ABSTRACT
The neurosurgical operating room (OR) is a highly specialized environment. As such, special considerations must be undertaken for the surgeon and surgical assistants. Smoke from Bovie devices has been shown to contain carcinogenic compounds. Needlesticks can occur often in the OR if one is not cautious. Although each hospital has protocols for handling needlesticks, the initial most important step following a needlestick exposure is to wash the area with soap and water. Long-term radiation exposure in the OR can lead to increased risk of cancer. The best way to reduce radiation exposure is distance. Blood pressure management is important intra-operatively to prevent end organ damage, minimize blood loss, and improve operating conditions. Failure to control blood pressure can increase morbidity rates. Elevated perioperative blood glucose levels have been implicated in increased infection rates. Studies have shown a serum blood glucose of 80–110 is optimal.
