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Review
. 2015:2015:751320.
doi: 10.1155/2015/751320. Epub 2015 Jan 26.

Cardiac emergencies in neurosurgical patients

Tumul Chowdhury  1 , Andrea Petropolis  1 , Ronald B Cappellani  1
Affiliations
Review

Cardiac emergencies in neurosurgical patients

Tumul Chowdhury et al. Biomed Res Int. 2015.

Abstract

Perioperative safety concerns are a major area of interest in recent years. Severe cardiac perturbation such as cardiac arrest is one of the most dreaded complications in the intraoperative period; however, little is known about the management of these events in the patients undergoing elective neurosurgery. This special group needs further attention, as it is often neither feasible nor appropriate to apply conventional advanced cardiac life support algorithms in patients undergoing neurosurgery. Factors such as neurosurgical procedure and positioning can also have a significant effect on the occurrence of cardiac arrest. Therefore, the aim of this paper is to describe the various causes and management of cardiac emergencies with special reference to cardiac arrest during elective neurosurgical procedures, including discussion of position-related factors and resuscitative considerations in these situations. This will help to formulate possible guidelines for management of such events.

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Figures

Figure 1
Figure 1
Algorithm for the management of cardiac arrest in neurosurgical patients with Mayfield fixation and nonsupine positions.
Figure 2
Figure 2
Management algorithm for bradycardia and asystole in neurosurgical procedures.
See this image and copyright information in PMC

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References

    1. An J.-X., Zhang L.-M., Sullivan E. A., Guo Q.-L., Williams J. P. Intraoperative cardiac arrest during anesthesia: a retrospective study of 218,274 anesthetics undergoing non-cardiac surgery. Chinese Medical Journal. 2011;124(2):227–232. doi: 10.3760/cma.j.issn.0366-6999.2011.02.014. - DOI - PubMed
    1. Goswami S., Brady J. E., Jordan D. A., Li G. Intraoperative cardiac arrests in adults undergoing noncardiac surgery: incidence, risk factors, and survival outcome. Anesthesiology. 2012;117(5):1018–1026. doi: 10.1097/ALN.0b013e31827005e9. - DOI - PubMed
    1. Chowdhury T., West M. Intraoperative asystole in a patient undergoing craniotomy under monitored anesthesia care: is it TCR? Journal of Neurosurgical Anesthesiology. 2013;25(1):92–93. doi: 10.1097/ANA.0b013e318277d38a. - DOI - PubMed
    1. Prabhu V. C., Bamber N. I., Shea J. F., Jellish W. S. Avoidance and management of trigeminocardiac reflex complicating awake-craniotomy. Clinical Neurology and Neurosurgery. 2008;110(10):1064–1067. doi: 10.1016/j.clineuro.2008.07.005. - DOI - PubMed
    1. Sinha P. K., Neema P. K., Manikandan S., Unnikrishnan K. P., Rathod R. C. Bradycardia and sinus arrest following saline irrigation of the brain during epilepsy surgery. Journal of Neurosurgical Anesthesiology. 2004;16(2):160–163. doi: 10.1097/00008506-200404000-00010. - DOI - PubMed

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