Abstracts From the 46th Annual Meeting of the Society for Neuroscience in Anesthesiology and Critical Care, San Francisco, CA, October 11-12, 2018
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Abstracts: PDF Only Source Type: research

Macroglossia During Awake Craniotomy: A Near Miss
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Is Dexmedetomidine a Miracle Drug for Sedation in Patients With Neuroacanthocytosis With Involuntary Movements?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

High Flow Nasal Cannula, A Novel Approach to Airway Management in Awake Craniotomies
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Scalp Block: Tool for Diagnosis in Postoperative Headache of Unknown Origin
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

An Unusual Presentation of Tapia Syndrome Mimicking a Partial Wallenberg Syndrome Following Anterior Cervical Spine Surgery
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Simultaneous Surgical Decompression of Bilateral Subdural Hematoma and an Administration of Epidural Blood Patch for Spontaneous Intracranial Hypotension
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Toxic Epidermal Necrolysis in a Neurosurgical Patient
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

MRI Sedation for Patient With Spinal Myoclonus
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Awake Craniotomy During Pregnancy
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research

Multiple Actions of Phencyclidine and (+)MK-801 on Isolated Bovine Cerebral Arteries
This study examines the direct effects of 3 noncompetitive N-methyl-D-aspartate receptor antagonists, phencyclidine (PCP), (+)MK-801, and (−)MK-801, on bovine middle cerebral arteries (BMCA). Rings of BMCA were mounted in isolated tissue chambers equipped with isometric tension transducers to obtain pharmacologic dose-response curves. In the absence of endogenous vasoconstrictors, the 3 N-methyl-D-aspartate antagonists each produced direct constriction of BMCA. The thromboxane A2 receptor antagonist SQ-29,548, the TxA2 synthase inhibitor furegrelate, the calcium antagonist nimodipine, and calcium-deficient media all ...
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Laboratory Investigation Source Type: research

The Shikani Optical Stylet as an Alternative to Awake Fiberoptic Intubation in Patients at Risk of Secondary Cervical Spine Injury: A Randomized Controlled Trial
Conclusion: This study validates the efficacy of both SOS and flexible fiberoptic bronchoscope for awake oral intubation in patients with cervical spine instability. SOS has been found to be more effective in reducing time to intubation. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Clinical Report Source Type: research

