Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2014 | 08 | 1 |

Tytuł artykułu

General anaesthesia in patients with cerebrovascular diseases - risks and complications

Treść / Zawartość

Warianty tytułu

Języki publikacji



The aim of the study is to present the problems arising during general anesthesia in patients with cerebrovascular diseases, taking into account the appropriate perioperative preparation. When planning the anesthetic procedure strategies aimed at the prevention of cerebral ischemia or hemorrhage into the brain must be taken into account. Material and research methods: a descriptive analysis was applied on the basis of the literature collected from the years 1992 to 2013. Conclusions: Preoperative evaluation of patients with cerebrovascular disease requires a thorough neurological examination, assessment of cardiovascular complications, including the risk of cerebrovascular, respiratory, renal, and endocrine system complications. During general anesthesia one should take care of haemodynamic stability and proper ventilation parameters. The choice of anesthetic agents so that during the induction of anesthesia, throughout anesthesia, during the recovery from the anesthesia there is no risk of hemodynamic instability and an appropriate level of blood perfusion in the brain is maintained. In the postoperative period the neurological status of the patient should be assessed, in order to ensure that he does not demonstrate symptoms of delirium and that he does not experience a recurrence of previous neurological deficits. Each surgery and anesthesia should be discussed with the operator in terms of the risks and benefits of surgery. Scheduled surgery in patients with acute cerebrovascular incidents need to be postponed until their performance is reasonably safe for the patient.

Słowa kluczowe








Opis fizyczny



  • Department of Anesthesiology and Intensive Care, The Zofia z Zamoyskich Tarnowska Regional Hospital in Tarnobrzeg, Tarnobrzeg, Poland
  • Neurological Rehabilitation Laboratory, Chair of Rehabilitation, Physiotherapy and Balneotherapy, Medical University in Lublin, Aleje Raclawickie 1, 20-059 Lublin, Poland
  • Neurological Rehabilitation Laboratory, Chair of Rehabilitation, Physiotherapy and Balneotherapy, Medical University in Lublin, Lublin, Poland
  • Balneotherapy Department, Chair of Rehabilitation, Physiotherapy and Balneotherapy, Medical University in Lublin, Lublin, Poland
  • Diagnostic Imaging Department, The Zofia z Zamoyskich Tarnowska Regional Hospital in Tarnobrzeg, Tarnobrzeg, Poland


