Log in to search using one of your social media accounts:

 

Microdialysis as a Part of Invasive Cerebral Monitoring During Porcine Septic Shock
Conclusions: Although our results confirm the special protection of the brain during endotoxemia compared with other organs, early metabolic changes become evident by increasing lactate/pyruvate ratio and lactate/glucose ratio. MD appears to be a suitable additional technique in invasive neuromonitoring for obtaining early information about metabolic deterioration in the brain during septic shock. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Laboratory Investigation Source Type: research

Patient-controlled Analgesia With Propacetamol-Fentanyl Mixture for Prevention of Postoperative Nausea and Vomiting in High-risk Patients Undergoing Spine Surgery: A Randomized Controlled Trial
Conclusions: In patients undergoing spinal surgery and at risk of developing PONV, continuous IV-PCA based on propacetamol mixed to fentanyl, relative to fentanyl alone, effectively reduced the incidence of PONV, pain intensity at rest, and additional use of rescue analgesics with higher patient satisfaction. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Lidocaine Reduces Acute Postoperative Pain After Supratentorial Tumor Surgery in the PACU: A Secondary Finding From a Randomized, Controlled Trial
Conclusions: Intraoperative infusion of lidocaine significantly decreases the proportion of patients with acute pain after supratentorial tumor surgery in the PACU. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Remifentanil Requirement for Inhibiting Responses to Tracheal Intubation and Skin Incision Is Reduced in Patients With Parkinson's Disease Undergoing Deep Brain Stimulator Implantation
Background: Parkinson’s disease (PD) is a common neurodegenerative disease affecting the quality of life in the elderly. We speculated that PD patients might have abnormal pharmacodynamics due to the degenerative neural system, and the present study was performed to investigate the pharmacodynamics of remifentanil in PD patients. Materials and Methods: Two arms of patients were recruited, including 31 PD patients undergoing pulse generator placement after deep brain stimulator implantation and 31 pair-controlled patients undergoing intracranial surgery without PD (NPD). Patients were anesthetized with target-control...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

A Comparison of Macintosh and Airtraq Laryngoscopes for Endotracheal Intubation in Adult Patients With Cervical Spine Immobilization Using Manual In Line Axial Stabilization: A Prospective Randomized Study
Conclusions: In anesthetized adult patients with MILS compared with Macintosh, Airtraq provides equal success rate of intubation, statistically significant (although clinically insignificant) longer duration for laryngoscopy and intubation. Intubation with Airtraq was significantly easier than Macintosh as assessed by the IDS score. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Cerebral Blood Flow Measurement by Near-Infrared Spectroscopy During Carotid Endarterectomy
Background: It is crucial to evaluate cerebral blood flow (CBF) during carotid endarterectomy (CEA). However, it is difficult to measure CBF in the operating room. The recent development of high-accuracy near-infrared spectroscopy (NIRS) has enabled the measurement of regional CBF following injection of indocyanine green (ICG). We aimed to measure changes in regional CBF by clamping the carotid artery during CEA and to analyze factors affecting the blood flow index (BFI) in CEA. Methods: Patients undergoing elective CEA were enrolled in this study after it was approved by the institutional ethical board. All patients unde...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

The Effects of Dexmedetomidine and Remifentanil on Hemodynamic Stability and Analgesic Requirement After Craniotomy: A Randomized Controlled Trial
Background: Anesthesia for craniotomies should blunt responses to noxious stimuli, whereas subsequently leaving patients sufficiently alert for early neurological evaluation. The aim was to compare postoperative blood pressure control, pain, and opioid requirement after anesthesia with dexmedetomidine versus remifentanil. We therefore tested 2 primary hypotheses: (1) intraoperative administration of dexmedetomidine provides better control of postoperative blood pressure than remifentanil; and (2) patients given dexmedetomidine have less postoperative pain and use less opioid. Materials and Methods: Adults having elective ...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

A Giant of Neuroanesthesiology Has Passed—Maurice S. Albin: March 18, 1923 to July 2, 2016
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Special Article Source Type: research

Lockit Plus Catheter Securement Device for Lumbar Subarachnoid Drains
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

A Modified Nasopharyngeal Tube for Awake Craniotomy
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Cognitive Functioning After Surgery in Middle-aged and Elderly Danish Twins
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research

