THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY
| العنوان: | THE PROBLEMS OF COOPERATION BETWEEN ANAESTHESIOLOGY , NEUROSURGERY AND FUNCTIONAL DIAGNOSTICS IN CASE OF EPILEPSY SURGERY |
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| المؤلفون: | G. V. Cherkasov, A. S. Shershever, S. A. Lavrova |
| المصدر: | Эпилепсия и пароксизмальные состояния, Vol 8, Iss 4, Pp 39-48 (2017) |
| بيانات النشر: | IRBIS LLC, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Surgical stress, Fentanyl, Epilepsy, drug-resistant epilepsy, medicine, stage of anaesthetic depth, Epilepsy surgery, RC346-429, anesthesiological management, business.industry, medicine.disease, Drug Resistant Epilepsy, Surgery, stereotaxic operation, Neurology, Anesthesia, Midazolam, Neurology (clinical), Neurosurgery, Neurology. Diseases of the nervous system, business, Propofol, anaesthesiology, electroencephalography, medicine.drug |
| الوصف: | The types of anaesthesia care for patients with drug-resistant epilepsy during stereotaxic operations for epilepsy pathways have been analyzed. Objective: to assess the adequacy of anesthesia and optimal values of EEG for total intravenous anesthesia based of Propofol, Midazolam and Fentanyl in stereotaxic operations for epilepsy. Materials and Methods. We enrolled 60 patients aged 17 to 35 years old. The study group included 40 patients with drug-resistant epilepsy while the control group consisted of 20 patients with brain tumors and epileptic seizures. Results. Comparative analysis of systemic hemodynamic parameters and adequacy of anaesthesia regimen revealed that total intravenous anaesthesia based on Propofol, Midazolam and Fentanyl at stage 3 on EEG by Courtin as an adequate protection from surgical stress decreasing the risk of intraoperative kindling without new foci of epileptic activity. Conclusion. The selected method of anesthesia provides electrophysiological identification of the focus of paroxysmal activity. It has been noted that a cooperation between a surgeon, an anesthesiologist and a neurophysiologist regarding stereotaxic operations for epilepsy is of great importance for successful operation. |
| اللغة: | Russian |
| تدمد: | 2311-4088 2077-8333 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::53a11ebfe956a939648cb6ae05f4f67e https://www.epilepsia.su/jour/article/view/316 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....53a11ebfe956a939648cb6ae05f4f67e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23114088 20778333 |
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