Perioperative and Anesthetic Considerations for Neurosurgical Laser Interstitial Thermal Therapy Ablations

Conclusions: LITT is a promising therapeutic approach for multiple central nervous system disorders. Anesthesiologists must be familiar with the anesthetic considerations and the technical aspects of the procedure when providing care for patients undergoing LITT. The literature is scarce on the impact of different anesthesia and analgesia techniques on clinical outcomes. Therefore, studies comparing different anesthetic regimens and the impact on outcomes are needed to make relevant recommendations on the anesthesia care of these patients.
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Review Articles Source Type: research

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AbstractStatistical methods to calculate the hours into which cases are scheduled, based on minimizing the inefficiency of use of anesthesia and/or operating room (OR) time, assure that anesthesiologists and OR nurses are available on each day to care for patients while infrequently working late. The method assumes that anesthesia staffing is planned based on the workload and not vice-versa. We used the American Society of Anesthesiologists (ASA) meeting to test the assumption across a large population. The observational study cohort was all 3,191,282 major therapeutic procedures performed during 2,517,842 cases at all 121...
Source: Journal of Medical Systems - Category: Information Technology Source Type: research
ConclusionPTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research
ConclusionsAccidental placement of CVC s into the PA is a rare complication. The catheter should be removed. Patients should be urgently transferred to a center with access to interventional radiology and cardiothoracic surgery.
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Publication date: Available online 26 October 2018Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Gérald Chanques, Xavier Drouot, Jean-Francois Payen
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
Publication date: Available online 10 November 2018Source: NeuroImageAuthor(s): David J. Schaeffer, Kyle M. Gilbert, Maryam Ghahremani, Joseph S. Gati, Ravi S. Menon, Stefan EverlingAbstractThe common marmoset (Callithrix jacchus) has garnered recent attention as a potentially powerful preclinical model and complement to other canonical mammalian models of human brain diseases (e.g., rodents and Old World non-human primates). With a granular frontal cortex and the advent of transgenic modifications, marmosets are well positioned to serve as neuropsychiatric models of prefrontal cortex dysfunction. A critical step in the de...
Source: NeuroImage - Category: Neuroscience Source Type: research
Publication date: Available online 10 November 2018Source: Neurochemistry InternationalAuthor(s): Glòria Salort, María Álvaro-Bartolomé, Jesús A. García-SevillaAbstractMidazolam and ketamine-induced anesthesia were recently shown to induce a disruption of MEK/ERK sequential phosphorylation with parallel upregulation of p-FADD in the mouse brain. The present study was designed to assess whether other structurally diverse anesthetic agents (pentobarbital, ethanol, chloral hydrate, isoflurane) also impair brain p-MEK to p-ERK signal and increase p-FADD during the particular time cours...
Source: Neurochemistry International - Category: Neuroscience Source Type: research
Conclusions: Inguinal herniotomy for CPPV seems not to be necessary in all cases. This would decrease the use of anesthesia and surgical morbidity in young infants and save hospital resources through avoidance of 
unnecessary operations. PMID: 30410690 [PubMed]
Source: Oman Medical Journal - Category: Middle East Health Tags: Oman Med J Source Type: research
ConclusionLaparoscopic synchronous bilateral adrenalectomy is feasible and effective and should be considered also in patients with wide preoperative comorbidities and challenging intraoperative management, as long as the patient is meticulously studied preoperatively. An approach including a multidisciplinary team discussion is recommended.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
Authors: Komatsuzaki M, Takasusuki T, Yamaguchi S Abstract Purpose: The interval from the peak to the end of the T wave (Tp-Te) on electrocardiography is considered a marker of ventricular arrhythmias. A previous study suggested that right stellate ganglion block prolonged QT and QT dispersion (QTD). We investigated the effect of thoracic epidural sympathetic block with 1% mepivacaine on QT, QTD, Tp-Te, and Tp-Te/QT by using computerized measurement. Patients and methods: After obtaining the approval of the ethics committee of Dokkyo Medical University Hospital, 23 patients with American Society of Anesthesiolo...
Source: Local and Regional Anesthesia - Category: Anesthesiology Tags: Local Reg Anesth Source Type: research
We present a 36-year-old adult with DMD, who required anesthetic care during surgical debridement of an ischial pressure sore. Given his significant respiratory muscle involvement, ultrasound-guided caudal epidural anesthesia was used instead of general during the surgical procedure. The technique and its applications are discussed, with particular emphasis on the feasibility and safety of using regional anesthetic techniques in patients with DMD. PMID: 30410390 [PubMed]
Source: Local and Regional Anesthesia - Category: Anesthesiology Tags: Local Reg Anesth Source Type: research
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