Subspecialty Anesthesia
Neurosurgical Anesthesia
Procedure Description:
Common Questions about this Procedure:
Anesthesia During Neurosurgery
The Preoperative Evaluation
On the Day of Surgery
During Surgery
After Surgery
Anesthesia During Neurosurgery
Spectrum anesthesiologists are experienced in neurosurgical anesthesia, a subspecialty within anesthesia. This group of anesthesiologists works closely with the neurosurgeon and other members of the surgical team to ensure the best possible outcome for you.
Anesthesia can affect the blood flow, blood pressure, and energy consumption of the brain and spinal cord. Anesthesiologists pay special attention to these factors to decrease blood loss and the length of time you are in the operating room time.
Some neurosurgical operations require that the patient be in a sitting position during the surgery in order to maximize the surgeons’ visualization and minimize blood loss. If you will be in a sitting position during surgery, this will be discussed with you ahead of time.
Patients scheduled for neurosurgery will have a preoperative evaluation. During the evaluation, you will have an opportunity to ask any questions you may have about your anesthesia care. Your medical history will be reviewed and the anesthesiologist will discuss the anesthetic plan with you before your surgery.
To reduce anxiety, the anesthesiologist may recommend that you begin with a preoperative sedative before being taken to the OR holding area. Once in the OR holding area, an intravenous (IV) and arterial line will be started. The arterial line is similar to an IV except that it is placed in the radial artery. The arterial line allows for your blood pressure, heart rate, and blood chemistry to be continuously monitored during surgery.
Once in the OR, heart, lung, breathing, and other monitors will be placed on you. Fresh oxygen will be delivered to you through a mask, and the anesthetic will be given to you through an IV. Once you are asleep under the general anesthesia, an endotracheal (breathing) tube is placed.
Neurosurgical anesthesia is specifically designed to reduce stress on your brain and spinal cord. During your surgery, a Spectrum anesthesiologist directs your anesthesia and manages your body’s vital functions including heart rate, blood pressure, blood flow, body temperature, and breathing. The anesthesiologist is also responsible for fluid and blood replacement if needed during surgery.
Depending on the type of procedure, after surgery you may be transferred to the intensive care unit (ICU). Because of the nature of your surgery, your endotracheal (breathing) tube may remain in place for a short time after surgery to assist you with your breathing. Once you are breathing well enough on your own, the tube will be removed.
The anesthesiologist’s goal is to make you as safe and comfortable as possible. We are always available to answer your questions. You can reach an anesthesiologist by calling the main hospital number and asking for the anesthesiology office.