ANESTHETIC MANAGEMENT FOR SURGERY OF CHILDREN WITH BRAIN TUMORS: SYSTEMATIC REVIEW
Keywords:
anesthetic support, pediatric anesthesiology, emergence, preoperative assessment and preparation, surgery, children, brain neoplasm.
Abstract
Aim. Based on publications dedicated to anesthetic management for surgery of children with brain neoplasms we aimed to reveal and summarize the specific features of anesthesia of such patients. Materials and Methods. We performed a systematic review and processed the information from Russian and foreign literature published in 2001–2016. The analysis included patients younger than 18 who had undergone surgical procedures due to brain tumor. Results. The conducted analysis allowed us to classify surgical interventions into three main categories (shunt surgery, open surgery, neuroendoscopy) and to determine category-specific features of anesthetic management. The analysis results also made it possible to describe the algorithms of preoperative preparation, recovery stage, and early postoperative period for anesthesiologist. Conclusion. The review has shown that brain tumor surgery is one of the most complicated operations requiring a well-coordinated teamwork. Anesthesiologist has not only to be especially well-trained and skilled, but to cooperate closely with neurosurgeon, which may be even more critical. Psychological, ethical, and professional aspects of such cooperation are a subject of further detailed research.References
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34. Schmidt A.P., Valinetti E.A., Bandeira D. Effects of Preanesthetic Administration of Midazolam, Clonidine, or Dexmedetomidine on Postoperative Pain and Anxiety in Children. Pediatr. Anest., 2007, vol. 17, pp. 667–674. DOI: 10.1111/j.1460-9592.2006.02185.x
2. Martirosian V., Chen T.C., Lin M. Medulloblastoma Initiation and Spread: Where Neurodevelopment, Microenvironment and Cancer Cross Pathways. J. Neuros. Res., 2016, vol. 94, no. 12, pp. 1511–1519. DOI: 10.1002/jnr.23917
3. Ashour A.M., Elbabaa S.K., Caputy A.J. Navigation-Guided Endoscopic Intraventricular Injectable Tumor Model: Cadaveric Tumor Resection Model for Neurosurgical Training. World Neurosurg., 2016, vol. 96, pp. 261–266. DOI: 10.1016/j.wneu.2016.04.048
4. Morgan G.E., Mikhail M.S., Butterworth J.F., Mackey D.C., Wasnick J.D. Clinical Anesthesiology. United States, McGraw-Hill Publ., 2008. 1392 p.
5. Bunyatyan A.A., Mizikov M.V. Anesteziologiya: natsionalnoe rukovodstvo [Anesthesiology. National Guideline]. Moscow, GEOTARMedia Publ., 2011. 1104 p.
6. Robinson N., Hall D. The Anesthesiology of Sine Qua Non – as to the Anesthesiologist to Survive Most and to Keep Life to the Patient. Moscow, BINOM, 2008. 224 p.
7. Liao R., Liu J. Volatile Induction/Maintenance Anesthesia with Sevoflurane Increases Lumbar Cerebrospinal Fluid Pressure and Jugular Venous Oxygen Saturation in Patients Undergoing Craniotomy. Eur. J. Anaesth., 2009, vol. 26, 101 p.
8. Peterson K.D., Landsfeuldt U., Cold E.G. Intracranial Pressure and Cerebral Haemodynamics in Patients with Cerebral Tumors: a Randomized Prospective Study of Patients Subjected to Craniotomy in Propofol-Fentanyl, Isoflurane- Fentanyl and Sevoflurane-Fentanyl Anaesthesia. Anesth., 2003, vol. 98, pp. 329–336. DOI: 10.1097/00000542-200302000-00010
9. Kuka P.J., Bressem M., Tryba M. Clonidine Prevents Sevoflurane-Induced Agitation in Children. Anest. Analg., 2001, vol. 93, pp. 335–338.
10. Mikhelson V.A., Grebennikov V.A. Detskaya anesteziologiya i reanimatologiya [Pediatric Anesthesiology and Reanimatology]. Moscow, Medicine Publ., 2001. 480 p.
11. Moppett I. Inhalational Anaesthetics. Anaesth. Int. Care Med., 2015, vol. 16, no. 12, pp. 641–646. DOI: 10.1016/j.mpaic.2015.09.006
12. Hsiao H.T., Yang L.C., Yu S.W. Laryngeal Mask Airway with Inhalational Induction and Maintenance of Sevoflurane Anesthesia and Prophylactic Dexamethasone for Outpatient Surgery. Eur. J. Anesth., 2009, vol. 26, no. 3, pp. 264–266. DOI: 10.1097/EJA.0b013e32831a465f
13. Tanko B., Molnar C., Budi T. Are Surgeons at Risk for Increased Exposure to Volatile Sevoflurane during Intracranial Surgery Compared with Anaesthetist? Eur. J. Anaesth., 2009, vol. 26, 98 p.
14. Patel P. Choice of Anaesthetic for Neuroanaesthesia – Does it Matter? ASA An. Ref. Cour. Not., 2004. 137 p.
15. Gelfand B.R. Anesteziologiya i intensivnaya terapiya. Prakticheskoe rukovodstvo [Anesthesiology and Intensive Care. Practical Guide]. Moscow, Litera Publ., 2006. 576 p.
