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The Application of Regional Cerebral Oxygenation Monitoring in the Prediction of Cerebral Hypoperfusion During Carotid Endarterectomy
Conclusions: Decreases in rSO2 correlated with decreases in EP amplitude during ICA clamping. A relative reduction in rSO2 ≥16% could serve as a warning for clamping-associated cerebral hypoperfusion. The 8.9% false-positive rate is a potential clinical limitation of the use of rSO2 to predict postoperative neurological deficits. (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Precision Medicine in Acute Brain Injury: A Narrative Review
Over the past few years, the concept of personalized medicine has percolated into the management of different neurological conditions. Improving outcomes after acute brain injury (ABI) continues to be a major challenge. Unrecognized individual multiomic variations in addition to multiple interacting processes may explain why we fail to observe comprehensive improvements in ABI outcomes even when applied treatments appear to be beneficial logically. The provision of clinical care based on a multiomic approach may revolutionize the management of traumatic brain injury, delayed cerebral ischemia after subarachnoid hemorrhage,...
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research

Comparison of the Asleep-Awake-Asleep Technique and Monitored Anesthesia Care During Awake Craniotomy: A Systematic Review and Meta-analysis
Awake craniotomy (AC) is the preferred surgical option for intractable epilepsy and resection of tumors adjacent to or within eloquent cortical areas. Monitored anesthesia care (MAC) or an asleep-awake-asleep (SAS) technique is most widely used during AC. We used a random-effects modeled meta-analysis to synthesize the most recent evidence to determine whether MAC or SAS is safer and more effective for AC. We included randomized controlled trials and observational studies that explored the incidence of AC failure, duration of surgery, and hospital length of stay in adult patients undergoing AC. Eighteen studies were includ...
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research

A Narrative Review of the Published Literature, Hospital Practices, and Policies Related to External Ventricular Drains in the United States: The External Ventricular Drain Publications, Practices, and Policies (EVDPoP) Study
External ventricular drain (EVD) placement and management pose risks to neurocritically ill patients. Yet, little is known about EVD management or hospital EVD management practices and policies in US hospitals. A narrative review was conducted to describe EVD-related publications reported in PubMed and Embase between 1953 and 2019, and a survey was used to examine US hospital EVD practices and policies, including adherence to EVD guideline recommendations. Overall, 912 relevant articles were published between 1953 and 2019 (average 21; range, 0 to 102 articles, per year), primarily related to indications for EVD placement ...
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research

Reappearance of Neurological Deficits in Pathologic Brain: Are Sedatives and Opioids Culprits? A Systematic Review
Following a brain insult, focal neurological deficits may develop. Despite resolution of these deficits with time, the subsequent administration of sedative medications and opioids may lead to recrudescence of previous neurological deficits. Therefore, the present systematic review aims to explore the role of different sedatives and opioid analgesics at reproducing focal neurological deficits in patients with previous brain insults undergoing surgery. Our PRISMA compliant systematic review covering the literature from 1990 to 2020 showed a consistent reoccurrence of neurological deficits following administration of benzodi...
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research

Opioid Alternatives in Spine Surgery: A Narrative Review
Adequate analgesia is known to improve outcomes after spine surgery. Despite recent attention highlighting the negative effects of narcotics and their addiction potential, opioids have been the mainstay of management for providing analgesia following spine surgeries. However, side effects including hyperalgesia, tolerance, and subsequent dependence restrict the generous usage of opioids. Multimodal analgesia regimens acting through different mechanisms offer significant opioid sparing and minimize the side effects of individual drugs. Hence, they are being increasingly incorporated into enhanced recovery protocols. Multimo...
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research

An Update on Neuroanesthesiology Update
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Editorials Source Type: research

As We Look Forward to 2022 …..
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Editorials Source Type: research

Abstracts From the 49th Annual Meeting of the Society for Neuroscience in Anesthesiology and Critical Care, September 10-12, 2021
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 19, 2021 Category: Anesthesiology Tags: Abstracts Source Type: research

Perceived Benefits and Barriers to a Career in Neuroanesthesiology: The Indian Perspective
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 19, 2021 Category: Anesthesiology Tags: Correspondence Source Type: research

Accidental Injection of Propofol Into a Lumbar Drain: The Role of ISO 80369-6 Compliant Neuro Connectors
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 19, 2021 Category: Anesthesiology Tags: Correspondence Source Type: research

Accidental Injection of Propofol into a Lumbar Drain
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 19, 2021 Category: Anesthesiology Tags: Correspondence Source Type: research

Safety of Early Tracheostomy Performed by Intensivists in Acute Brain-injured Patients: A 1-Year Observational Study
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 19, 2021 Category: Anesthesiology Tags: Research Letters Source Type: research

Retrograde Amnesia Associated With Intraoperative Neuromonitoring
No abstract available (Source: Journal of Neurosurgical Anesthesiology)
Source: Journal of Neurosurgical Anesthesiology - September 19, 2021 Category: Anesthesiology Tags: Research Letters Source Type: research