Challenges in pediatric neuroanesthesia: awake craniotomy, intraoperative magnetic resonance imaging, and interventional neuroradiology.
This article gives a review of 3 challenges in caring for children undergoing neurosurgical and neurointerventional procedures. Anesthesiologists may have experience with certain aspects of these situations but may not have extensive experience with each clinical setting. This review addresses issues with awake craniotomy, intraoperative magnetic resonance imaging, and neurointerventional procedures in children with neurologic disease. Familiarization with these complex clinical scenarios and their unique considerations allows the anesthesiologist to deliver optimal care and helps facilitate the best possible outcome for these patients.
Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Bader 3, Boston, MA 02115, USA. Electronic address: craig.mcclain@childrens.harvard.edu.
Craig D
CD
McClain
Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Bader 3, Boston, MA 02115, USA.
Mary
M
Landrigan-Ossar
D000758:Anesthesia / Q000379:methods*; D002533:Cerebral Angiography; D002648:Child; D000075202:Contraindications; D003399:Craniotomy / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods; D006801:Humans; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D019635:Neurosurgical Procedures / Q000379:methods*; D011182:Postoperative Care; D011300:Preoperative Care; D015642:Radiology, Interventional / Q000379:methods*
Awake craniotomy; Intraoperative magnetic resonance imaging; Neuroendovascular; Neurointerventional; Pediatric; Pediatric neuroanesthesia