Abstract:

Objective: To summarize the general anesthesia management in interventional embolization therapy in cerebrovascular
disease. Methods: Sixteen cases of cerebrovascular disease accepted general anesthesia were analyzed retrospectively, and the related literature was reviewed. Results: Sixteen cases were stable in haemodynamics during anesthetic process. Three cases of Hunt-Hess class 3-4 were nursed in ICU with endotracheal tube treatment after surgery. Eleven cases with spontaneous respiration and opened eyes in ten minutes after surgery were extubated successfully. Two cases treated with laryngeal mask airway (LMA) were removed immediately after surgery. All 13 patients who had been removed intubation/LMA were orientation recovery in fifteen minutes after surgery. Conclusion: Perfect evaluation and preparation before anesthesia, short-acting anesthetics, LMA application in Hunt-Hess class1-2 patients could ensure haemodynamics steady during surgery, patients could be recovery rapidly and smoothly after surgery,and capable to conduct early neurological assessment.

Key words: cerebrovascular disease, general anesthesia, interventional embolization