Anesthesia for supratentorial brain tumors.
DOI:
https://doi.org/10.30445/rear.v15i5.1145Keywords:
Anesthesia, Supratentorial craniotomy, Supratentorial brain tumors, Brain bulk, swelling, Meningioma resection, Glioma resection, Neurosurgery, Brain relaxationAbstract
Supratentorial brain tumors (STBs) are the most common primary central nervous system tumors. Anesthesia for SBTs requires an understanding of the cerebral physiology and should focus on maintaining cerebral perfusión pressure, avoding secondary insults to the brain, providing an optimal operative scenario through the control of the intracranial pressure, facilitating the electrophysiological monitoring and favoring a rapid and smooth emergence that allows an early neurological evaluation if no complications are present. The correct management of these goals will impact the neurosurgical outcome and patient’s prognosis after de SBT resection. The purpose of this review is to provide an updated summary of the evidence and give the anesthesiologist the knowledge to perform a supratentorial craniotomy. To make this review, a non-systematic search was performed in PubMed and Cochrane Databases for the last twenty years, with an update of April 2022 and using the following keywords “anesthesia” “supratentorial brain tumor” “supratentorial craniotomy” and “brain bulk”.
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