Hemodynamic Instability and Cardiovascular Events After Traumatic Brain Injury Predict Outcome After Artifact Removal With Deep Belief Network Analysis
Conclusions: The prevalence of false incidents due to signal artifacts can be significantly reduced using machine-learning. Some clinical events, such as hypotension and alterations in CPP, gain particularly high predictive capacity for patient outcomes after artifacts are eliminated from physiological signals. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Effects of Transcutaneous Electrical Acupoint Stimulation on the Stress Response During Extubation After General Anesthesia in Elderly Patients Undergoing Elective Supratentorial Craniotomy: A Prospective Randomized Controlled Trial
In this study, we aimed to investigate whether transcutaneous electrical acupoint stimulation (TEAS) might decrease the stress response and improve the quality of recovery in elderly patients after elective supratentorial craniotomy. Materials and Methods: In this prospective randomized controlled study, patients were randomly assigned to either a TEAS group (n=37) or a control group (n=38). The primary outcomes were the hemodynamic parameters and plasma concentrations of epinephrine, norepinephrine, and cortisol. The secondary outcome included the consumption of remifentanil and propofol, time to extubation and reorien...
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Safety Outcomes Following Spine and Cranial Neurosurgery: Evidence From the National Surgical Quality Improvement Program
Background: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) was used to establish predictors for 30-day postoperative complications following spine and cranial neurosurgery. Materials and Methods: The ACS-NSQIP participant use files were queried for neurosurgical cases between 2005 and 2015. Prevalence of postoperative complications following neurosurgery was determined. Nested multivariable logistic regression analysis was used to identify demographic, comorbidity, and perioperative characteristics associated with any complication and mortality for spine and cranial surgery....
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Red Cell Distribution Width After Subarachnoid Hemorrhage
Conclusions: High RDW values were more likely to result in an unfavorable outcome after SAH. This information could help in the stratification of SAH patients already on ICU admission. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Cerebral Oxygen Saturation During Electroconvulsive Therapy: A Secondary Analysis of a Randomized Crossover Trial
Background: Electroconvulsive therapy (ECT) causes acute changes in cerebral perfusion and oxygenation. Near-infrared spectroscopy is a novel, noninvasive technique to assess cerebral oxygen saturation (cSO2). We hypothesized that cSO2 increases during ECT and more so with atropine premedication and decreases when systemic desaturation (peripheral oxygen saturation (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Ketamine Anesthesia Does Not Improve Depression Scores in Electroconvulsive Therapy: A Randomized Clinical Trial
Conclusions: Our data show that ketamine does not significantly improve depression when compared with methohexital as a single induction agent for ECT, increases serum BDNF and does not increase rates of post-ECT agitation. Ketamine use in ECT may have some benefits for some patients that are not captured through standard depression assessment questionnaires alone. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Anesthesia for Same Day Discharge After Craniotomy: Review of a Single Center Experience
Same day discharge or outpatient surgery for intracranial procedures has become possible with the advent of image-guided minimally invasive approaches to surgery and availability of short-acting anesthetic agents. In addition, patient satisfaction and the benefits of avoiding hospital stay have resulted in the evolution of neurosurgical day surgery. We reviewed our experience and the available literature to determine the perioperative factors involved which have promoted and will improve this concept in the future. Craniotomy and biopsy for supratentorial brain tumors and surgical clipping of intact cerebral aneurysms have...
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Perioperative Care for Pediatric Patients With Penetrating Brain Injury: A Review
We present an overview of PBI, its presenting features, epidemiology, and causes as well as an analysis of case series and the conclusions that may be drawn from those and other studies. More clinical trials specific to penetrating head injuries in children, focusing mainly on pathophysiology and management, are needed. The term PBI is specific to penetrating injury only, whereas TBI, a more inclusive term, describes mainly, but not only, blunt injury. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Ketamine and Electroconvulsive Therapy for Depression
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Editorials Source Type: research

The Old and the New: An Enhanced Vision for JNA
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 4, 2018 Category: Anesthesiology Tags: Editorials Source Type: research

A Case of Uvular Ulceration After Spine Surgery
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Spurious Hypoxemia During Craniotomy
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Life-threatening Tachyarrhythmia Following Intra-Arterial Milrinone for Cerebral Vasospasm
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Cerebral Sinus Thrombosis in Parturient
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

A Pediatric Case With Takotsubo Cardiomyopathy and Neurogenic Pulmonary Edema Due to an Epidural Hemorrhage
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Bilateral Mydriasis Secondary to Propofol Administration in a Patient With Hypertensive Cerebellar Hemorrhage
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Epidural Injection of Platelet Rich Plasma for Postlumbar Puncture Headaches
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Epidural Blood Patch in Children Under Anesthesia: Is There an Indication for Neuromonitoring?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Safety of Sodium Bicarbonate for Control of ICP (Letter)
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research

Effect of Albumin in Combination With Mannitol on Whole-blood Coagulation In Vitro Assessed by Thromboelastometry
Background: Albumin and mannitol may interfere with hemostasis, but their coinfluence is unclear. We aimed to determine the effects of albumin alone and in combination with mannitol or Ringer acetate (RAC) on hemostasis in crossover in vitro study. Materials and Methods: From citrated fresh whole blood withdrawn from 10 volunteers, we prepared 2.5, 5, 10, 15, and 20 vol% dilutions of 4% albumin (Alb group). Each sample was thereafter diluted by 15% mannitol (Alb/Man group) or RAC (Alb/RAC group) at a ratio of 9:1. Using thromboelastometry, FibTEM (fibrinogen ROTEM) and ExTEM (extrinsic ROTEM) tests were performed. Re...
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Laboratory Investigation Source Type: research

Intraoperative Neurological Monitoring With Evoked Potentials During Carotid Endarterectomy Versus Cooperative Patients Under General Anesthesia Technique: A Retrospective Study
Conclusions: mSSEP and tcMEP neuromonitoring was associated with less technical failure and procedural time than asleep-awake-asleep strategy. The evoked potential neuromonitoring may be an alternative technique to awake clinical assessment during CEA. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Clinical Report Source Type: research