  • 1. Aitkenhead AR., Smith G., Rowbothan DJ. (2008), Choroby towarzyszące a znieczulenie. W: Anestezjologia, Elsevier Urban& Partner Wrocław, s. 478-498.
  • 2. Aitkenhead AR., Smith G., Rowbothan DJ. (2008), Środki sedujące i przeciwpadaczkowe. W: Anestezjologia, Elsevier Urban& Partner Wrocław, s. 103-110.
  • 3. Berkowitz AL., Mittal MK., McLane HC., Shen GC. (2013), Worldwide reported use of IV tissue plasminogen activator for acute ischemic stroke. Int J Stroke, 10: s. 1111-1118.
  • 4. Duffy CM., Mata BF. (2000), Sevoflurane and anesthesia for neurosurgery. J. Neurosurg. Anesthesiol., 12(2) s. 128-140.
  • 5. Fine-Edelstein JS., Wolf PA. i in. (1994), Precursors of extracranial carotid atherosclerosis in the Framingham Study. Neurology, 44(6): 1046-1050.
  • 6. Finnigan SP., Walsh M., Rose SE. i in. (2007), Qantitative EEG incides of sub-acute ischaemic stroke correlate with clinical outcomes. Clin Neurophysiol, 118(11): 2525-2532.
  • 7. Ishibashi T., Murayama Y., Urashima M. (2009), Unruptured intracranial aneurysms: incidence of rupture and risk factors. Stroke, 40(1): s. 313-316.
  • 8. Jellish WS. (2006), Anesthetic issues and perioperative blood pressure management in patients who have cerebrovascular diseases undergoing surgical procedures. Neurol Clin, 24(4): s. 647-659.
  • 9. Joshi S., Ornstein E., Young WL. (2001), Cerebral and spinal cord blood flow. In: Cottrell JE, Smith DS, editors. Anesthesia and neurosurgery.4th edition. St. Louis: Mosby, s. 19-68.
  • 10. Kohl BA., Rosenbaum SH. (2010), Problemy anestezjologiczne u chorych ze stwierdzoną niewydolnością naczyń mózgowych. W: Anesthesjology clinics. Elsevier Urban& Partner Wrocław, s. 1-13.
  • 11. Lam AM. (2001), Cerebral aneurysm: anesthetic consideration. W: Anesthesia and Neurosurgery (Cottrell JE, Smidth DS- red.). Mosby, St Louis, London, Filadelfia, Sydney, Toronto.
  • 12. Larsen R. (2003), Neurochirurgia. W: Anestezjologia. Urban& Partner Wrocław, s. 1173-1185.
  • 13. Latchaw RE., Alberts MJ. i in. (2009), Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association. Stroke, 40(11): s. 3646-3678.
  • 14. Levy DM., Nowicki R. (2002), Anesthesia for treatment of cerebral aneurysmus. Anesthesia, 4(3): s. 106-114.
  • 15. McGrath ER., Eikelboom JW., Kapral MK., O’Donnell MJ. Novel oral anticoagulants: A focused review for stroke physicians. Int J Stroke, 2013; 10(22): 1215-1219.
  • 16. Mayzner-Zawadzka E. (2009) Anestezja w neurochirurgii. W: Anestezjologia kliniczna z elementami intensywnej terapii i leczenia bólu. PZWL, Warszawa. s. 583-586.
  • 17. O’Leary DH., Polak JF., Kronmal RA. i in. (1992), Distribution and correlates of sonographically detected carotid artery disease in the Cardiovascular Health Study. The CHP Collaborative Research Group. Stroke, 23(12): 1752-1760.
  • 18. Rowland LP., Pedley TA. (2012), Patogeneza, klasyfikacja oraz epidemiologia chorób naczyniowych mózgu. W: Neurologia. Elsevier Urban& Partner Wrocław, s. 273-310.
  • 19. Schaller BJ., Graf R., Jacobs AH. (2006), Patthophysjological changes of the gastrointestinal tract in ischemic stroke. Am J Gastroenterol, 101(7): s. 1655-1665.
  • 20. Stapf C., Mast H., Sciacca RR. (2003), The New York Islands AVM Study: design, study progress and initial results. Stroke, 34(5): s. 29-33.
  • 21. Van den Berghe G., Bouilon R., Mesotten D. (2009) Glucose control in critically ill patients. N Engl J Med, 361(1): s. 89-91.
  • 22. Vercauteren M., Heytens L. (2007), Anaesthetic considerations for patients with a pre-existing neurological deficit: are neuraxial techniques safe? Acta Anaesthesiol Scand, 51(7): s. 831-838.
  • 23. Weir CJ., Murray GD., Dyker AG. i in. (1997), Is hyperglicemia an independent predictor of poor outcome after acute stroke? Results of a long-term follow-up study. BMJ, 314: s. 1303-1306.
  • 24. Young WL. (2007), Anesthesia for endovascular neurosurgery and interventional neuroradiology. Anesthesiol Clin, 25(3): s.391-412.
  • 25. Zauner A. i in. (2002): Brain oxygenation and energy metabolism: partI biological function and pathophysiology. Neurosurgery, 51 s. 289-302.
  • 26. Zhao P., Alsop DC. i in. (2009), Vasoreactivity and peri- infarct hyperintensities in stroke. Neurology, 72(7): 643-649.


Rekord w opracowaniu

Typ dokumentu



Identyfikator YADDA

JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.