title: [Choice of anesthesia in microsurgical procedures on peripheral nerves].
abstract: Microsurgical procedures on peripheral nerve lesions have their own specifics. Those are: duration and extent of operation, and need to change body position during operation. General endotracheal anesthesia has been used for operations on brachial plexus lesions with neural transfer; on peripheral nerve lesions with sural nerve autotransplantations; on all extracranial lesions (facial n. and lesion hypoglossal n.); for lesions of plexus lumbalis and sciatic nerve. These operations are requesting turning of patient on the lateral or ventral position or they are performed on head and neck. Because operation and anesthesia last longer, general ET anesthesia is more suitable for neurosurgeons and anesthesiologist's interventions. Regional anesthesia, i.e. neural plexus block, is suitable for operations on upper extremity. Then we perform brachial plexus block with more approaches. There has been frequently in use axillary approach which is easier to perform, has minimum of complications and is suitable for procedures at cubital region, forearm and hand.
authors: Institut za anesteziju i reanimaciju, odeljenge pri Institutu za neurohirurgiju Klinicki Centar Srbije.
authors: V
authors: V
authors: Stevanović
authors: B
authors: B
authors: Milaković
authors: Z
authors: Z
authors: Stanimirović
authors: M
authors: M
authors: Stosić
mesh_terms: D000758:Anesthesia / Q000379:methods*; D006801:Humans; D008866:Microsurgery; D010525:Peripheral Nerves / Q000601:surgery*