16. Anata R., Takala R., Muittari R. Sevoflurane EC 50 and EC 95 Values for Laryngeal Mask Insertion and Tracheal Intubation in Children. Br. J. Anesth., 2001, vol. 86, pp. 212–216.
17. Savvina I.A. Anesteziologicheskoe obespechenie planovykh neyrokhirurgicheskikh vmeshatelstv u detei [Anesthetic Management for Elective Neurosurgery in Children]. Moscow, OOO PRE100 Publ., 2013. 48 p.
18. Gregory A., Andropoulos D.B. Gregory's Pediatric Anesthesia. Chichester, West Sussex. Wiley-Blackwell, 2012.
19. Likhvantsev V.V. Prakticheskoe rukovodstvo po anesteziologii [Practical Manual in Anesthesiology]. Moscow, Medical News Agency Publ., 2011. 288 p.
20. Sloan T. Anesthetics and the Brain. An. Clin. N. Am., 2002, vol. 20, pp. 265–292. DOI: 10.1016/s0889-8537(01)00002-5
21. Polushin Y.S. Rukovodstvo po anesteziologii i renimatologii [Manual in Anesthesiology and Reanimatology]. St. Petersburg, 2004. 897 p.
22. Templehoff R. Avoiding Complications in Neuroanaesthesia. ASA An. Ref. Cour. Not., 2006. 311 p.
23. Hannam J.A., Anderson B.J. Pharmacodynamic Interaction Models in Pediatric Anesthesia. Paediatr. Anest., 2015, vol. 25, no. 10, pp. 970–980. DOI: 10.1111/pan.12735
24. Brosius K.K., Bannister C.F. Effect of Oral Midazolam Premedication on the Awakening Concentration of Sevoflurane, Recovery Times and Bispectral Index in Children. Paediatr. Anaesth., 2001, vol. 11, pp. 585–590. DOI: 10.1046/j.1460-9592.2001.00734.x
25. Kihara S., Inamota S., Yaguchi Y. The Awakening Concentration of Sevoflurane in Children. Anesth. Analg., 2000, vol. 91, pp. 305–308.
26. Philip J.H. Using Screen-Based Simulation of Inhaled Anaesthetic Delivery to Improve Patient Care. Br. J. Anaesth., 2015, vol. 115, pp. ii89-ii94. DOI: 10.1093/bja/aev370
27. Launey Y., Nesseler N., Le Cousin A. Effect of a Fever Control Protocol-Based Strategy on Ventilator-Associated Pneumonia in Severely Brain Injured Patients. Crit. Care, 2014, vol. 18, no. 1, 698 p.
28. Uma A.P., Phillip C.J., Shobha M. Oral Transmucosal Midazolam Premedication for Preschool Children. Can. J. Anaesth., 2001, vol. 48, pp. 191–195. DOI: 10.1007/BF03019734
29. Tazeroualti N., De Groote F., De Hert S. Oral Clonidine vs. Midazolam in the Prevention of Sevoflurane-Induced Agitation in Children: a Prospective, Randomized, Controlled Trial. Br. J. Anaesth., 2007, vol. 98, pp. 667–671. DOI: 10.1093/bja/aem071
30. Uezono S., Goto T., Teuri K. Emergence Agitation after Sevoflurane versus Propofol in Pediatric Patients. Anesth. Analg., 2000, vol. 91, pp. 563–566. DOI: 10.1213/00000539-200009000-00012
31. Mauricio E., Ibacache M.D., Hernan R. Single-Dose Dexmedetomidine Reduces Agitation after Sevoflurane Anesthesia in Children. Anesth. Analg., 2004, vol. 98, pp. 60–63.
32. Baughman V. Brain Protection During Neurosurgery. An. Clin. N. Am., 2002, vol. 20, pp. 315–327. DOI: 10.1016/s0889-8537(01)00004-9
33. Isik B., Arslan M., Tunga A.D., Kurdipek O. Dexmedetomidine Decreases Emergence Agitation in Pediatric Patients after Sevoflurane Anesthesia without Surgery. Pediatr. Anest., 2006, vol. 16, pp. 748–753. DOI: 10.1111/j.1460-9592.2006.01845.x
34. Schmidt A.P., Valinetti E.A., Bandeira D. Effects of Preanesthetic Administration of Midazolam, Clonidine, or Dexmedetomidine on Postoperative Pain and Anxiety in Children. Pediatr. Anest., 2007, vol. 17, pp. 667–674. DOI: 10.1111/j.1460-9592.2006.02185.x
References on translit
Published
2016-12-01
How to Cite
Nikiforova, S., & Yakovlev, A. (2016). ANESTHETIC MANAGEMENT FOR SURGERY OF CHILDREN WITH BRAIN TUMORS: SYSTEMATIC REVIEW. Human. Sport. Medicine, 16(4), 43-53. https://doi.org/10.14529/hsm160405
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Clinical and Experimental Medicine
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