journal
Journals Journal of Neurosurgical Anest...

Journal of Neurosurgical Anesthesiology

https://read.qxmd.com/read/38533743/incidence-of-coexisting-diseases-in-adult-moyamoya-vasculopathy-patients-by-racial-group-at-a-large-american-referral-center
#1
JOURNAL ARTICLE
Noah Wheaton, Natasha Harrison, Anthony Doufas, Dipro Chakraborty, Alan Lee Chang, Nima Aghaeepour, Mark A Burbridge
No abstract text is available yet for this article.
March 27, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38466565/alternate-electrode-placements-to-facilitate-frontal-electroencephalography-monitoring-in-anesthetized-and-critically-ill-patients
#2
JOURNAL ARTICLE
Oliver G Isik, Vikas Chauhan, Meah T Ahmed, Brian A Chang, Tuan Z Cassim, Morgan C Graves, Shobana Rajan, Paul S Garcia
BACKGROUND: Frontal electroencephalography (EEG) monitoring can be useful in guiding the titration of anesthetics, but it is not always feasible to place electrodes in the standard configuration in some circumstances, including during neurosurgery. This study compares 5 alternate configurations of the Masimo Sedline Sensor. METHODS: Ten stably sedated patients in the intensive care unit were recruited. Frontal EEG was monitored in the standard configuration (bifrontal upright) and 5 alternate configurations: bifrontal inverse, infraorbital, lateral upright, lateral inverse, and semilateral...
March 11, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38354097/assessment-and-recommendations-for-website-platforms-of-neuroanesthesiology-fellowship-programs
#3
JOURNAL ARTICLE
Vladislav P Zhitny, Kenny Do, Eric Kawana, Jenifer Do, Michael C Wajda, Jose Gallegos, Kyle Carey, Geoff Yee, Lauren C Hollifield, Arturo Montes, Edward Walton, Shah Ahmed
BACKGROUND: Websites serve as recruitment and educational tools for many fellowship programs, including neuroanesthesiology. Since the COVID-19 pandemic, when interviews, conferences, and institutional visits were moved online, websites have become more important for applicants when deciding on their preferred fellowship program. This study evaluated the content of the websites of neuroanesthesiology fellowship programs. METHODS: Neuroanesthesiology fellowship program websites were identified from the websites of the International Council on Perioperative Neuroscience Training and the Society for Neuroscience in Anesthesiology and Critical Care...
February 14, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38291797/high-intraoperative-serum-lactate-level-is-associated-with-acute-kidney-injury-after-brain-tumor-resection
#4
JOURNAL ARTICLE
Seungeun Choi, Jiwon You, Yoon Jung Kim, Hyung-Chul Lee, Hee-Pyoung Park, Chul-Kee Park, Hyongmin Oh
BACKGROUND: Postoperative acute kidney injury (AKI) is associated with poor clinical outcomes. Identification of risk factors for postoperative AKI is clinically important. Serum lactate can increase in situations of inadequate oxygen delivery and is widely used to assess a patient's clinical course. We investigated the association between intraoperative serum lactate levels and AKI after brain tumor resection. METHODS: Demographics, medical and surgical history, tumor characteristics, surgery, anesthesia, preoperative and intraoperative blood test results, and postoperative clinical outcomes were retrospectively collected from 4131 patients who had undergone brain tumor resection...
January 29, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38237579/frailty-implications-for-neuroanesthesia
#5
JOURNAL ARTICLE
Amy Mitchell, Alana M Flexman
Frailty is increasingly prevalent in the aging neurosurgical population and is an important component of perioperative risk stratification and optimization to reduce complications. Frailty is measured using the phenotypic or deficit accumulation models, with simplified tools most commonly used in studies of neurosurgical patients. There are a limited number of frailty measurement tools that have been validated for individuals with neurological disease, and those that exist are mainly focused on spine pathology...
January 17, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38237577/real-time-3d-transesophageal-echocardiography-for-the-placement-of-ventriculoatrial-shunt-a-case-series-and-technical-note
#6
JOURNAL ARTICLE
Jason Chui, Keith MacDougall, Wai Ng
BACKGROUND: Ventriculoatrial (VA) shunts are used to manage hydrocephalus and idiopathic intracranial hypertension when peritoneal drainage of cerebrospinal fluid is not feasible. The technique of distal catheter placement during VA shunt insertion is controversial, especially between fluoroscopy-guided and transesophageal echocardiography (TEE)-guided techniques. METHODS: We retrospectively reviewed our utilization of 2-dimensional (2D) ultrasound-guided internal jugular vein catheterization combined with 3-dimensional (3D) TEE-guided distal VA shunt placement and compared it to the conventional fluoroscopy-guided technique...
