MICROSURGERY AND ANESTHESIA

Year 1994, Volume: 47 Issue: 1, 163 - 172, 03.06.1994

Fatma Feyhan Ökten

Abstract

Microsurgical techniques have improved since the extensive use of microscope in the operating room. Microsurgery is an essential part of neurosurgery and these patients anaesthetic management differs in some aspects. Controlled hypotension for prevention of elevation of intracranial pressure and bleeding is necessary. Surgery for epilepsy also requires microscopes. The use of 0.5 % . Halothane, N20-02 with intravenous supplements of fentanyl and droperidol seems to be the appropriate efective method without electrocorticography. High frequency jet ventilation is the best method used in micro laryngeal surgery. In Summary; the prolonged of microsurgical anaesthetic procedures, the control of patients temperature, the maintenance of blood flow to the greft and postoperative care are considerations in the anaestetic management.

Keywords

Microsurgery , anesthesia , techniques

Ethical Statement

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Supporting Institution

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Thanks

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MİKROCERRAHİ VE ANESTEZİ

Abstract

Epilepsi cerrahisi de mikroskop gerektirir. Elektrokortikografiye en az etkili anestezi sekli olarak azot protoksit-oksijen ve maksimum % 0.5 halotan uygulamrken, intravenöz yolla arallkll fentanil ve droperidol verilmesi oldugu bildiri]mektedir. Kulak burun bogaz ameliyathanesinde mikrocerrahi uygulamasl, en fazla mikro laringeal cerrahide kullamllr. Burada da en uygun yöntem yüksek frekansil jet ventilasyondur. Mikrovasküler cerrahide anestezi uygulamasmda dikkat edilecek hususlar, uzam1S anestezi ve cerrahi, hastanm Islsmm kontrolü, flepte kan aklmmm saglanmasl ve operasyon sonrasl baklrn olarak özetlenebilir.

Keywords

: Mikro cerrahi , Anestezi , teknik

Project Number

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References

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