Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-745bb68f8f-5r2nc Total loading time: 0 Render date: 2025-02-06T16:58:14.209Z Has data issue: false hasContentIssue false

Chapter 26 - Anaesthesia for Neurosurgery in Children

Published online by Cambridge University Press:  06 February 2025

By
Amaki Sogbodjor  and
Su Mallory
Edited by
James Ip ,
Grant Stuart ,
Isabeau Walker  and
Ian James
James Ip
Affiliation:
Great Ormond Street Hospital for Children, London
Grant Stuart
Affiliation:
Great Ormond Street Hospital for Children, London
Isabeau Walker
Affiliation:
Great Ormond Street Hospital for Children, London
Ian James
Affiliation:
Great Ormond Street Hospital for Children, London
Get access

Summary

The safe and effective delivery of neuroanaesthesia in children requires knowledge of normal development and neurophysiology. Preoperative assessment must pay particular attention to the symptoms and signs of raised intracranial pressure. The conduct of anaesthesia is influenced by the underlying pathology, the procedure being performed and the need for intraoperative neuromonitoring. Extreme vigilance is required in circumstances where venous air embolus (VAE) is a risk, and the provision of appropriate facilities is essential.

Keywords

Neuroanaesthesianeurosurgeryintracranial pressurevenous air embolusbrain tumours
Type
Chapter
Information
Core Topics in Paediatric Anaesthesia , pp. 291 - 301
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further Reading

Baykan, N, Isbir, O, Gercek, A et al. Ten years of experience with pediatric neuroendoscopic third ventriculostomy. Journal of Neurosurgical Anesthesiology 2005; 17(1):33–7.Google ScholarPubMed
Engelhard, K, Werner, C. Inhalational or intravenous anaesthetics for craniotomies? Pro inhalational. Current Opinion in Anaesthesiology 2006; 19(5):504–8.CrossRefGoogle ScholarPubMed
Harrison, EA, Mackersie, A, McEwan, A et al. The sitting position for neurosurgery in children: a review of 16 years’ experience. British Journal of Anaesthesia 2002; 88(1):12–7.CrossRefGoogle ScholarPubMed
Szabo, EZ, Luginbuehl, I, Bissonnette, B. Impact of anaesthetic agents on cerebrovascular physiology in children. Paediatric Anaesthesia 2009; 19(2):108–18.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×