What is the ideal blood pressure management in a craniotomy procedure?

In a craniotomy procedure, the goal of blood pressure management is to maintain normotension, which helps to ensure adequate cerebral perfusion while minimizing the risk of intraoperative complications. Maintaining normotension is crucial for several reasons: it helps to preserve adequate blood flow to the brain tissue, keeping oxygen and nutrients available for proper neural function; it prevents excessive bleeding during the surgical procedure; and it reduces the risk of potential complications such as increased intracranial pressure or brain edema.

Using a hypertensive state can increase the risk of bleeding and complications associated with postoperative hematomas, while hypotension can lead to reduced cerebral blood flow, posing a risk of ischemia to brain tissue. Therefore, targeting a normotensive state allows for a balance, ensuring that blood pressure is managed within a safe range that does not jeopardize brain health or surgical outcomes.

In summary, normotension during craniotomy is aimed at maintaining optimal cerebral hemodynamics and minimizing risks, making it the ideal blood pressure management approach in this surgical context.