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Crisis Management Simulation: Establishing a Dual Neurosurgery and Anesthesia Training Experience

Conclusions: Realistic, first of kind, clinical simulation scenarios were presented to a neurosurgery/anesthesia resident team who worked together to manage an intraoperative crisis. Learners were effectively trained on crisis management, the importance of communication, and how to develop algorithms for future implementation in difficult scenarios. Learners were highly satisfied with the simulation training experience and requested that it be integrated more consistently into their residency training programs.
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Laboratory Investigations Source Type: research

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We appreciate the thoughtful comments by Raillard et  al. They raised significant concerns, and we certainly accept that there was a lack of detail provided in the article published, as well as the anesthetic technique was not described step by step. This was, however, not questioned in the peer-reviewed process as we would have happily included furt her information.
Source: Journal of Surgical Research - Category: Surgery Authors: Tags: Letter to the editor Source Type: research
Authors: Dash HH, Chavali S Abstract Traumatic brain injury (TBI) has been called the 'silent epidemic' of modern times, and is the leading cause of mortality and morbidity in children and young adults in both developed and developing nations worldwide. In recent years, the treatment of TBI has undergone a paradigm shift. The management of severe TBI is ideally based on protocol-based guidelines provided by the Brain Trauma Foundation. The aims and objectives of its management are prophylaxis and prompt management of intracranial hypertension and secondary brain injury, maintenance of cerebral perfusion pressure, a...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
Background Pulse oximeter performance is degraded by motion artifacts and low perfusion. Manufacturers developed algorithms to improve instrument performance during these challenges. There have been no independent comparisons of these devices.Methods We evaluated the performance of four pulse oximeters (Masimo Radical-7, USA; Nihon Kohden OxyPal Neo, Japan; Nellcor N-600, USA; and Philips Intellivue MP5, USA) in 10 healthy adult volunteers. Three motions were evaluated: tapping, pseudorandom, and volunteer-generated rubbing, adjusted to produce photoplethsmogram disturbance similar to arterial pulsation amplitude. During m...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
This study sought to determine the combined physiologic effects of positive end-expiratory pressure and low VT during one-lung ventilation.Methods Data from 41 patients studied during general anesthesia for thoracic surgery were collected and analyzed. Shunt fraction, high V/Q and respiratory mechanics were measured at positive end-expiratory pressure 0  cm H2O during bilateral lung ventilation and one-lung ventilation and, subsequently, during one-lung ventilation at 5 or 10  cm H2O of positive end-expiratory pressure. Shunt fraction and high V/Q were measured using variation of inspired oxygen fraction and ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
THE HIGHEST NUMBER of recorded lung transplants in the United States was reached in 2015 with 2,072 lungs transplanted. Despite this increase, waitlist mortality is at the highest ever, with 16.5 deaths per 100 waitlist years.1 Only 65.3% of transplant candidates receive an organ within 1 year of appearing on the wait list. Nearly 7.5% of harvested lungs are discarded,2 and many donated lungs are rejected, representing an area of potential growth for the donor pool. Newer technologies such as ex vivo lung perfusion (EVLP) seek to improve the function of abandoned organs to increase the number of viable lungs for transplant.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Conference Source Type: research
Publication date: Available online 27 December 2017 Source:Anaesthesia Critical Care & Pain Medicine Author(s): Thomas Geeraerts, Lionel Velly, Lamine Abdennour, Karim Asehnoune, Gérard Audibert, Pierre Bouzat, Nicolas Bruder, Romain Carrillon, Vincent Cottenceau, François Cotton, Sonia Courtil-Teyssedre, Claire Dahyot-Fizelier, Frédéric Dailler, Jean-Stéphane David, Nicolas Engrand, Dominique Fletcher, Gilles Francony, Laurent Gergelé, Carole Ichai, Étienne Javouhey, Pierre-Etienne Leblanc, Thomas Lieutaud, Philippe Meyer, Sébastien Mirek, Gilles Orliaguet, Fran...
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
Vasopressors are frequently used to increase blood pressure in order to ensure sufficient cerebral perfusion and oxygenation (CPO) during hypotensive periods in anaesthetized patients. Efficacy depends both on...
Source: Acta Veterinaria Scandinavica - Category: Veterinary Research Authors: Tags: Research Source Type: research
Conclusion we provided values for ASL CBF in the brain, GM, WM, hemispheres, and lobes over a wide pediatric age range, approximately showing inverted U-shaped changes in GM perfusion over the course of childhood.
Source: European Journal of Radiology - Category: Radiology Source Type: research
The aim of this study was to identify the reliability of carotid artery stump pressure (SP) in predicting the neurologic changes and correlation with contralateral internal carotid artery (ICA) occlusion in patients undergoing eversion carotid endarterectomy (CEA). The optimal method for monitoring cerebral perfusion during CEA, performed under either local or general anesthesia, is still controversial.
Source: Journal of Stroke and Cerebrovascular Diseases - Category: Neurology Authors: Source Type: research
This article aims to identify optimum use of inotropes and vasopressors in the context of head and spinal cord injury, both isolated and in polytrauma patients.Recent findingsThere have been relatively few recent publications related to vasopressors and hemodynamic targets in neurotrauma. Most of the literature refers to targeting blood pressures and cerebral perfusion pressures above the recommendations in the latest iterations of the Brain Trauma Foundation guidelines. As a consequence, the rate of complications and side effects are higher at these pressures (e.g. increases in intracranial pressure with higher dose dopam...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
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