Neuroanaesthesia

Every answer in Neuroanaesthesia has these

• Start with how urgent it is, the operation, the lesion and this patient's neurological baseline.
• Name the brain or cord perfusion target and how you hold it: pressure, CO2 and oxygen.
• Say which relaxant suits this nervous system, and whether suxamethonium is safe.
• Plan the wake-up: airway reflexes, a neurological check, and where the patient recovers.

The cases

1. Guillain-Barré with dysautonomia for ICU tracheostomy
2. Multiple sclerosis on fingolimod for laparoscopic hysterectomy
3. Myasthenia gravis for emergency laparotomy Core
4. Refractory status epilepticus after missed antiseizure drugs
5. Vestibular schwannoma for retrosigmoid craniotomy
6. Parkinson's disease for awake deep brain stimulator insertion
7. Head injury with haemorrhagic shock for laparotomy Coreand 1 more patient
8. Poor-grade subarachnoid haemorrhage for coiling Core
9. Prone multilevel spinal fusion: arrest and visual loss Core
10. Alzheimer's dementia on donepezil for incarcerated hernia
11. Acute cervical cord injury with neurogenic shock Coreand 1 more patient
12. Chronic tetraplegia for pressure ulcer flap: autonomic dysreflexiaand 1 more patient
13. Awake craniotomy for a glioma near the motor strip Core
14. Myotonic dystrophy for laparoscopic cholecystectomyand 1 more patient