthalmol. 2013;24:550-557.

  22. Sajedi P, Nejad MS, Montazeri K, Baloochestani E. Comparing the preventive effect of 2 percent topical lidocaine and intravenous atropine on oculocardiac reflex in ophthalmological surgeries under general anesthesia. Int J Prev Med. 2013;4:1258-1265.

  23. Ruta U, Möllhoff T, Markodimitrakis H, Brodner G. Attenuation of the oculocardiac reflex after topically applied lignocaine during surgery for strabismus in children. Eur J Anaesthesiol. 1996;13:11-15.

  24. Chigurupati K, Vemuri NN, Velivela SR, Mastan SS, Thotakura AK. Topical lidocaine to suppress trigemino-cardiac reflex. Br J Anaesth. 2013;110:145.

  25. Meuwly C, Chowdhury T, Schaller B. Topical lidocaine to suppress trigemino-cardiac reflex. Br J Anaesth. 2013;111:302.

  26. Ruta U, Gerding H, Möllhoff T. Effect of locally applied lidocaine on expression of the oculocardiac reflex. Ophthalmologe. 1997;94:354-359.

  27. Batterbury M, Wong D, Williams R, Kelly J, Mostafa SM. Peribulbar anaesthesia: failure to abolish the oculocardiac reflex. Eye (Lond). 1992;6:293-295.

  28. Meng L, Quinlan JJ. Assessing risk factors for postoperative nausea and vomiting: a retrospective study in patients undergoing retromastoid craniectomy with microvascular decompression of cranial nerves. J Neurosurg Anesthesiol. 2006;18:235-239.

  29. Sato K, Sai S, Adachi T. Is microvascular decompression surgery a high risk for postoperative nausea and vomiting in patients undergoing craniotomy? J Anesth. 2013;27:725-730.

  30. Fang Q, Qian X, An J, Wen H, Wu J, Cope DK, et al. Pre-induction dexamethasone does not decrease postoperative nausea and vomiting after microvascular decompression for facial spasm. Chin Med J (Engl). 2014;127:2711-2712.

  31. An J, Fang Q, Huang C, Qian X, Fan T, Lin Y, et al. Deeper total intravenous anesthesia reduced the incidence of early postoperative cognitive dysfunction after microvascular decompression for facial spasm. J Neurosurg Anesthesiol. 2011;23:12-17.




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