Addressing CSF Leak Challenges: Anesthetic Consideration in Complex Skull Base Surgery

Document Type

Conference Proceeding

Publication Date

10-20-2024

Abstract

A 69-year-old with a past medical history of BPH, HTN, hypothyroidism, and meningioma s/p endonasal approach for a large skull base lesion along middle/posterior fossa with repair of large high flow defect. The patient had two previous postoperative CSF leak repairs with the last repair involving the use of an abdominal fat graft. The patient underwent general endotracheal intubation followed by a Valsalva maneuver to check for fluid leakage. In this presentation, we will discuss the various ways to detect CSF leaks, the criteria for repair, and the anesthetic considerations regarding intracranial pressure and regulation of CSF flow.

Comments

American Society of Anesthesiologists Annual Meeting, October 18-22, 2024, Philadelphia, PA

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