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

High Plasma Levels of Neuropeptide Y Correlate With Good Clinical Outcome But are not Correlated to Cerebral Blood Flow or Vasospasm After Subarachnoid Hemorrhage
Conclusions: Our findings in peripheral blood were not supportive of a causal relationship between NPY secretion and DCI. Although high levels of plasma-NPY were correlated with good clinical outcome, NPY did not show promise as a clinically useful biomarker. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Report Source Type: research

Dexmedetomidine Attenuates Neurotoxicity Induced by Prenatal Propofol Exposure
Conclusions: DEX attenuates neuronal injury induced by maternal propofol anesthesia in the fetal brains, providing neurocognitive protection in the offspring rats. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Laboratory Investigations Source Type: research

CaMKII Phosphorylation in Primary Somatosensory Cortical Neurons is Involved in the Inhibition of Remifentanil-induced Hyperalgesia by Lidocaine in Male Sprague-Dawley Rats
Background: Previous clinical studies have shown that lidocaine can alleviate severe postoperative pain after remifentanil-based anesthesia. Experimental studies have also demonstrated that lidocaine can inhibit remifentanil-induced hyperalgesia, yet the mechanism remains unknown. The present study explored the role of the primary somatosensory (S1) cortex in remifentanil-induced hyperalgesia as well as its inhibition by lidocaine through evaluation of Ca2+/calmodulin-dependent protein kinase II (CaMKII) phosphorylation and protein expression levels in S1 cortical neurons. Materials and Methods: Male Sprague-Dawley rats we...
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Laboratory Investigations Source Type: research

Comparison of the Effects of 3 Methods of Intrathecal Bupivacaine, Bupivacaine-Fentanyl, and Bupivacaine-Fentanyl-Magnesium Sulfate on Sensory Motor Blocks and Postoperative Pain in Patients Undergoing Lumbar Disk Herniation Surgery
Background: The aim of this study was to investigate the effects of adding intrathecal (IT) fentanyl and magnesium sulfate (MgSO4) to bupivacaine on sensory motor blocks and postoperative pain in patients undergoing lumbar disk herniation surgery. Methods: In a double-blind randomized clinical trial, the patients undergoing lumbar disk herniation surgery were allocated to receive hyperbaric bupivacaine (A), or hyperbaric bupivacaine and fentanyl (B), hyperbaric bupivacaine, fentanyl and MgSO4 (C) IT. Data were collected regarding the onset of sensory block and time to regression to T10, time to complete motor block and ful...
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Regional Anesthesia to Scalp for Craniotomy: Innovation With Innervation
Conclusions: Maxillary block along with greater and lesser occipital nerve block is an effective alternative to scalp block for craniotomy and has longer duration of analgesia. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Comparison of Small Dose Ketamine and Dexmedetomidine Infusion for Postoperative Analgesia in Spine Surgery—A Prospective Randomized Double-blind Placebo Controlled Study
Background: High doses of opioids are frequently used to treat postoperative pain after spine surgery. This leads to opioid-related side effects like nausea, vomiting, respiratory depression, etc. The current study is an attempt to find a safe analgesic adjuvant, which will afford opioid sparing property. Method: Sixty-six patients undergoing spine surgery were randomized into 1 of the 3 groups—group K (ketamine bolus 0.25 mg/kg followed by infusion of 0.25 mg/kg/h with midazolam bolus 10 μg/kg and infusion of 10 μg/kg/h mixed in the same infusion pump), group D (dexmedetomidine bolus 0.5 μg/kg followed by 0...
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Traumatic Brain Injury Patients With a Glasgow Coma Scale Score of ≤8, Cerebral Edema, and/or a Basal Skull Fracture are More Susceptible to Developing Hyponatremia
This study investigated the epidemiology of hyponatremia following TBI. Methods: Patients who were admitted to our hospital with moderate or severe TBI were analyzed retrospectively. The relationship between the occurrence of hyponatremia and age, sex, type of injury, Glasgow coma scale (GCS) score, whether the patient underwent surgery, and the presence of cerebral edema and basal skull fracture was analyzed statistically using a χ2 test and multivariate logistic regression analysis. Results: Out of the 136 patients recruited for the study (81 males and 55 females; mean±SD age of 48±13 y), 56 suffered fr...
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

