Chapter

Supratentorial Craniotomy for Mass Lesion

Shaun E. Gruenbaum and Federico Bilotta

in Oxford Textbook of Neuroscience and Anaesthesiology

Published on behalf of Oxford University Press

Published in print January 2019 | ISBN: 9780198746645
Published online January 2019 | e-ISBN: 9780191808517 | DOI: https://dx.doi.org/10.1093/med/9780198746645.003.0013

Series: Oxford Textbook in Anaesthesia

Supratentorial Craniotomy for Mass Lesion

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This chapter provides an introduction to the topic of supratentorial craniotomy for mass lesion. Because there are few randomized clinical trials that guide the decision-making process for these patients, a combination of applied theory and expert consensus primarily guides anaesthetic management. With this in mind, the chapter discusses epidemiology, pre-operative considerations (including history-taking, physical examination, premedication, intravascular access and monitoring), and intra-operative management (including induction, muscle relaxation, use of cranial pins, anaesthesia maintenance, and fluid balance). It also discusses possible intra-operative complications (for example, venous air embolism, acute increase in ICP). Finally, it covers various aspects of postoperative management (including emergence, extubation, pain management, and postoperative nausea and vomiting ).

Chapter.  10652 words.  Illustrated.

Subjects: Anaesthetics ; Neurology ; Neuroscience

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