Principles of Neuro-anesthesia in Neurosurgery for Intensive Care Unit Nurses

Crit Care Nurs Clin North Am. 2016 Mar;28(1):87-94. doi: 10.1016/j.cnc.2015.10.004. Epub 2015 Dec 23.

Abstract

As neurosurgical interventions and procedures are advancing, so is the specialty of neuro-anesthesia. The neurosurgeon and the neuro-anesthetist are focused on providing each patient with the best possible outcome. Throughout the surgery, the main priorities of the neuro-anesthetist are patient safety, patient well-being, surgical field exposure, and patient positioning. Potential postoperative complications include nausea and vomiting. Postoperative visual loss is a complication of neurosurgery, most specifically spine surgery, whose origins are unknown. Postoperative considerations for the intensive care unit nurse should include receiving a thorough clinical handoff from the anesthesia provider to ensure care continuity and patient safety.

Keywords: Complications; Intraoperative management; Monitoring; Neuro-anesthesia; Positioning.

Publication types

  • Review

MeSH terms

  • Anesthesia*
  • Critical Care Nursing*
  • Humans
  • Intensive Care Units
  • Monitoring, Physiologic
  • Neurosurgery*
  • Postoperative Complications*