Spinal and Epidural Anesthesia in Patients With Recent Stable Fractures of Vertebral Column
Conclusions: Spinal and epidural anesthesia in patients with recent stable fractures of the spine was not associated with adverse neurological events. The findings of this study may be particularly relevant to patients with recent stable vertebral fractures who require surgery but present with conditions that place them at high risk for general anesthesia. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Clinical Reports Source Type: research

The Effect of General Anesthesia on the Microelectrode Recordings From Pallidal Neurons in Patients With Dystonia
Background: The most common anesthetic technique for patients undergoing insertion of deep brain stimulators (DBS) is local anesthesia with or without conscious sedation as this facilitates intraoperative microelectrode recordings (MERs) for target localization. However, general anesthesia (GA) may be needed in some of the patients especially those with dystonia. The purpose of our study was to determine the effects of GA on MERs from pallidal neurons in patients with dystonia undergoing DBS implantation surgery. Methods: After IRB approval, we retrospectively reviewed the medical records of all patients who had insertion...
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Clinical Reports Source Type: research

The Neurobiology of Anesthetic Emergence
Achieving a smooth and rapid emergence from general anesthesia is of particular importance for neurosurgical patients and is a clinical goal for neuroanesthesiologists. Recent data suggest that the process of emergence is not simply the mirror image of induction, but rather controlled by distinct neural circuits. In this narrative review, we discuss (1) hysteresis, (2) the concept of neural inertia, (3) the asymmetry between the neurobiology of induction and emergence, and (4) recent attempts at actively inducing emergence. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Review Articles Source Type: research

A Systematic Appraisal of Neurosurgical Seizure Prophylaxis: Guidance for Critical Care Management
Clinical decisions are often made in the presence of some uncertainty. Health care should be based on a combination of scientific evidence, clinical experience, economics, patient value judgments, and preferences. Seizures are not uncommon following brain injury, surgical trauma, hemorrhage, altered brain metabolism, hypoxia, or ischemic events. The impact of seizures in the immediate aftermath of injury may be a prolonged intensive care stay or compounding of the primary injury. The aim of brain injury management is to limit the consequences of the secondary damage. The original intention of seizure prophylaxis was to lim...
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Review Articles Source Type: research

Challenges in the Anesthetic and Intensive Care Management of Acute Ischemic Stroke
Acute ischemic stroke (AIS) is a devastating condition with high morbidity and mortality. In the past 2 decades, the treatment of AIS has been revolutionized by the introduction of several interventions supported by class I evidence—care on a stroke unit, intravenous tissue plasminogen activator within 4.5 hours of stroke onset, aspirin commenced within 48 hours of stroke onset, and decompressive craniectomy for supratentorial malignant hemispheric cerebral infarction. There is new class I evidence also demonstrating benefits of endovascular therapy on functional outcomes in those with anterior circulation stroke. In...
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Review Articles Source Type: research

The Anti-inflammatory Effects of Agmatine on Transient Focal Cerebral Ischemia in Diabetic Rats
Conclusions: AGM posttreatment improved the neurobehavioral activity and motor function of diabetic MCAO rats at 24 and 72 hours after reperfusion. Immunohistochemical analysis showed that AGM treatment significantly decreased the expression of inflammatory cytokines in diabetic MCAO rats at 24 and 72 hours after reperfusion (P (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Laboratory Investigations Source Type: research

Morphine Preconditioning Downregulates MicroRNA-134 Expression Against Oxygen-Glucose Deprivation Injuries in Cultured Neurons of Mice
Conclusions: By downregulating miR-134 expression, morphine preconditioning protects primary cortical neurons of mice against injuries induced by OGD. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Laboratory Investigations Source Type: research

Effects of Fluid Treatment With Hydroxyethyl Starch on Renal Function in Patients With Aneurysmal Subarachnoid Hemorrhage
Conclusions: Concerning renal function, the first days after SAH seem to be a vulnerable phase in which a variety of interventions are performed, including contrast-enhanced neuroradiologic procedures. In this period, HES 6% 130/0.4 should be administered with caution. However, no patient suffered from renal failure and required temporary or permanent renal replacement therapy. These results suggest that the administration of HES 6% 130/0.4 is safe in SAH patients without preexisting renal insufficiency. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Clinical Investigation Source Type: research

