Anesthesiologic Considerations in Laser Neurosurgery
β Scribed by Dr. Leonard J. Cerullo; Antoun Koht
- Publisher
- John Wiley and Sons
- Year
- 1983
- Tongue
- English
- Weight
- 273 KB
- Volume
- 3
- Category
- Article
- ISSN
- 0196-8092
No coin nor oath required. For personal study only.
β¦ Synopsis
The laser has been welcomed to the neurosurgical armamentarium because of the inherent precision and gentleness of the no-touch technique. In order to maximize laser safety and efficacy, however. certain anesthesiologic considerations. specific to neurosurgery, must be realized. Motion of patient (target) during routine anesthesiologic checks or as the result of physiologic excursions during myocardial contraction and respiration must be minimized. Ventilatory parameters, anesthetic agents, and cardio active drugs are considered.
π SIMILAR VOLUMES
Eight years of experience with the CO2 laser and 4 years experience with the neodymium laser in 737 neurosurgical cases are presented with absolute and relative indications and observations. Future developments are discussed.
## Abstract Seven cases of cerebral tumors (four deepβseated sovratentorial gliomas located in motor area, occipital region, parietal region and frontal region; one deepβseated cystic cerebellar spongioblastoma; one sphenoidal wing meningioma, and one spinal cord intradural tumor) were simultaneous
In neurosurgical practice the laser can be considered an additional instrument to improve conventional techniques, or even a new method of treatment of some cerebral lesions. A complete laser surgery requires the association of three laser sources in combination. The CO, laser is useful for cutting