January 17, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38214517/determining-the-role-of-preoperative-oral-amisulpride-as-part-of-a-multimodal-antiemetic-prophylaxis-regime-in-patients-undergoing-craniotomy
#7
JOURNAL ARTICLE
Kai Su, Fu-Shan Xue, Yi Cheng
No abstract text is available yet for this article.
January 12, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38214511/reply-to-correspondence-on-determining-the-role-of-preoperative-oral-amisulpride-as-part-of-a-multimodal-antiemetic-prophylaxis-regime-in-patients-undergoing-craniotomy
#8
JOURNAL ARTICLE
Devendra Gupta, Ruchi Verma, Pragya Gupta, Anubha Gupta
No abstract text is available yet for this article.
January 12, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38048473/abstracts-from-the-neuro-anaesthesia-and-critical-care-society-uk-annual-scientific-meeting-nottingham-may-11-12-2023
#9
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
January 1, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/37903630/simulation-in-anesthesia-for-perioperative-neuroscience-present-and-future
#10
JOURNAL ARTICLE
Rodrigo Nakatani, Krisha Patel, Tumul Chowdhury
The brain's sensitivity to fluctuations in physiological parameters demands precise control of anesthesia during neurosurgery, which, combined with the complex nature of neurosurgical procedures and potential for adverse outcomes, makes neuroanesthesia challenging. Neuroanesthesiologists, as perioperative physicians, work closely with neurosurgeons, neurologists, neurointensivists, and neuroradiologists to provide care for patients with complex neurological diseases, often dealing with life-threatening conditions such as traumatic brain injuries, brain tumors, cerebral aneurysms, and spinal cord injuries...
January 1, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38124357/utilizing-artificial-intelligence-and-chat-generative-pretrained-transformer-to-answer-questions-about-clinical-scenarios-in-neuroanesthesiology
#11
JOURNAL ARTICLE
Samuel N Blacker, Mia Kang, Indranil Chakraborty, Tumul Chowdhury, James Williams, Carol Lewis, Michael Zimmer, Brad Wilson, Abhijit V Lele
OBJECTIVE: We tested the ability of chat generative pretrained transformer (ChatGPT), an artificial intelligence chatbot, to answer questions relevant to scenarios covered in 3 clinical guidelines, published by the Society for Neuroscience in Anesthesiology and Critical Care (SNACC), which has published management guidelines: endovascular treatment of stroke, perioperative stroke (Stroke), and care of patients undergoing complex spine surgery (Spine). METHODS: Four neuroanesthesiologists independently assessed whether ChatGPT could apply 52 high-quality recommendations (HQRs) included in the 3 SNACC guidelines...
December 19, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38082495/blood-brain-barrier-permeability-may-influence-vasopressor-effects-in-anesthetized-patients-with-brain-tumor-an-analysis-of-magnetic-resonance-imaging-data
#12
JOURNAL ARTICLE
Mads Rasmussen, Klaus U Koch, Ulrick S Espelund, Niwar Mohamad, Anders R Korshøj, Niels Juul, Hugo Angleys, Lingzhong Meng, Leif Østergaard, Irene K Mikkelsen
OBJECTIVE: This is a secondary analysis of data from a previous study of anesthetized brain tumor patients receiving ephedrine or phenylephrine infusions. 18 patients with magnetic imaging verified tumor contrast enhancement were included. We hypothesized that vasopressors induce microcirculatory flow changes, characterized by increased capillary transit time heterogeneity (CTH) and decreased mean transit time (MTT), in brain regions exhibiting BBB leakage. METHODS: This is a secondary analysis of data from a previous study of anesthetized brain tumor patients receiving ephedrine or phenylephrine infusions...
December 8, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38037254/systemic-hypertension-and-postoperative-symptomatic-spinal-epidural-hematoma-a-scoping-review
#13
JOURNAL ARTICLE
Lewis Robinson, Patrice Forget, David Nesvadba
Postoperative symptomatic spinal epidural hematoma (PSSEH) is a serious complication of spinal surgery that is associated with significant morbidity. Studies suggest that hypertension is a risk factor for the development of PSSEH. The aim of this review was to evaluate the literature reporting associations between hypertension and PSSEH. A comprehensive literature search was conducted using the MEDLINE/PubMed, Embase, and Cochrane Library databases to identify studies that investigated PSSEH and reported data on preoperative hypertension status and/or perioperative blood pressure (BP)...
