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Hemodynamic Complications After Neurosurgery

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Essentials of Neurosurgical Anesthesia & Critical Care

Abstract

Postoperative cardio-pulmonary complications may present following neurologic surgery and include hyper- or hypotension, bradycardia, myocardial ischemia, and hypoxemia. These physiologic disturbances may result secondary to the effects of surgical stress on preexisting medical comorbidities such as essential hypertension, coronary artery disease, or cardiomyopathy. Emergence hypertension, pain, and agitation can produce tachycardia and increase myocardial oxygen demand resulting in ischemia in susceptible patients. Electrolyte disturbances and intravascular volume shifts secondary to hyperosmotic therapy can precipitate arrhythmias, hypotension, or cardiac failure. Fluid loading and vasopressor administration such as for hypertensive, hypervolemic (triple H) therapy during treatment for cerebral vasospasm can precipitate pulmonary edema and heart failure.

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Author information

Authors and Affiliations

  1. Saint Anthony’s Hospital, Denver, CO, USA

    Jeffrey Yoder MD

  2. Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA

    Rene Tempelhoff MD

Authors
  1. Jeffrey Yoder MD
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  2. Rene Tempelhoff MD
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Corresponding author

Correspondence to Jeffrey Yoder MD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, and Perioperative Medicine, Professor, University School of Medicine, Portland, 97214, Oregon, USA

    Ansgar M. Brambrink

  2. Department of Anesthesiology, and Perioperative Medicine, Professor and Chair, University School of Medicine, Portland, 97214, Oregon, USA

    Jeffrey R. Kirsch

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© 2012 Springer Science+Business Media, LLC

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Yoder, J., Tempelhoff, R. (2012). Hemodynamic Complications After Neurosurgery. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09562-2_69

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  • DOI: https://doi.org/10.1007/978-0-387-09562-2_69

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-09561-5

  • Online ISBN: 978-0-387-09562-2

  • eBook Packages: MedicineMedicine (R0)

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