{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T07:56:20Z","timestamp":1747209380448,"version":"3.40.5"},"reference-count":7,"publisher":"National Library of Serbia","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta chir iugo","ACTA CHIR IUG","ACTA CHIR IUGOSL"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>Purpose of review: This review will examine the most important issues of\n   preoperative evaluation and preparation in relation to patients with deseases\n   affecting the central nervous system. Those patients may undergo various\n   forms of surgery unrelated to the central nervous system disease. We discuss\n   the effect of physiologic and pharmacological factors on cerebral\n   autoregulation and control of intracranial pressure alongside its clinical\n   relevance with the help of new evidence. Recent findings: Regardless of the\n   reason for surgery, coexisting diseases of brain often have important\n   implications when selecting anesthetic drugs, procedures and monitoring\n   techniques. Suppression of cerebral metabolic rate is not the sole mechanism\n   for the neuroprotective effect of anaesthetic agents. There are certain\n   general principles, but also some specific circumstances, when we are talking\n   about optimal anesthetic procedure for a patient with coexisting brain\n   disease. Intravenous anesthesia, such as combination of propofol and\n   remifentanil, provides best preservation of autoregulation. Among inhaled\n   agents isoflurane and sevoflurane appear to preserve autoregulation at all\n   doses, whereas with other agents autoregulation is impaired in a dose-related\n   manner. During maintenance of anesthesia the patient is ventilated by\n   intermittent positive pressure ventilation, at intermediate hyperventilation\n   (PaCO2 25 - 30 mmHg). Summary: Intraoperative cerebral autoregulation\n   monitoring is an important consideration for the patients with coexisting\n   neurological disease. Transcranial Doppler based static autoregulation\n   measurements appears to be the most robust bedside method for this purpose.<\/jats:p>","DOI":"10.2298\/aci1102083m","type":"journal-article","created":{"date-parts":[[2011,7,18]],"date-time":"2011-07-18T09:02:55Z","timestamp":1310979775000},"page":"83-90","source":"Crossref","is-referenced-by-count":2,"title":["Preoperative assessment and preparation of patients with diseases affecting the central nervous system"],"prefix":"10.2298","volume":"58","author":[{"given":"Branko","family":"Milakovic","sequence":"first","affiliation":[{"name":"School of Medicine, Belgrade + Center for Anesthesia, Clinical Center of Serbia, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Dimitrijevic","sequence":"additional","affiliation":[{"name":"School of Medicine, Belgrade, Clinic for Psychiatry, Clinical Center of Serbia, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vesna","family":"Malenkovic","sequence":"additional","affiliation":[{"name":"Clinical hospital center \"Be\u017eanijska kosa\", Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4297-6744","authenticated-orcid":false,"given":"Dejan","family":"Markovic","sequence":"additional","affiliation":[{"name":"Center for Anesthesia, Clinical Center of Serbia, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vesna","family":"Pantic-Palibrk","sequence":"additional","affiliation":[{"name":"Public health institute, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ljiljana","family":"Gvozdenovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","reference":[{"doi-asserted-by":"publisher","key":"1","DOI":"10.1097\/ACO.0b013e32833020be"},{"doi-asserted-by":"publisher","key":"2","DOI":"10.1097\/TA.0b013e318160dfb3"},{"doi-asserted-by":"publisher","key":"3","DOI":"10.1097\/TA.0b013e318142d146"},{"doi-asserted-by":"publisher","key":"4","DOI":"10.3171\/jns.2001.94.2.0241"},{"doi-asserted-by":"publisher","key":"5","DOI":"10.1016\/j.jamcollsurg.2005.09.007"},{"doi-asserted-by":"publisher","key":"6","DOI":"10.1097\/01.TA.0000115650.07193.66"},{"doi-asserted-by":"publisher","key":"7","DOI":"10.1186\/1757-7241-17-23"}],"container-title":["Acta chirurgica Iugoslavica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T12:09:24Z","timestamp":1685102964000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0354-950X1102083M"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.2298\/aci1102083m","relation":{},"ISSN":["0354-950X","2406-0887"],"issn-type":[{"type":"print","value":"0354-950X"},{"type":"electronic","value":"2406-0887"}],"subject":[],"published":{"date-parts":[[2011]]}}}