Kraniyosinostozis Cerrahisinde Anestezi Uygulamaları

Kraniyosinostozis kraniyal sütürlerden bir tanesinin veya daha fazlasının prematüre füzyonudur. İzole kraniyosinostozislerde normal beyin gelişimini ve normal kognitif fonksiyonları sağlamak, kozmetik deformiteleri düzelterek psikososyal olumsuz sonuçları önlemek için cerrahi işlemler uygulanır. Bu hastaların çoğunlukla infant olmaları, perioperatif dönemde belirgin kan kayıpları ile birleştiğinde, bu olguların anestezi yönetimini zorlaştırır. Perioperatif dönemde havayolunun güvenliğini sağlamak, kan transfüzyonları ve elektrolitli sıvıların infüzyonuna bağlı metabolik komplikasyonlar ile baş etmek, hipotermiyi önlemek, postoperatif ağrı yönetimi, bulantı kusma tedavisi anestezi uygulamalarının ana konularındandır. Doğru preoperatif planlama, monitorizasyon, zamanında kan ve sıvı infüzyonu ile mükemmel sonuçlar alınabilir

Anesthesia Management for Craniosynostosis Surgery

Craniosynostosis is premature fusion of one or more cranial sutures. In isolated craniosynostosis, surgical procedures are applied to ensure normal brain development and normal cognitive functions, to correct cosmetic deformities in order to prevent psychosocial negative consequences. The fact that they are mostly infants, combined with significant blood loss in the perioperative period, makes these cases challenging for the anesthetist. Ensuring airway safety, coping with metabolic complications related to blood transfusions and infusion of electrolyte fluids, preventing hypothermia, postoperative pain management, treatment of nausea and vomiting are the main subjects of anesthesia management. Excellent results can be obtained with proper preoperative planning, monitoring and timely blood and fluid infusion.

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