ABSTRACT

This chapter presents general principles and current practice for both craniofacial and neurosurgery. Where possible, the supporting evidence has been included but given the paucity and difficulties of research in this field some statements represent established practice at the author’s hospital. Surgery and imaging have advanced and anaesthesia techniques have had to be adapted and developed to meet new challenges. Problems of major surgery in infants and small children sometimes necessitate compromise on the application of theoretical and ideal neurophysiological principles. In these circumstances the anaesthetist has to be practical and must adapt to the requirements of individual patients.