Control of intracranial pressure during pediatric neurosurgery anesthesia.
Some of the important points of view of anesthesia in pediatric neurosurgery are: adequate alveolar exchange of oxygen and carbondioxide by means of artificial ventilation; stable cardiovascular function; fluid balance; monitoring, and attempts to keep intracranial pressure low. This last point is achieved by various anesthesiological procedures, e.g., hyperventilation, positive-negative pressure ventilation, rapid induction of anesthesia and choice of suitable anesthetics. Enflurane (Ethrane) increases intracranial pressure less than halothane. The new intravenous anesthetic etomidate lowers intracranial pressure in a favorable manner quite similar to thiopental (Pentothal-Sodium).
D000758:Anesthesia; D001463:Barbiturates; D001921:Brain / Q000601:surgery*; D002648:Child; D004737:Enflurane; D006221:Halothane; D006801:Humans; D006985:Hyperventilation / Q000150:complications; D007427:Intracranial Pressure / Q000187:drug effects*; D008733:Methoxyflurane; D009458:Neuroleptanalgesia; D011175:Positive-Pressure Respiration
D001463:Barbiturates; D008733:Methoxyflurane; D004737:Enflurane; D006221:Halothane