Anesthesia for minimally invasive cranial and spinal surgery.
The field of minimally invasive neurosurgery has evolved rapidly in its indications and applications over the last few years. New, less invasive techniques with low morbidity and virtually no mortality are replacing conventional neurosurgical procedures. Providing anesthesia for these procedures differs in many ways from conventional neurosurgical operations. Anesthesiologists are faced with the perioperative requirements and risks of newly developed procedures. This review calls attention to the anesthetic issues in various minimally invasive neurosurgical procedures for cranial and spinal indications. Among the procedures specifically discussed are endoscopic third ventriculostomy, endoscopic transsphenoidal hypophysectomy, endoscopic strip craniectomy, deep brain stimulation, video-assisted thorascopic surgery, vertebroplasty and kyphoplasty, cervical discectomy and foraminectomy, and laparoscopically assisted lumbar spine surgery.
Schubert
Armin
A
Department of General Anesthesiology, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH 44195, USA. schubea@ccf.org
Deogaonkar
Anupa
A
Lotto
Michelle
M
Niezgoda
Julie
J
Luciano
Mark
M
D000758:Anesthesia; D001921:Brain / Q000601:surgery*; D046690:Deep Brain Stimulation; D004724:Endoscopy; D006801:Humans; D010535:Laparoscopy; D019060:Minimally Invasive Surgical Procedures; D019635:Neurosurgical Procedures; D013116:Spinal Cord / Q000601:surgery*; D013131:Spine / Q000601:surgery