Neurosurgical perioperative rehydration specificity.doc

 PAGE \* MERGEFORMAT 7 Neurosurgical perioperative rehydration specificity Perioperative fluid replacement main purpose is to maintain adequate tissue perfusion, and only to ensure an adequate and effective circulating blood volume and systemic oxygen supply in order to effectively maintain the body’s environmental stability. Neurosurgical perioperative fluid of patients with complex, since the 20th century, 50 years, has been a controversial hot issue. Anesthesiologists should fully understand the neurological lesions and anesthesia and surgery on the impact of body fluids, such patients should pay attention to perioperative fluid therapy for patients with diseases, surgical categories, changes in condition to make specific analysis, development of the corresponding Liquid treatment program, patient safety, smooth ride perioperative period. (A) The rehydration characteristics of neurosurgical perioperative period of water, electrolytes and other sections dealing with different, has its particularity, in the rehydration to be considered when the following characteristics: 1, patients often disturbance of consciousness, fasting, frequent vomiting, loss of appetite, often caused by fluid disorders. 2, increased intracranial pressure and brain edema is a common existence. Infusion must take this into account to determine the infusion of the quantity, quality, speed, a slight mistake can cause a fatal brain herniation. 3, blood-brain barrier is the brain possess special features. In addition to water and electrolytes into the brain cells affected, the right brain also affect the acid-base balance, we must pay attention to correct. 4, general anesthesia and hyperventilation easily lead to respiratory alkalosis. 5, central water and electrolyte regulation agencies in the hypothalamus, pituitary - close by the third ventricle, the lesions tend to affect the neuroendocrine-conditioning system, causing cerebral salt wasting syndrome (cerebral salt wasting syndrome), d