November 29, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38011867/impact-of-intraoperative-fluctuations-of-cardiac-output-on-cerebrovascular-autoregulation-an-integrative-secondary-analysis-of-individual-level-data
#14
JOURNAL ARTICLE
Ursula Kahl, Linda Krause, Sabrina Amin, Ulrich Harler, Stefanie Beck, Thorsten Dohrmann, Caspar Mewes, Markus Graefen, Alexander Haese, Christian Zöllner, Marlene Fischer
BACKGROUND: Intraoperative impairment of cerebral autoregulation (CA) has been associated with perioperative neurocognitive disorders. We investigated whether intraoperative fluctuations in cardiac index are associated with changes in CA. METHODS: We conducted an integrative explorative secondary analysis of individual-level data from 2 prospective observational studies including patients scheduled for radical prostatectomy. We assessed cardiac index by pulse contour analysis and CA as the cerebral oxygenation index (COx) based on near-infrared spectroscopy...
November 27, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38011868/designing-enhanced-recovery-after-surgery-protocols-in-neurosurgery-a-contemporary-narrative-review
#15
JOURNAL ARTICLE
Sagar Jolly, Shashank Paliwal, Aditya Gadepalli, Sheena Chaudhary, Hemant Bhagat, Rafi Avitsian
Enhanced Recovery After Surgery (ERAS) protocols have revolutionized the approach to perioperative care in various surgical specialties. They reduce complications, improve patient outcomes, and shorten hospital lengths of stay. Implementation of ERAS protocols for neurosurgical procedures has been relatively underexplored and underutilized due to the unique challenges and complexities of neurosurgery. This narrative review explores the barriers to, and pioneering strategies of, standardized procedure-specific ERAS protocols, and the importance of multidisciplinary collaboration in neurosurgery and neuroanesthsia, patient-centered approaches, and continuous quality improvement initiatives, to achieve better patient outcomes...
November 22, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/37965706/effect-of-repeated-exposure-to-sevoflurane-on-electroencephalographic-alpha-oscillation-in-pediatric-patients-undergoing-radiation-therapy-a-prospective-observational-study
#16
JOURNAL ARTICLE
Samuel Madariaga, Christ Devia, Antonello Penna, José I Egaña, Vanessa Lucero, Soledad Ramírez, Felipe Maldonado, Macarena Ganga, Nicolás Valls, Nicolás Villablanca, Tomás Stamm, Patrick L Purdon, Rodrigo Gutiérrez
BACKGROUND: Pharmacological tolerance is defined as a decrease in the effect of a drug over time, or the need to increase the dose to achieve the same effect. It has not been established whether repeated exposure to sevoflurane induces tolerance in children. METHODS: We conducted an observational study in children younger than 6 years of age scheduled for multiple radiotherapy sessions with sevoflurane anesthesia. To evaluate the development of sevoflurane tolerance, we analyzed changes in electroencephalographic spectral power at induction, across sessions...
November 13, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/37922343/role-of-fellowship-training-in-furthering-innovations-in-perioperative-neuroscience
#17
JOURNAL ARTICLE
Shobana Rajan, Astri M V Luoma, W Andrew Kofke
No abstract text is available yet for this article.
November 6, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/37916963/risk-factors-for-postanesthetic-emergence-delirium-in-adults-a-systematic-review-and-meta-analysis
#18
JOURNAL ARTICLE
Miao He, Zhaoqiong Zhu, Min Jiang, Xingxing Liu, Rui Wu, Junjie Zhou, Xi Chen, Chengjiang Liu
Emergence delirium (ED) is delirium that occurs during or immediately after emergence from general anesthesia or sedation. Effective pharmacological treatments for ED are lacking, so preventive measures should be taken to minimize the risk of ED. However, the risk factors for ED in adults are unclear. In this systematic review and meta-analysis, we evaluated the evidence for risk factors for ED in adults. The PubMed, Scopus, Cochrane Library, Google Scholar, and Embase databases were searched for observational studies reporting the risk factors for ED in adults from inception to July 31, 2023...
November 2, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/37624753/abstracts-from-the-51st-annual-meeting-of-the-society-for-neuroscience-in-anesthesiology-and-critical-care-september-8-10-2023
#19
(no author information available yet)
No abstract text is available yet for this article.
October 1, 2023: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/37523326/cerebral-autoregulation-guided-management-of-adult-and-pediatric-traumatic-brain-injury
#20
REVIEW
Abhijit V Lele, Monica S Vavilala
Cerebral autoregulation (CA) plays a vital role in maintaining cerebral blood flow in response to changes in systemic blood pressure. Impairment of CA following traumatic brain injury (TBI) may exacerbate the injury, potentially impacting patient outcomes. This focused review addresses 4 key questions regarding the measurement, natural history of CA after TBI, and potential clinical implications of CA status and CA-guided management in adults and children with TBI. We examine the feasibility and safety of CA assessment, its association with clinical outcomes, and the potential for reversing deranged CA following TBI...
October 1, 2023: Journal of Neurosurgical Anesthesiology
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