2017 SNACC Annual Meeting Report
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: SNACC Meeting Report Source Type: research

Yet Another Absolute Indication for Rapid Sequence Intubation
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Spectrogram Analysis as a Monitor of Anesthetic Depth in a Pediatric Patient
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Patient, Surgeon, and Anesthesiologist Satisfaction: Who has the Priority?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

A Comparison of Regional Versus General Anesthesia for Lumbar Spine Surgery: An Untouched Aspect of the Meta-Analysis
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

The ASA Committee for Neuroanesthesia and Anesthesia Quality Institute: Report for Demographic Patterns for Neurosurgical Anesthesia Practice in the United States
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Prone Position, Cerebral Oximetry, and Delirium
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Neuroanesthesia
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Book Review Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research

Comparison of Anesthetic Management and Outcomes in Patients Having Either Transnasal or Transoral Endoscopic Odontoid Process Surgery
Conclusions: The transnasal odontoid resection technique may become a more popular surgical approach without increasing rates of complications compared with those having transoral surgery. Ultimately, a larger, study is needed to further clarify these relationships. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Clinical Report Source Type: research

Comparison of 3% Hypertonic Saline and 20% Mannitol for Reducing Intracranial Pressure in Patients Undergoing Supratentorial Brain Tumor Surgery: A Randomized, Double-blind Clinical Trial
Background: In the present study, we hypothesized that 3% hypertonic saline (HS) is more effective than 20% mannitol to reduce intracranial pressure (ICP) and to modify brain bulk in patients undergoing an elective supratentorial craniotomy. Materials and Methods: After institutional review board approval, patients scheduled to undergo supratentorial craniotomy were enrolled into this prospective, randomized, double-blind study. The patients were monitored for routine hemodynamic parameters, depth of anesthesia, and ICP. They received 5 mL/kg 20% mannitol (n=20) or 3% HS (n=19) as infusion for 15 minutes. The patients...
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Effects of Hypertonic Saline and Sodium Lactate on Cortical Cerebral Microcirculation and Brain Tissue Oxygenation
Conclusions: Our findings suggest that equivolemic, equiosmolar HTS and HTL solutions equally preserve perfusion of cortical brain microcirculation in a rabbit craniotomy model. The use of HTS was better in preventing the worsening of brain tissue oxygen tension. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Injury and Liability Associated With Spine Surgery
Conclusions: Anesthesia claims related to spine surgery were associated with severe permanent disability primarily from nerve and eye injuries. Prone positioning and surgical duration of ≥4 hours were associated with permanent disabling injuries. Attention to positioning, resuscitation during blood loss, and reducing length of surgery may reduce these complications. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Dexmedetomidine Reduces Perioperative Opioid Consumption and Postoperative Pain Intensity in Neurosurgery: A Meta-analysis
Conclusions: DEX could reduce perioperative and PACU opioid consumption as well as postoperative pain intensity. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Neuroanesthesiology Update
We provide a synopsis of innovative research, recurring themes, and novel experimental findings pertinent to the care of neurosurgical patients and critically ill patients with neurological diseases. We cover the following broad topics: general neurosurgery, spine surgery, stroke, traumatic brain injury, monitoring, and anesthetic neurotoxicity. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Review Article Source Type: research

Editorial
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 16, 2018 Category: Anesthesiology Tags: Editorial Source Type: research

Abstracts From the Neuroanaesthesia and Critical Care Society of Great Britain and Ireland’s Annual Scientific Meeting–London, May 18 to 19, 2017
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Abstracts: PDF Only Source Type: research

Posterior Reversible Encephalopathy Syndrome Triggered by Vertebral Artery Angiogram
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Is Propofol Safe in Patients With Phenylketonuria?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Mannitol Shower: The Artefactual Air Embolism!
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Buttressing the Pediatric Endotracheal Tube in Neonates: A Simple but Useful Technique
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Intraoperative Mania During Deep Brain Stimulation for Parkinson Disease
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Intravenous Clevidipine for Inducing Hypotensive Challenge During Carotid Balloon Test Occlusion
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Intraoperative Blood Pressure Discrepancy Between Arms During Prone Position!
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Analgosedation With Dexmedetomidine in a Patient With Superior Vena Cava Syndrome in Neurosurgery
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Complementary Use of Effect Site-Target Controlled Infusion and SmartPilot View for Anesthetic Management in Semi-awake Craniotomy Near BIS 85
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Cortical Arousal With Deep Brain Stimulation After General Anesthesia for Laparoscopic Cholecystectomy
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

A Hat-Trick Knock-Reversible Triple Organ Injury in a New Mother With HELLP Syndrome
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

A Survey of Incidence of Postoperative Visual Loss Associated With Spine Surgery Outside the United States
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Neurology. Image-based Clinical Review
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Book Review Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research

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)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Laboratory Investigations Source Type: research

Neonatal Sevoflurane Exposure Induces Adulthood Fear-induced Learning Disability and Decreases Glutamatergic Neurons in the Basolateral Amygdala
Conclusions: Decreased neural activation in the basolateral amygdala may be associated with reduced freezing time in neonatal sevoflurane-exposed mice. Fewer glutamatergic neurons responding to fear stimuli in the basolateral amygdala may contribute to decreased neural activation and learning deficits in mice exposed to sevoflurane as neonates. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Laboratory Investigations Source Type: research

