ABSTRACT
This chapter describes the goals, investigations, premedication, intravenous access, monitors and induction of the aqueductal stenosis. It also describes the maintenance, positioning, intravenous fluids and postoperative analgesia of the aqueductal stenosis. Preoperative evaluation is focused on the current neurological status, including signs of increased intracranial pressure (ICP), hydration status, vomiting, and the underlying primary disease process. Associated medical illnesses, in particular cervical spine abnormalities, syndromes, and current medication regimen, might influence the perioperative anesthesia planning. Smooth controlled induction and being ready to treat any hemodynamic changes that might occur with intubation. Surgical team is positioned directly around the head of the patient, with video monitors at the foot of the patient to navigate the endoscope. Adequate care for thermoregulation must be taken. Patients are at risk for hypothermia during neuroendoscopy due to large exchanges of irrigating fluid and ventricular cerebrospinal fluid (CSF).