The Opioid-sparing Effect of Intraoperative Dexmedetomidine Infusion After Craniotomy
Background: We conducted a randomized trial to evaluate the opioid-sparing effect of an intraoperative infusion of dexmedetomidine (DEX) after craniotomy. Methods: Sixty adult patients scheduled for craniotomy were divided randomly into group A (DEX infusion at 0.5 μg/kg/h for 10 min and then adjusted to 0.2 to 0.5 μg/kg/h from tracheal intubation to incision suturing) and group B (0.9% saline infusion). Additional intravenous injections and patient-controlled analgesia with morphine were used to control postoperative pain for verbal Numerical Rating Scale scores>4. Cumulative morphine consumption, Numerical Ratin...
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Lidocaine Did Not Reduce Neuropsychological-Cognitive Decline in Patients 6 Months After Supratentorial Tumor Surgery: A Randomized, Controlled Trial
There is equivocal evidence examining cognitive improvement in response to lidocaine during cardiac surgery; however, no study has examined its effect on postoperative neuropsychological-cognitive decline after supratentorial tumor surgery. Methods: Ninety-four patients scheduled for supratentorial craniotomy were enrolled. Patients received either a dose of lidocaine (2%) via an intravenous bolus (1.5 mg/kg) after induction followed by an infusion at a rate of 2 mg/kg/h until the end of surgery (Lidocaine group) or the same volume of normal saline. The neuropsychological-cognitive decline was evaluated using the following...
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Efficacy and Safety of a Lidocaine and Ropivacaine Mixture for Scalp Nerve Block and Local Infiltration Anesthesia in Patients Undergoing Awake Craniotomy
Conclusions: Scalp block with a mixture of lidocaine and ropivacaine seems to provide effective and safe anesthetic management in patients undergoing awake craniotomy. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 11, 2015 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Abstracts From the 43rd Annual Meeting of the Society for Neuroscience in Anesthesiology and Critical Care, San Diego, CA, October 23, 2015.
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Abstracts: PDF Only Source Type: research

Abstracts From the Neuroanaesthestic and Critical Care Society of Great Britain and Ireland's Annual Scientific Meeting - Manchester, May 7-8, 2015.
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Abstracts: PDF Only Source Type: research

Abstracts From the 19th Annual Meeting of the Japanese Society of Neuroanesthesia and Critical Care, Gifu, Japan April 10th-11th, 2015.
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Abstracts: PDF Only Source Type: research

Differentiation Between the Potential Subdural Space and Subarachnoid Space Was Difficult With Fluoroscopy Due to Obesity
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Revision of Ventriculoatrial Shunt With Transesophageal Echocardiogram Guidance
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Severe Intraoperative Hemodynamic Disturbances—A Potential Complication of Cranioplasty
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Gas Sampling Line Versus Sampling Port
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Using a Paralleled Origin of Sampling Line to Prevent its Intraoperative Kinking
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Is Sevoflurane Responsible for Postoperative Myoclonic Seizure?
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Aberrant Readout of a Gas Analyzer: Clinical Importance of Interpretation
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Influence of Strapping of the Hand on Noninvasive Hemoglobin Measurements
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Dexmedetomidine Sedation for WADA Test With Intracarotid Propofol in Pediatric Patients
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Blowing off the Retained CO2 During Spontaneous Respiration in Neurosurgery: A Novel Way!
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Beware of Changes in Intracranial Compliance During Cranioplasty
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Novel Method of Identifying Intraoperative Cuff Leak and its Treatment While Monitoring Cuff Pressure
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

On the Incidence of Stroke Following Antiplatelet/Anithrombotic Drug Cessation
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

Report on 4th ASNACC Conference
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: SNACC Meeting Report Source Type: research

Principles and Practice of Pediatric Neurosurgery
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Book Reviews Source Type: research

Neurointerventional Techniques Tricks of the Trade
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Book Reviews Source Type: research

AOSpine Masters Series: Volume 1 and 2
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Book Reviews Source Type: research

Neuro-Oncology; The Essentials
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Book Reviews Source Type: research

Journal Club
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Departments: Journal Club Source Type: research

Noninvasive Brain Physiology Monitoring for Extreme Environments: A Critical Review
Our ability to monitor the brain physiology is advancing; however, most of the technology is bulky, expensive, and designed for traditional clinical settings. With long-duration space exploration, there is a need for developing medical technologies that are reliable, low energy, portable, and semiautonomous. Our aim was to review the state of the art for noninvasive technologies capable of monitoring brain physiology in diverse settings. A literature review of PubMed and the Texas Medical Center library sites was performed using prespecified search criteria to identify portable technologies for monitoring physiological asp...
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Review Articles Source Type: research

The Potential Benefits of Awake Craniotomy for Brain Tumor Resection: An Anesthesiologist’s Perspective
We present our interpretation of the evidence that we believe substantiates this proposition. However, due to the lack of direct evidence based on randomized-controlled trials and the heterogeneity of anesthetic techniques used for awake craniotomy, our perspective is largely speculative and hypothesis generating that needs to be validated or refuted by future quality research. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Review Articles Source Type: research

Safety Profile of 5-Aminolevulinic Acid as a Surgical Adjunct in Clinical Practice: A Review of 207 Cases From 2008 to 2013
Background: 5-Aminolevulinic acid (5-ALA) is used for brain tumor identification during surgery through fluorescence. Its use is linked to side effects such as photodermatosis, anemia, or plaquetopenia. Many institutions take very strict precautions to prevent them. Our hospital`s protocol mandates avoidance of direct sunlight during the first 24 hours only. Methods: Retrospective cohort observational study of 207 consecutive patients who underwent 5-ALA-guided brain tumor resection between 2008 and 2013, and compared with a control group of 53 patients without 5-ALA. Results: No skin reaction was reported. No difference w...
Source: Journal of Neurosurgical Anesthesiology - September 5, 2015 Category: Anesthesiology Tags: Clinical Report Source Type: research