RESUMO
The choice of myorelaxation agent for rapid sequence tracheal intubation for surgical cerebral decompression is a less studied question in neuroanaesthesiology. 32 patients with cerebral trauma (GCS<8) were involved in the study. Influence of succinylcholine and rocuronium bromide on cerebral circulation, intracranial pressure, cerebral perfusion pressure and systemic haemodynamics was assessed. Rocuronium bromide in dose 0.6 mg/kg provides good conditions for tracheal intubation in 40-60 seconds and does not influence on studied parameters. Rocuronium bromide is a drug of choice for general anaesthesia in patients with traumatic cerebral compression.
Assuntos
Androstanóis/uso terapêutico , Anestesia Geral/métodos , Lesões Encefálicas/cirurgia , Hipertensão Intracraniana/fisiopatologia , Intubação Intratraqueal/métodos , Fármacos Neuromusculares Despolarizantes/uso terapêutico , Androstanóis/administração & dosagem , Velocidade do Fluxo Sanguíneo , Lesões Encefálicas/complicações , Lesões Encefálicas/fisiopatologia , Circulação Cerebrovascular/fisiologia , Feminino , Humanos , Hipertensão Intracraniana/etiologia , Hipertensão Intracraniana/cirurgia , Masculino , Pessoa de Meia-Idade , Relaxamento Muscular/efeitos dos fármacos , Fármacos Neuromusculares Despolarizantes/administração & dosagem , Respiração Artificial , Rocurônio , Succinilcolina/administração & dosagem , Succinilcolina/uso terapêuticoRESUMO
Benign gliomas are slowly growing primary brain tumors with prolonged natural course and tendency to malignization. Selection of methods of treatment of patients with good quality of life is being discussed. 'Conservative' as well as active surgical tactics are supported. The paper describes results of treatment of 19 patients with benign supratentorial gliomas. Follow-up period varied from 4 months to 17 years. Aspects of volume evolution and surgical excision of tumor are highlighted.
Assuntos
Glioma/cirurgia , Procedimentos Neurocirúrgicos/métodos , Neoplasias Supratentoriais/cirurgia , Adulto , Feminino , Glioma/diagnóstico , Glioma/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos/normas , Neoplasias Supratentoriais/diagnóstico , Neoplasias Supratentoriais/patologia , Fatores de Tempo , Resultado do TratamentoRESUMO
The diagnostic possibilities of intraoperative comparative contact thermoencephalometry were studied in 54 patients with various forms of traumatic brain compression. Various temperature characteristics of the dura mater and cerebral cortex which depended on the rate of the clinical course of intracranial hematomas, as well as in foci of contusion and crushing of the brain, were detected. Consequently, this method can be employed during operation for determining the exact character and extent of the comprising substrate in craniocerebral trauma.
Assuntos
Temperatura Corporal , Lesões Encefálicas/cirurgia , Encéfalo/fisiopatologia , Monitorização Fisiológica , Concussão Encefálica/diagnóstico , Concussão Encefálica/cirurgia , Lesões Encefálicas/diagnóstico , Técnicas de Diagnóstico por Cirurgia , Hematoma Subdural/diagnóstico , Hematoma Subdural/cirurgia , HumanosRESUMO
From the analysis of 123 cases in which operations were performed after relieving compression of the brain the authors give a classification of operations according to their etiological trend: relief of persisting compression of the brain, correction of respiratory disorders, provision for enteral feeding, control of purulent inflammatory complications, rehabilitation. Indications for repeated operations and specific features of their performance were developed.