Analysis of MRI Utilization in Pediatric Patients
Introduction: Although animal studies have consistently demonstrated long-term neurocognitive deficits following early anesthetic exposure under certain conditions, risk in human children remains unknown. Magnetic resonance imaging (MRI) in young patients often requires anesthesia to facilitate image acquisition. We studied MRI utilization in a pediatric population, and associated use of anesthesia for ambulatory MRI. Materials and Methods: Data were obtained from the New York State Inpatient Database and State Ambulatory Surgery and Services Database on MRI performed in children under the age of 18 years from 2005 to 201...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Sevoflurane Impairs Growth Cone Motility in Dissociated Murine Neurons
Conclusions: Sevoflurane interferes with growth cone motility, which is a critical process in brain circuitry formation. Our data suggest that this may occur through an action on the p75NTR, which promotes growth inhibitory signaling by the Rho pathway. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Use of Anesthesia for Imaging Studies and Interventional Procedures in Children
Ongoing investigation from the Pediatric Anesthesia NeuroDevelopment Assessment (PANDA) study hopes to examine the long-term effect on cognitive and language development of a single anesthetic exposure in children undergoing inguinal hernia repair. The fifth PANDA Symposium, held in April 2016, continued the mission of previous symposia to examine evidence from basic science and clinical studies on potential neurotoxic effects of anesthetics on developing brain. At the 2016 Symposium, a panel of specialists from nonsurgical pediatric disciplines including anesthesiology, radiology, neurology, gastroenterology, oncology, ca...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Optimal Timing of Surgical Procedures in Pediatric Patients
The Pediatric Anesthesia Neuro Development Assessment (PANDA) team at the Anesthesiology Department at Columbia University Medical Center held its fifth biennial symposium to discuss issues regarding potential neurotoxicity of anesthetic agents in pediatric patients. Overall optimal surgical timing as well as a "critical window" for surgery on a specialty specific basis are areas of focus for the American Academy of Pediatrics Surgical Advisory Panel. An ad hoc panel of pediatric surgical experts representing general surgery, urology, neurosurgery, and ophthalmology was assembled for this meeting and provided a d...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Lessons Learned: Studying the Vulnerable Brain
Neurotoxicity related to early exposure to various insults, both anesthesia-related and nonanesthesia-related, is a topic of ongoing and increasing interest. To better understand the process by which this might occur, the fifth PANDA Symposium convened a session in which 4 notable neuroscientists discussed current concepts and research in neurodevelopment, highlighting periods of particular susceptibility and ways in which neural connectivity and systemic functioning may be affected. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Mechanisms for Research Support
During the second day of the Pediatric Anesthesia NeuroDevelopment Assessment (PANDA) symposium 2016, 3 invited speakers focused on future directions for the PANDA group. This session, entitled "The Way Forward," included 3 talks on how other groups have organized through public-private partnerships (ACTTION), obtained NIH funding, and how to better communicate a research message. Dr Robert H. Dworkin spoke on the mission of the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities and Networks (ACTTION), which is a public-private partnership with the United States Food and ...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Biomarkers, Genetics, and Epigenetic Studies to Explore the Neurocognitive Effects of Anesthesia in Children
Exposure to commonly used anesthetic agents causes widespread neuronal degeneration in the developing mammalian brain and has been shown to impair neurodevelopment in a variety of newborn vertebrate animal species. Although retrospective studies have suggested an association between anesthesia exposure in childhood and subsequent neurodevelopmental abnormalities, a causal relationship in humans has yet to be demonstrated. Unfortunately, translation of findings from bench to bedside is limited by several factors and histologic assessment in healthy children following exposure to anesthesia is not possible. Therefore, to pro...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