Anesthesia and Long-term Major Adverse Cognitive Effects: P-Values and Confidence Intervals Based on Nonrandom Samples Cannot Justify Acceptance of Null Hypotheses
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - June 9, 2016 Category: Anesthesiology Tags: Editorial Source Type: research

9th International Update on Neuroanesthesia and Neurointensive Care EURONEURO 2016: Barcelona, Spain, April 14-16, 2016.
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 11, 2016 Category: Anesthesiology Tags: Supplement: EuroNeuro 2016: PDF Only Source Type: research

Guest Reviewer Acknowledgment
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Departments: Guest Reviewer Acknowledgment Source Type: research

Autonomic Nervous System Responses to Insula Tumor Resection: A Reply to Nagai and Colleagues
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

The Right Insular Cortex: A Critical Region for Modulating the Parasympathetic Activity?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Sudden Bradycardia and Hypotension in Neurosurgery: Trigeminocardiac Reflex (TCR) and More
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

2015 Society for Neuroscience in Anesthesiology and Critical Care Annual Meeting Report
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Departments: SNACC Meeting Report Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research

Transcranial Color Duplex Ultrasound: A Reliable Tool for Cerebral Hemodynamic Assessment in Brain Injuries
Conclusions: We reported the reliability of TCCD interobserver agreement in brain-damaged patients. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Clinical Reports Source Type: research

Effects of Insula Resection on Autonomic Nervous System Activity
Conclusions: These findings suggest that the right insula plays a critical role in parasympathetic autonomic modulation and subsequent cardiac arrhythmias. Additional research is needed to establish the long-term effects of right versus left insula resection as related to autonomic dysregulation and adverse brain-heart interactions, particularly in patients at risk of cardiac arrhythmias. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Clinical Reports Source Type: research

Clinical Association Between Brain MRI Findings With Epidural Blood Patch in Spontaneous Intracranial Hypotension
Conclusions: The results of our study indicated no difference between MRI findings in both conservative treatment and EBP modalities; however, there were differences in initial pain score. Therefore, clinical presentation of SIH patients may be critical and help physicians make a decision of EBP procedure. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Comparison of Dexmedetomidine Versus Midazolam-Fentanyl Combination for Monitored Anesthesia Care During Burr-Hole Surgery for Chronic Subdural Hematoma
Conclusions: Use of dexmedetomidine for MAC is associated with lesser number of intraoperative patient movements, faster postoperative recovery, better surgeon satisfaction score, and comparable patient’s satisfaction compared with midazolam-fentanyl combination. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

The Cerebrovascular Response to Ketamine: A Systematic Review of the Animal and Human Literature
Conclusions: Animal models indicate an increase in global CBF and rCBF with ketamine administration, with a trend to vasodilation of medium-sized intracranial vessels through a calcium-dependent mechanism. Human studies display an Oxford 2b, Grading of Recommendation Assessment Development and Education C, level of evidence to support a trend to increased global CBF and rCBF with ketamine administration in both healthy volunteers and elective surgical patients without neurological illness. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Review Articles 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. The following broad topics are covered: general neurosurgery, spine surgery, stroke, traumatic brain injury, anesthetic neurotoxicity, perioperative cognitive dysfunction, and monitoring. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - March 9, 2016 Category: Anesthesiology Tags: Review Articles Source Type: research

In Memoriam Prof. Dr Med. Thomas Pasch, FRCA
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Special Article Source Type: research

Adverse Hemodynamic Event Due to Floseal Hemostatic Matrix Application
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Is NIRS-based Cerebral Oximetry Sufficient Monitoring Modality During ICG Utilization in CEA?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

A Case of Malignant Hyperthermia Captured by Neuromonitoring During a Lumbar Endoscopic Discectomy
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Venous Air Embolism: New Observations
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Acute Pulmonary Edema After Cranioplasty
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Emergency Posterior Fossa Surgery in Sitting Position in a Patient With Pheochromocytoma
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Intraoperative Phase Reversal Monitoring Using a Novel Technique
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

The Chicken or the Egg: Hypertension Secondary to Intraoperative Subarachnoid Hemorrhage
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

A Case of Nephrogenic Diabetes Insipidus During Transsphenoidal Pituitary Adenomectomy
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Color Atlas of Neurology
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Book Review Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research