Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 113: Anesthesia for Aneurysm Clipping With Dave Mintz
9 snips
Mar 25, 2019 AI Snips
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Episode notes
Premedication Advice
- Avoid giving benzodiazepines preoperatively to aneurysm patients.
- If necessary, use handholding, a small dose of propofol, or opiates instead to manage anxiety.
Blood Pressure Management
- Maintain tight blood pressure control in aneurysm patients to minimize risks.
- Avoid hypotension, which can compromise collateral circulation, and hypertension, which increases rupture risk.
Anesthetic Plan for Emergence
- Design your anesthetic plan for rapid emergence and optimal neurological assessment.
- Prioritize short-acting medications, avoid total intravenous anesthesia (TIVA), and time the emergence carefully.