Hemodynamic Disturbances in the Early Phase After Subarachnoid Hemorrhage: Regional Cerebral Blood Flow Studied by Bedside Xenon-enhanced CT
Background: The mechanisms leading to neurological deterioration and the devastating course of delayed cerebral ischemia (DCI) after subarachnoid hemorrhage (SAH) are still not well understood. Bedside xenon-enhanced computerized tomography (XeCT) enables measurements of regional cerebral blood flow (rCBF) during neurosurgical intensive care. In the present study, CBF characteristics in the early phase after severe SAH were explored and related to clinical characteristics and early clinical course outcome. Materials and Methods: Patients diagnosed with SAH and requiring mechanical ventilation were prospectively enroll...
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Clinical Report Source Type: research

Airway Management With a Stereotactic Headframe In Situ—A Mannequin Study
Conclusions: Our study showed that both laryngeal mask insertion and tracheal intubation can be performed with a stereotactic headframe in situ. A laryngeal mask is the quickest airway device to insert and can be inserted while the mannequin is in the standard surgical position. Further study is needed to validate the results in patients. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

The Correlation Between Recordable MEPs and Motor Function During Spinal Surgery for Resection of Thoracic Spinal Cord Tumor
In this study, motor function of patients’ lower extremities and their association with intraoperative MEP recording were compared. Patients and Methods: Patients undergoing thoracic spinal cord tumor resection were studied. Patients’ motor function was checked immediately before the surgical procedure. MEP responses were recorded from the tibialis anterior and foot muscles, and the hand muscles were used as control. Electrical current with train of eight pulses, 200 to 500 V was delivered through 2 corkscrews placed at C3’ and C4’ sites. Anesthesia was maintained by total intravenous anesthesia ...
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Propofol Pharmacodynamics and Bispectral Index During Key Moments of Awake Craniotomy
Background: During awake craniotomy, the patient’s language centers are identified by neurological testing requiring a fully awake and cooperative patient. Hence, anesthesia aims for an unconscious patient at the beginning and end of surgery but an awake and responsive patient in between. We investigated the plasma (Cplasma) and effect-site (Ceffect-site) propofol concentration as well as the related Bispectral Index (BIS) required for intraoperative return of consciousness and begin of neurological testing. Materials and Methods: In 13 patients, arterial Cplasma were measured by high-pressure liquid chromatogra...
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Ultra–low-dose Naloxone as an Adjuvant to Patient Controlled Analgesia (PCA) With Morphine for Postoperative Pain Relief Following Lumber Discectomy: A Double-blind, Randomized, Placebo-controlled Trial
This study evaluated the effect of ultra–low-dose naloxone infusion on pain intensity after lumbar discectomy in individuals receiving patient-controlled analgesia (PCA) with morphine. Materials and Methods: In a double-blind, randomized, controlled trial, a total of 80 patients scheduled for open discectomy was randomly assigned to receive naloxone (group N) or placebo (group P). After surgery, all patients were connected to a morphine PCA pump. Both groups received 500 mL of normal saline using a continuous infusion pump through a separate intravenous line for 24 hours. However, group N received a total dose of ...
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Innovations in Functional Neurosurgery and Anesthetic Implications
Functional neurosurgery has undergone rapid growth over the last few years fueled by advances in imaging technology and novel treatment modalities. These advances have led to new surgical treatments using minimally invasive and precise techniques for conditions such as Parkinson’s disease, essential tremor, epilepsy, and psychiatric disorders. Understanding the goals and technological issues of these procedures is imperative for the anesthesiologist to ensure safe management of patients presenting for functional neurosurgical procedures. In this review, we discuss the advances in neurosurgical techniques for deep bra...
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

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)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Sodium Bicarbonate for Control of ICP: A Systematic Review
Conclusions: There currently exists Oxford level 4, Grading of Recommendation Assessment Development and Education D evidence to support an ICP reduction effect with intravenous sodium bicarbonate in TBI. No comments on its impact in other neuropathologic states, or on patient outcomes, can be made at this time. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Editorial
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - January 1, 2018 Category: Anesthesiology Tags: Editorial Source Type: research

Abstracts From the Neuroanaesthesia and Critical Care Society of Great Britain and Ireland’s Annual Scientific Meeting–London, May 18 to 19, 2017
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 8, 2017 Category: Anesthesiology Tags: Abstracts: PDF Only Source Type: research

Posterior Reversible Encephalopathy Syndrome Triggered by Vertebral Artery Angiogram
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 8, 2017 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Is Propofol Safe in Patients With Phenylketonuria?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 8, 2017 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Mannitol Shower: The Artefactual Air Embolism!
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 8, 2017 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Buttressing the Pediatric Endotracheal Tube in Neonates: A Simple but Useful Technique
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 8, 2017 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Intraoperative Mania During Deep Brain Stimulation for Parkinson Disease
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 8, 2017 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Intravenous Clevidipine for Inducing Hypotensive Challenge During Carotid Balloon Test Occlusion
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 8, 2017 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research