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Controlled Hypotension in Neuroanaesthesia

  • Book
  • © 1985

Overview

Editors:
  1. D. Heuser

    1. University of Tübingen, Tübingen, Germany

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  2. D. G. McDowall

    1. University of Leeds, Leeds, England

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  3. V. Hempel

    1. University of Tübingen, Tübingen, Germany

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Table of contents (22 chapters)

  1. Front Matter

    Pages i-ix
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  3. Cerebral Blood Flow and Metabolism under Conditions of Systematic Hypotension

    1. Front Matter

      Pages 47-47
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    2. Direct and Indirect Cerebral Effects of Deliberate Hypotension

      • J. E. Cottrell
      Pages 49-58

    3. Autoregulation of Cerebral Blood Flow: Effects of Hypotensive Drugs

      • W. Fitch, J. D. Pickard, D. I. Graham, I. Arendt
      Pages 59-62

    4. The Deleterious Effect of Excessive Tissue Lactic Acidosis in Brain Ischemia

      • S. Rehncrona
      Pages 63-69

    5. Interaction Between Blood Glucose Level, Degree of Cerebral Tissue Acidosis and Cellular K+ Release under Critical Cortical Flow Conditions

      • D. Heuser, H. Guggenberger, H. Heinle, F. Braig
      Pages 71-78

    6. Controlled Hypotension in Neuroanesthesia

      • P. J. Morris, D. Heuser, D. G. McDowall
      Pages 79-84

    7. Membrane Stabilization in the Ischemic Brain: A Mode of Protection?

      • J. Astrup
      Pages 85-91

    8. Blood Flow and Oxidative Metabolism of the Young Adult and Aging Brain

      • S. Hoyer
      Pages 93-110
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Keywords

About this book

This book is based on the proceedings of a conference held in Tubingen, West Germany, in 1981, at which anesthesiologists, neuro­ surgeons, pathologists and neurophysiologists met to consider the place of controlled hypotension in neurosurgery. In the first part of the book alternative methods of inducing hypotension are considered, and it is important to emphasize that the techniques which are suitable for neurosurgery may not be so for other types of surgery, and vice versa. In neurosurgery, and par­ ticularly in aneurysm surgery, the emphasis is on lowering intra­ luminal pressure and not mainly on reducing blood flow or limiting tissue oozing. Another special consideration in neurosurgery is the influence of drugs used to induce hypotension on intracranial pressure, with nitroprusside (NTP), and especially nitroglycerine, increasing ICP in the closed skull and increasing brain "bulk" when the skull is open. These and other points are extensively covered. The use of a non-essential technique like controlled hypotension demands that the procedure should carry minimal risk to the patient. Contributions in part IV consider the neuropathology associated with too severe a lowering of oxygen supply through hypotension. In the clinical avoidance of such ischemic changes in individual patients, monitoring of the brain electrical function is much the most import­ ant and practical approach and is discussed in part III. The Editors hope that the publication of these contributions to the Tubingen Symposium will help in the effective and safe appli­ cation of the technique of controlled hypotension in neurosurgery.

Editors and Affiliations

  • University of Tübingen, Tübingen, Germany

    D. Heuser, V. Hempel

  • University of Leeds, Leeds, England

    D. G. McDowall

Bibliographic Information

  • Book Title: Controlled Hypotension in Neuroanaesthesia

  • Editors: D. Heuser, D. G. McDowall, V. Hempel

  • DOI: https://doi.org/10.1007/978-1-4613-2499-7

  • Publisher: Springer New York, NY

  • eBook Packages: Springer Book Archive

  • Copyright Information: Plenum Press, New York 1985

  • Softcover ISBN: 978-1-4612-9512-9Published: 06 October 2011

  • eBook ISBN: 978-1-4613-2499-7Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: X, 230

  • Topics: Anesthesiology

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