Sulpicio G Soriano1, Patrizia Bozza. 1. Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. sulpicio.soriano@childrens.harvard.edu
Abstract
BACKGROUND: The perioperative management of infants and children for epilepsy surgery should focus on the specific problems unique to the state of the disease, age of the child, and operative conditions. A basic understanding of age-dependent variables and the interaction of anesthetic and surgical procedures are essential in minimizing perioperative morbidity and mortality. Specific medical conditions that impact the conduct of anesthesia include congenital anomalies, chronic anticonvulsant therapies, and evolving coagulopathies. The neurosurgical procedure and neurophysiological monitoring will determine the type of anesthetic technique to be utilized during surgery. OBJECTIVE: This review will provide a systematic approach to pediatric patients undergoing epilepsy surgery.
BACKGROUND: The perioperative management of infants and children for epilepsy surgery should focus on the specific problems unique to the state of the disease, age of the child, and operative conditions. A basic understanding of age-dependent variables and the interaction of anesthetic and surgical procedures are essential in minimizing perioperative morbidity and mortality. Specific medical conditions that impact the conduct of anesthesia include congenital anomalies, chronic anticonvulsant therapies, and evolving coagulopathies. The neurosurgical procedure and neurophysiological monitoring will determine the type of anesthetic technique to be utilized during surgery. OBJECTIVE: This review will provide a systematic approach to pediatric patients undergoing epilepsy surgery.
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