Anesthesia for Endovascular Neurosurgery

AbstractPurpose of ReviewThis review considers important aspects in the provision of anesthesia for endovascular neurosurgery. Subject literature was reviewed to include important publications which have influenced neuro-interventional practice alongside recent meta-analyses to provide a contemporaneous evidence-based review.Recent FindingsThe scope of endovascular neurosurgery and interventional neuro-radiology continues to expand. The advancement of catheter and imaging technologies, alongside the development of novel techniques, has allowed a minimally invasive endovascular approach to be applied to pathologies previously only treatable by open surgery, and to patients previously considered unsuitable for invasive surgical approaches. This has led to increasing complexity in both the procedures performed and the patients encountered in the neuro-radiology suite.SummaryAn understanding of the technical aspects, physiological requirements, and potential problems relating to each procedure is required to facilitate close cooperation between the anesthesiologist and neuro-interventional team, to provide safe and effective care.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research

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Conditions:   Lumbar Spine Disease;   Lumbar Disc Herniation;   Lumbar Spinal Stenosis Intervention:   Procedure: Preoperative fluoroscopically-guided dorsal ramus block placed by the operative neurosurgeon Sponsor:   Columbia University Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Clin Neurophysiol. 2021 Oct 8:S1388-2457(21)00737-9. doi: 10.1016/j.clinph.2021.07.033. Online ahead of print.NO ABSTRACTPMID:34696959 | DOI:10.1016/j.clinph.2021.07.033
Source: Clinical Neurophysiology - Category: Neurology Authors: Source Type: research
Oral Maxillofac Surg Clin North Am. 2021 Oct 22:S1042-3699(21)00088-1. doi: 10.1016/j.coms.2021.09.001. Online ahead of print.ABSTRACTThe oral and maxillofacial surgery model of anesthesia delivery is the subject of some controversy. However, a long track record of patient safety provides compelling support for the dual role of the oral and maxillofacial surgeon as proceduralist and anesthetist. Among the elements critical to continued success is a clear understanding of the pharmacology of the agents used to produce sedation and general anesthesia. This review highlights 6 sedation agents used as part of a balanced anesth...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
We report outcomes of patients who were managed with two-stage tendon grafting for neglected Zone 2 flexor tendon injuries from 2012 until 2019. The patients were divided into two cohorts: recent series (Series 1) included patients treated with local anaesthesia and epinephrine (16 fingers, from 2015), and earlier series (Series 2) included patients treated with either general or local intravenous anaesthesia and tourniquet (12 fingers, before 2015). The patients in Series 1 achieved statistically better mean total active motion of the operated fingers and grip compared with the contralateral hand than the earlier series (...
Source: Hand Surgery - Category: Surgery Authors: Source Type: research
CONCLUSION: If there is no acute indication for the surgical treatment of an early miscarriage, the patient can choose among three treatment options. Expectant and medical treatment can be provided on an outpatient basis. Curettage is the treatment of choice in the presence of infection, marked and persistent bleeding, hemodynamic instability, or a pre-existing coagulopathy.PMID:34696822 | DOI:10.3238/arztebl.m2021.0346
Source: Deutsches Arzteblatt International - Category: General Medicine Authors: Source Type: research
Hello, I am a non-traditional student and I am looking to make a career change. I was looking into CRNA until I was introduced to AA and it seems to be a better fit my needs. I don’t have any debt and I am currently taking the prerequisites at a local university. Since I have already obtained a degree it would take me longer to be a nurse anesthesiologist than it would a anesthesiologist assistant and I am an older applicant. Being called an “assistant” does not bother me at all and I could... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Clinicians [ RN / NP / PA ] Source Type: forums
AbstractPurpose of ReviewThis review illustrates the evolution and progress with standardization of fellowship education in neuroanesthesiology. It provides a structured discussion around the need for curricula and framework which individual training programs in neuroanesthesiology can use to meet defined educational standards thus meeting criteria for accreditation.Recent FindingsNeuroanesthesiology training has traditionally been heterogenous around the world but international efforts from the community of neuroanesthesiology have culminated in the development of an international council for perioperative training in neu...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
DiscussionThis trial was designed to analyze the effect of deep neuromuscular block compared to standard neuromuscular block on intra- and postoperative adverse events in patients undergoing laparoscopic surgery.Trial registrationClinicalTrials.govNCT04124757(EURO-RELAX); registration URL:https://clinicaltrials.gov/ct2/show/NCT04124757, registered on  October 11th, 2019. 
Source: Trials - Category: Research Source Type: clinical trials
: Patients undergoing robotic video-assisted thoracoscopic surgery (rVATS) report significant post-operative pain. Both the serratus anterior plane block (SAPB) or the surgical intercostal block (IB) (performed by surgeon from within the thorax) along with incision infiltration (II) are distinct modalities that targets the lateral cutaneous branches of intercostal nerves and are acceptable analgesic modalities in an enhanced recovery after rVATS surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Source Type: research
INTRODUCTION
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Source Type: research
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