MD Ramon C. Henson
Connect Cerebral Physiology to Safer Perioperative Decisions Neurosurgical anesthesia demands simultaneous control of systemic physiology, intracranial dynamics, neural function, and procedural conditions. This clinically focused volume develops those connections from cerebral metabolism and autoregulation through cranial, spinal, vascular, functional, pediatric, trauma, remote-site, and critical-care practice. It is written for fellows and residents who need mechanism-based reasoning during high-consequence procedures. The Cerebral Protection Pivot Map converts changing signals into a disciplined sequence of interpretation, discrimination, intervention, and verification. Native comparison tables, numbered clinical pathways, narrative cases, and specialty-specific visual prompts reinforce bedside application while preserving an authoritative reference structure. Develop the capabilities required across the perioperative neurologic pathway: Cerebral blood flow, oxygenation, edema, and compliance - recognize when compensatory reserve is narrowing Intravenous and volatile pharmacology - match anesthetic effects to perfusion, monitoring, and emergence priorities EEG, SSEP, MEP, cranial nerve signals, TCD, and pressure waves - separate genuine threats from technical confounders Tumor, posterior fossa, vascular, awake, epilepsy, pituitary, and spine procedures - anticipate phase-specific hazards Pediatric, obstetric, geriatric, frail, and medically complex patients - adapt protection to age and systemic reserve Trauma, neurocritical care, and acute postoperative deterioration - organize time-sensitive rescue without losing diagnostic clarity Handover, recovery, delirium, cognition, and functional outcomes - extend cerebral protection beyond the operating room Use this book to make neurologic risk visible, intervention logic explicit, and recovery planning more reliable.
