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Anaesthetic concerns for large intracranial cyst excision: expect the unexpected!

机译:大颅内囊肿切除术的麻醉问题:期待意料之外的事情!

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摘要

Neurosurgical procedures in infants poses various challenges such as difficulty in venous cannulation, securing invasive vascular lines, difficult airway, controlling intra-cranial tension, managing large fluid shifts to positioning- related issues and temperature maintenance. We hereby present an case of a large intracranial space occupying lesion, suspected to be a hydatid cyst, which later turned out to be an infected ventricular cyst and intraoperative problems. A thorough preparation prior to operation of infected cystic lesion of the brain is required including anticipation of massive blood loss and its management. A slow decompression of the large cystic lesion should be done.
机译:婴儿的神经外科手术面临各种挑战,例如静脉插管困难,保护侵入性血管线,困难的气道,控制颅内张力,管理大的液体转移以解决与定位相关的问题和维持温度。我们在此提出一例大颅内占位病变的病例,怀疑是包虫囊肿,后来发现是感染的心室囊肿和术中问题。在感染脑部囊性病变手术之前需要进行彻底的准备,包括预期大量失血及其管理。大囊性病变应缓慢减压。

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