Abstract
Posterior fossa surgery has the standard risks of a craniotomy for any neurologic lesion. It carries the additional risk of working in a small area, approximately 185 cm3, that is, dense in vital structures and in close proximity to noncompressible venous sinuses. This increases the risk of venous air embolism (VAE) and blood loss. Unique management and neurologic risks will be addressed including positioning, neuromonitoring, anesthetic management, and prevention/management of VAE and paradoxical air embolism.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Black MD, et al. Outcome following posterior fossa craniectomy in patients in the sitting and horizontal positions. Anesthesiology. 1988;69:49–56.
Spektor S, et al. Comparison of outcomes following complex posterior fossa surgery performed in sitting versus lateral position. J Clinical Neurosci. 2015;22:705–12.
Suggested Reading
Cottrell JE, Patel P. Cottrell and Patel’s neuroanesthesia 6th ed. Elsevier; September 2016.
Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Cohen NH, Young WL. Anesthesia for neurologic surgery. In: Miller’s anesthesia. 8th ed. Elsevier; 2015.
Mirski MA, et al. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007;106:164–77.
Newfield P, Cottrell JE. Handbook of neuroanesthesia. 5th ed. Lippincott Williams and Wilkins; 2012.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Podovei, M., Crossley, L. (2017). Anesthesia Management for Posterior Fossa Craniotomy. In: Aglio, L., Urman, R. (eds) Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-50141-3_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-50141-3_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-50139-0
Online ISBN: 978-3-319-50141-3
eBook Packages: MedicineMedicine (R0)