Intraoperative acute brain swelling when performing indirect anastomosis in a patient with moyamoya disease: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : S191-S193, 2010.
Article
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| WPRIM
| ID: wpr-202671
Biblioteca responsable:
WPRO
ABSTRACT
A 6-year-old male patient who was suffering from a cold and a transient ischemic attack was scheduled to undergo encephalo-duro-arterio-synangiosis for treating his moyamoya disease. Acute brain edema occurred just after opening the dura mater. Head elevation, reduction of the head rotation and hyperventilation were done. The inhalational agents were discontinued and total intravenous anesthesia was started. The swelling was reduced after intravenously infusing mannitol. An abrupt return from hypocapnia to normocapnea during the induction of general anesthesia was thought to be the cause of the acute brain swelling. In conclusion, correction of hypocapnea needs to be performed gradually during the induction of anesthesia and when performing an operation for treating a patient with moyamoya disease.
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Texto completo:
1
Índice:
WPRIM
Asunto principal:
Estrés Psicológico
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Encéfalo
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Edema Encefálico
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Ataque Isquémico Transitorio
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Revascularización Cerebral
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Hipocapnia
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Frío
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Duramadre
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Cabeza
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Hiperventilación
Límite:
Child
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Humans
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Male
Idioma:
En
Revista:
Korean Journal of Anesthesiology
Año:
2010
Tipo del documento:
Article