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12 - Critical Care Management before and after Open and Intravascular Procedures

Published online by Cambridge University Press:  19 May 2022

Andrew M. Naidech
Affiliation:
Northwestern University, Illinois
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Summary

Neurosurgical patients often require care in the neurocritical care unit, and neurocritical care patients often need neurosurgical procedures. A multidisciplinary approach is beneficial for care of these patients. The neurointensivist must have a basic understanding of the indications, operative procedures, and complications of neurosurgical procedures. These include open craniotomies, transsphenoidal skull base surgery, bedside intracranial pressure monitoring, and an ever-expanding array of endovascular procedures. This chapter serves as an introduction to neurosurgical procedures that may be seen by a neurointensivist and a primer for postoperative expectations and management. Disease-specific considerations are included for neurovascular pathologies, operative trauma management, and metastatic tumors.

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