Complications in Neuroanesthesia

Dr. Hemanshu Prabhakar is a Professor at the Department of Neuroanaesthesiology and Critical Care at the All India Institute of Medical Sciences (AIIMS), New Delhi, India. He is a recipient of the AIIMS Excellence Award 2012 for his notable contribution to academia. He has a special interest in the evidence-based practice of neuroanesthesia and ERAS. Dr. Prabhakar is a Member of various national and international neuroanesthesia societies and is the Past Secretary of the Indian Society of Neuroanesthesia and Critical Care (ISNACC) and the Society of Neurocritical Care (SNCC). He is also the Immediate Past President of the SNCC. To date, he has published more than 25 books on neuroanesthesia and neurocritical care. He is featured in the Limca Book of Records as a prolific Writer in the field of neuroanesthesiology. He actively collaborates on research activities among the low-income and middle-income countries.

"...a comprehensive, well-organized, up-to-date review of complications that may occur in neurosurgical and neurologic patients...we would recommend this book to any trainee or consultant neuroanesthesiologist, intensivist, or neurosurgeon." --Canadian Journal of Anesthesia"In summary, this textbook is a comprehensive, well-organized, up-to-date review of complications that may occur in neurosurgical and neurologic patients. As it is the only textbook to provide such a comprehensive overview of the complications specifically related to neuroanesthesia, we would recommend this book to any trainee or consultant neuroanesthesiologist, intensivist, or neurosurgeon." --Melissa Brockerville, MD and Lashmi Venkatraghavan, Can J Anaesth, 2016"…Complications in Neuroanesthesia offers a comprehensive discussion of a wide variety of problems that can occur during neurosurgical procedures and offers simple, practical advice that will be helpful for the subspecialist as well as for the general anesthesiologist who finds himself or herself caring for an occasional neurosurgical patient. Many of the chapters are thoughtful and well written…Complications in Neuroanesthesia covers a lot of territory and may be valuable to a subspecialist as well as to the occasional neuroanesthesiologist." -- Keith J. Ruskin, MD, Department of Anesthesiology and Critical Care, University of Chicago, Chicago, Illinois, Anesthesia and Analgesia, 2016"Complications in Neuroanesthesia is a multi-authored book, edited by a neuro-anesthesiologist at the All India Institute of Medical Sciences, New Delhi, India. It provides a comprehensive review of complications that may occur during the perioperative management of neurosurgical patients. At first sight the book is a daunting prospect at almost five hundred pages, but it is generally well organised, being divided in to ten sections; for example: complications related to the brain, complications related to the spinal cord, and complications related to coagulation. Each of these sections is further divided in to several chapters focusing on specific complications. These chapters follow a well-structured, easy to follow format with discussion of pathophysiology, symptoms, prevention, diagnosis and treatment. Complex subjects are comprehensively explained, aided by simple diagrams, tables and images…In general, this is a well-researched, well-written book, useful for both the occasional and regular neuroanaesthetist. It is a quick and easy guide for understanding problems related to neuroanaesthesia and I found it to be a good resource…" --Sian Davies, Senior Clinical Fellow in Neuroanaesthesia, Nottingham, UK, Eur J Anaesthesiol 2017"…Overall, the book is a good compilation of the complications that a practitioner faces during routine clinical neuroanaesthesia practice and is worth being possessed by all the anaesthesiologists who practice neuroanaesthesia either on a regular basis or occasionally." --Ganne S. Umamaheswara Rao, Department of Neuroanaesthesia, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India, Journal of Neuroanaesthesiology and Critical Care 2017

• Section I. Complications Related to the Brain 1. Brain herniation2. Delayed emergence3. Hydrocephalus4. Normal Perfusion Pressure Breakthrough5. Pneumocephalus6. Seizures7. Brain swelling and Tense BrainSection II. Complications Related to Spinal Cord8. Autonomic disturbances9. Pneumorrhachis10. Post-Operative Paraplegia and Quadriplegia11. Spinal shockSection III. Complications Related to Cardiovascular System 12. Aneurysm / arteriovascular malformation rupture13. Vasospasm14. Electrocardiogram abnormalities15. Hemodynamic instability16. Vascular injuriesSection IV. Complications related to coagulations 17. Coagulopathy18. Postoperative hematoma19. ThromboembolismSection V. Complications Related to Respiratory System 20. Hypercarbia21. Hypoxia22. Neurogenic pulmonary edemaSection VI. Complications Related to Airway 23. Intraoperative increased airway pressure24. Difficult airway – Adults25. Difficult airway – pediatrics26. StridorSection VII. Complications Related to Fluid and Electrolyte Disturbances27. Osmotic demyelination syndromes28. Cerebral Salt Wasting29. Diabetes Insipidus30. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)Section VIII. Postoperative Pain 31. Pain following spine surgery32. Post-craniotomy painSection IX. Miscellaneous 33. Anaphylaxis34. Hazards of Advanced Neuromonitoring35. Hypothermia36. Nausea and vomiting37. Peripheral nerve injuries38. Pharmacological complications39. Position related complications40. Postoperative vision loss41. Postoperative cognitive dysfunction42. Trigeminocardiac reflex43. Venous air embolismSection X. Clinical Scenarios 44. Clinical Scenario 145. Clinical Scenario 246. Clinical Scenario 347. Clinical Scenario 448. Clinical Scenario 549. Clinical Scenario 650. Clinical Scenario 751. Clinical Scenario 852. Clinical Scenario 953. Clinical Scenario 10