Scientific Paper Entitled: Anesthesia Considerations In Neurosurgical Emergencies: A Narrative Review

Abstract

Anesthesiologists play a crucial role in preserving neuronal homeostasis during neurosurgical emergencies by ensuring that patients have enough oxygen, ventilation, and hemodynamic conditions. A systematic approach may be helpful in diagnosis and therapy. Understanding the different aspects of airway management, breathing tactics, and anesthetic considerations in this review is crucial since these decisions have the potential to impact cerebral physiology and ultimately patient outcomes. When intubating a patient, RSI is typically the recommended method. Ventilation should be modified to preserve eucapnia and maximize brain perfusion. During neurosurgical emergencies, neuroprotective measures that provide sufficient perfusion can lead to better outcomes.  Cerebral perfusion pressure is disrupted and intracranial pressure is raised in many intracranial situations, such as trauma and intracranial vascular emergencies. A key component of anesthetic therapy for spinal traumas is preventing secondary injury following traumas to the spine and ensuring adequate perfusion to the spinal cord.