What Next After GAS and PANDA?
On April 16 and 17, 2016, the Fifth biennial Pediatric Anesthesia & Neurodevelopment Assessment (PANDA) symposium was convened at the Morgan Stanley Children's Hospital of New York at Columbia University Medical Center. During the symposium, experts in the fields of anesthesiology, neuropsychology, and epidemiology were convened in a small group session to determine the level of confidence in the current clinical evidence and the next steps in anesthetic neurotoxicity clinical research. Among the participants in the discussion, there remained a lack of consensus on whether anesthetic exposure causes long-term neurodeve...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Physical Activity and Cognitive Development: A Meta-Analysis
Conclusions and Implications: Increased regular physical activity is associated with a small and measurable, improvement in neuropsychological tests of executive functions, specifically inhibitory control. Executive functions play an important role in complex behavior, and may contribute to academic and career achievement as well as success in social interaction. This finding provides support for the important interaction between exercise and cognitive functioning. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Molecular Mechanisms of Anesthetic Neurotoxicity: A Review of the Current Literature
Data from epidemiologic studies and animal models have raised a concern that exposure to anesthetic agents during early postnatal life may cause lasting impairments in cognitive function. It is hypothesized that this is due to disruptions in brain development, but the mechanism underlying this toxic effect remains unknown. Ongoing research, particularly in rodents, has begun to address this question. In this review we examine currently postulated molecular mechanisms of anesthetic toxicity in the developing brain, including effects on cell death pathways, growth factor signaling systems, NMDA and GABA receptors, mitochondr...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Summary of the Update Session on Clinical Neurotoxicity Studies
This article summarizes the update of 5 ongoing clinical studies: General Anesthesia compared to Spinal Anesthesia, Toxicity of Remifentanil and Dexmedetomidine, Mayo Anesthesia Safety in Kids, the University of California San Francisco human cohort study, and Columbia University Medical Center Neonatal Magnetic Resonance Imaging study. The purpose of this summary is to discuss the contributions and limitations of these studies, how they fit into the published literature, and what questions remain to be answered. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Report on the Fifth PANDA Symposium on “Anesthesia and Neurodevelopment in Children”
On April 16 and 17, 2016, the Pediatric Anesthesia and Neurodevelopment Assessment (PANDA) study held its fifth biennial symposium at the Morgan Stanley Children's Hospital of New York. The PANDA symposium has served as a key forum for clinicians, researchers, and other major stakeholders to gather and review the current state of preclinical and clinical research related to anesthetic neurotoxicity in children. Goals of the meeting included assessing how current knowledge has translated and impacted clinical care of patients who may be at risk, and future directions for research and policy. The program participants represe...
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Introduction to the Proceedings of the Fifth PANDA Symposium on “Anesthesia and Neurodevelopment in Children”
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Departments: Supplement: Proceedings of the Fifth PANDA Symposium on Anesthesia and Neurodevelopment in Children Source Type: research

Intracarotid Etomidate Decreases the Interhemispheric Synchronization in Electroencephalogram (EEG) During the Wada Test
Conclusions: Our study showed that the EEG effects of intracarotid ipsilateral injection of etomidate is not uniform in both hemispheres. Decrease in the interhemispheric synchronization of delta waves might serve as an indicator of ipsilateral effect of etomidate on the brain. Additional studies are needed to confirm our findings. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Reports Source Type: research

The Effect of Clevidipine on Cerebral Blood Flow Velocity and Carbon Dioxide Reactivity in Human Volunteers
Conclusions: Clevidipine infusion did not significantly increase CBFV nor was cerebral CO2 reactivity reduced during maximal-dose clevidipine infusion. Further systematic investigation of clevidipine in patients with central nervous system pathology seems justified. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Reports Source Type: research

Noninvasive Measurement of Cerebral Blood Flow Under Anesthesia Using Arterial Spin Labeling MRI: A Pilot Study
Conclusions: ASL-MRI is a feasible, noninvasive method of quantitative estimation of global and regional CBF in mechanically ventilated patients under anesthesia. In this pilot study CBF was consistently greater with sevoflurane than with propofol. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 8, 2016 Category: Anesthesiology Tags: Clinical Reports Source Type: research

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