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Anaes VivasNeuroanaesthesia

Anaes Vivas · Neuroanaesthesia

Anaesthesia for intracranial aneurysm and AVM — viva

Structured oral examination station for aneurysm-avm-anaesthesia.

clinical1 min readVerification in progress

Target exams

ANZCAFRCAEDAICABAFCAI
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Study tools

Target exams

ANZCAFRCAEDAICABAFCAI
Prompt
SAH day 2, coiling failed, emergency clipping.

Assessment (3 min)

Grade, heart, sodium, airway — SAH is systemic (cardiopulmonary dysfunction and electrolyte disturbance in review scope).

[2]
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References9ShowHide
  1. [1]Hindman BJ et al. No association between intraoperative hypothermia or supplemental protective drug and neurologic outcomes in patients undergoing temporary clipping during cerebral aneurysm surgery: findings from the Intraoperative Hypothermia for Aneurysm Surgery Trial. Anesthesiology, 2010.PMID 19952722
  2. [2]Priebe HJ Aneurysmal subarachnoid haemorrhage and the anaesthetist. Br J Anaesth, 2007.PMID 17525049
  3. [3]Pickard JD, Murray GD, Illingworth R, et al. Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial. BMJ, 1989.PMID 2496789
  4. [4]Intarakhao P, Thiarawat P, Tewaritrueangsri A, et al. Low-dose adenosine-induced transient asystole during intracranial aneurysm surgery. Surg Neurol Int, 2020.PMID 32874738
  5. [5]Seo H, Kim E, Jung H, et al. A prospective randomized trial of the optimal dose of mannitol for intraoperative brain relaxation in patients undergoing craniotomy for supratentorial brain tumor resection. J Neurosurg, 2017.PMID 27540904
  6. [6]Chyatte D Normal pressure perfusion breakthrough after resection of arteriovenous malformation. J Stroke Cerebrovasc Dis, 1997.PMID 17894984
  7. [7]Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/american Stroke Association. Stroke, 2012.PMID 22556195
  8. [8]Banik S, Rath GP, Lamsal R, Bithal PK Effect of dexmedetomidine on dynamic cerebral autoregulation and carbon dioxide reactivity during sevoflurane anesthesia in healthy patients. Korean J Anesthesiol, 2020.PMID 32209963
  9. [9]Meling TR, Romundstad L, Niemi G, et al. Adenosine-assisted clipping of intracranial aneurysms. Neurosurg Rev, 2018.PMID 28819885
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