Trends and Outcomes of Early Versus Late Percutaneous Endoscopic Gastrostomy Placement in Patients With Traumatic Brain Injury: Nationwide Population-based Study
Conclusions: The results of this study suggest that if a PEG placement is indicated for a TBI patient, a standard (7 to 14 d) timing may be associated with better patient outcomes. However, secondary to limitations associated with the use of administrative databases, further prospective studies are needed to establish clear guidelines regarding the optimal timing of placing PEG in TBI patients. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Feasibility of Protective Ventilation During Elective Supratentorial Neurosurgery: A Randomized, Crossover, Clinical Trial
Background: Traditional ventilation approaches, providing high tidal volumes (Vt), produce excessive alveolar distention and lung injury. Protective ventilation, employing lower Vt and positive end-expiratory pressure (PEEP), is an attractive alternative also for neuroanesthesia, when prolonged mechanical ventilation is needed. Nevertheless, protective ventilation during intracranial surgery may exert dangerous effects on intracranial pressure (ICP). We tested the feasibility of a protective ventilation strategy in neurosurgery. Materials and Methods: Our monocentric, double-blind, 1:1 randomized, 2×2 crossover ...
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Ventilation With High or Low Tidal Volume With PEEP Does Not Influence Lung Function After Spinal Surgery in Prone Position: A Randomized Controlled Trial
Conclusions: In patients at potential risk of developing PPCs undergoing major spinal surgery, we did not find evidence indicating any difference between the lung protective and conventional ventilation in postoperative pulmonary function and oxygenation. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Scheduled Intravenous Acetaminophen Improves Patient Satisfaction With Postcraniotomy Pain Management: A Prospective, Randomized, Placebo-controlled, Double-blind Study
Conclusions: IV acetaminophen, as adjunctive therapy for craniotomy procedures, did not show an opioid-sparing effect in patients for the 24 hours after craniotomy; however, it was associated with improved patient satisfaction regarding overall pain control. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Endovascular Treatment of Acute Ischemic Stroke Under General Anesthesia: Predictors of Good Outcome
Background: The choice of anesthetic technique, general anesthesia (GA) versus Monitored Anesthesia Care, may impact the outcome of patients undergoing endovascular treatment of acute ischemic stroke (AIS). The aim of this study was to identify the factors associated with good discharge outcome in patients receiving GA for AIS. Materials and Methods: Electronic medical records of patients above 18 years old who underwent endovascular treatment of AIS under GA at a Comprehensive Stroke Center from 2010 to 2014 were reviewed. Good outcome was defined as discharge modified Rankin Score 0 to 2 and poor outcome as modified...
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

General Anesthesia and Young Brain: What is New?
Considering that growing population of very young children is exposed to general anesthesia every year, it is of utmost importance to understand how and whether such practice may affect the development and growth of their very immature and vulnerable brains. Compelling evidence from animal studies suggests that an early exposure to general anesthesia is detrimental to normal brain development leading to structural and functional impairments of neurons and glia, and long-lasting impairments in normal emotional and cognitive development. Although the evidence from animal studies is overwhelming and confirmed across species e...
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

A Narrative Review of Adherence to Subarachnoid Hemorrhage Guidelines
Over the past 2 decades, a large number of guidelines for aneurysmal subarachnoid hemorrhage (aSAH) management have been proposed. The primary aim of these “evidence-based” guidelines is to improve the care of aSAH patients by summarizing and making current knowledge readily available to clinicians. However, an investigation into aSAH guidelines, their changes along time and their successful translation into clinical practice is still lacking. We performed a literature search of historical events and subarachnoid hemorrhage guidelines using the Entrez PubMed NIH, Embase, and Cochrane databases for articles pub...
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Review Articles Source Type: research

Complexity, Variation, and the Ever-moving Cheese
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Editorials Source Type: research

JNA Editorial – July 2018
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 12, 2018 Category: Anesthesiology Tags: Editorials Source Type: research

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