Anestesia en tumores supratentoriales.
DOI:
https://doi.org/10.30445/rear.v15i5.1145Palabras clave:
Anestesia, Craneotomía supratentorial, tumores supratentoriales, masa cerebral, hinchazón, Meningioma resection, Resección de glioma, Neurocirugía, Relajación cerebralResumen
Los tumores supratentoriales (TS) son los tumores primarios más frecuentes del sistema nervioso central. Su manejo anestésico exige un profundo conocimiento de la fisiología cerebral y debe ir enfocado a mantener una adecuada perfusión cerebral, evitar agresiones cerebrales secundarias, favorecer unas condiciones quirúrgicas óptimas a través del control de la presión intracraneal, lograr una adecuada neuromonitorización y facilitar un despertar rápido y suave que permita, en ausencia de complicaciones, una evaluación neurológica precoz. El manejo adecuado de estos pilares tendrá un impacto directo en el resultado neuroquirúrgico y en el pronóstico del paciente tras la resección. El objetivo de esta revisión es proporcionar un resumen actualizado de la evidencia y conocimientos que debe poseer un anestesiólogo en el manejo de la craneotomía de TS. Para llevar a cabo este documento, se ha realizado una búsqueda no sistemática de la literatura en las bases de datos PubMed y Cochrane en los últimos veinte años, con fecha de actualización abril 2022, utilizando las palabras clave “anesthesia” “supratentorial brain tumor” “supratentorial craniotomy” “brain bulk”.
Citas
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