Cardiac Emergencies in Neurosurgical Patients

Perioperative safety concerns are a major area of interest in recent years. Severe cardiac perturbation such as cardiac arrest is one of the most dreaded complications in the intraoperative period; however, little is known about the management of these events in the patients undergoing elective neur...

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Bibliographic Details
Published in:BioMed research international 2015-01, Vol.2015 (2015), p.1-14
Main Authors: Chowdhury, Tumul, Cappellani, Ronald B., Petropolis, Andrea
Format: Article
Language:English
Subjects:
Algorithms
Cardiac arrest
Cardiac arrhythmia
Cardiopulmonary resuscitation
Care and treatment
CPR
Emergencies
Epilepsy
Heart Diseases - etiology
Heart Diseases - prevention & control
Heart Diseases - surgery
Hematoma
Hemodynamics
Humans
Hypotension
Neurosurgery
Neurosurgical Procedures - adverse effects
Patients
Perioperative Period
Review
Safety
Suctioning
Surgery
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Summary:Perioperative safety concerns are a major area of interest in recent years. Severe cardiac perturbation such as cardiac arrest is one of the most dreaded complications in the intraoperative period; however, little is known about the management of these events in the patients undergoing elective neurosurgery. This special group needs further attention, as it is often neither feasible nor appropriate to apply conventional advanced cardiac life support algorithms in patients undergoing neurosurgery. Factors such as neurosurgical procedure and positioning can also have a significant effect on the occurrence of cardiac arrest. Therefore, the aim of this paper is to describe the various causes and management of cardiac emergencies with special reference to cardiac arrest during elective neurosurgical procedures, including discussion of position-related factors and resuscitative considerations in these situations. This will help to formulate possible guidelines for management of such events.
ISSN:2314-6133
2314-6141
DOI:10.1155/2015/751320