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Journal of Neurosurgical Anesthesiology

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https://www.readbyqxmd.com/read/30024422/electrophysiological-monitoring-during-percutaneous-trigeminal-nerve-ganglion-block
#1
Adnan I Qureshi, Nishath Naseem, Muhammad A Saleem, Shawn S Wallery, Faisal Raja
No abstract text is available yet for this article.
July 17, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/30015697/impact-of-cpap-on-forehead-near-infrared-spectroscopy-measurements-in-patients-with-acute-respiratory-failure-truth-or-illusion
#2
Claudius Doerr, Clemens Kietaibl, Katharina Doerr, Michael Hagmann, Lukas Baumann, Oliver Kimberger, Roman Ullrich, Klaus Markstaller, Klaus U Klein
BACKGROUND: Critically ill patients with acute respiratory failure admitted to an intensive care unit are at high risk for cerebral hypoxia. We investigated the impact of continuous positive airway pressure (CPAP) therapy on regional cerebral tissue oxygenation (rSO2). MATERIALS AND METHODS: In total, 40 extubated surgical intensive care unit patients requiring classic oxygen therapy (COT) for acute respiratory failure were examined. Near-infrared spectroscopy (INVOS 5100C, Covidien) was used for 30 minutes to detect bilateral rSO2 during COT via facemask (6 L/min) and CPAP therapy (40% fraction of inspired oxygen, 8 cm H2O CPAP) using a randomized crossover study design...
July 13, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/30015696/the-effect-of-fluid-loading-and-hypertonic-saline-solution-on-cortical-cerebral-microcirculation-and-glycocalyx-integrity
#3
Vlasta Dostalova, David Astapenko, Vlasta Dostalova, Jaroslav Kraus, Vladimir Cerny, Alena Ticha, Radomir Hyspler, Vera Radochova, Jiri Paral, Pavel Dostal
BACKGROUND: Fluid loading and hyperosmolar solutions can modify the cortical brain microcirculation and the endothelial glycocalyx (EG). This study compared the short-term effects of liberal fluid loading with a restrictive fluid intake followed by osmotherapy with hypertonic saline (HTS) on cerebral cortical microcirculation and EG integrity in a rabbit craniotomy model. METHODS: The experimental rabbits were allocated randomly to receive either <2 mL/kg/h (group R, n=14) or 30 mL/kg/h (group L, n=14) of balanced isotonic fluids for 1 hour...
July 13, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/30015695/jna-journal-club
#4
(no author information available yet)
No abstract text is available yet for this article.
July 13, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/30015694/which-protocol-for-milrinone-to-treat-cerebral-vasospasm-associated-with-subarachnoid-hemorrhage
#5
Thibaud Crespy, Magali Heintzelmann, Celia Chiron, Marc Vinclair, Florence Tahon, Gilles Francony, Jean-François Payen
BACKGROUND: Milrinone has emerged as an option to treat delayed cerebral ischemia after subarachnoid hemorrhage. However, substantial variation exists in the administration of this drug. We retrospectively assessed the effectiveness of 2 protocols in patients with angiographically proven cerebral vasospasm. METHODS: During 2 successive periods, milrinone was administered using either a combination of intra-arterial milrinone infusion followed by intravenous administration until day 14 after initial bleeding (IA+IV protocol), or a continuous intravenous milrinone infusion for at least 7 days (IV protocol)...
July 13, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/30015693/jna-journal-club
#6
(no author information available yet)
No abstract text is available yet for this article.
July 13, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/30001277/ketamine-and-electroconvulsive-therapy-for-depression
#7
Chittaranjan Andrade
No abstract text is available yet for this article.
July 11, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/30001276/can-cerebral-near-infrared-spectroscopy-predict-cerebral-ischemic-events-in-neurosurgical-patients-a-narrative-review-of-the-literature
#8
Andrey Khozhenko, Massimo Lamperti, Sergio Terracina, Federico Bilotta
Cerebral near-infrared spectroscopy (NIRS) is considered a valuable noninvasive modality for cerebral oxygenation monitoring during cardiovascular surgery and cardiac arrest. We assessed the capability of cerebral NIRS to predict cerebral desaturation and the related neurological outcomes in neurosurgical patients. A literature search in different electronic medical databases was performed from inception to January 2018. A total of 286 citations were found and finally 48 studies were retrieved, only 7 of these were eligible and included for review...
July 11, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29965832/scalp-block-for-management-of-subarachnoid-hemorrhage-sah-induced-headache
#9
Kiran Bharath Venkatesulu, Amar Nandhakumar, Mathew Cherian, Pankaj Mehta, Sriram Kalingarayar, Sharmila Shanmugam
No abstract text is available yet for this article.
June 29, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29965831/bilateral-ultasound-guided-erector-spinae-plane-block-for-postoperative-pain-management-in-lumbar-spine-surgery-a-case-series
#10
Swati Singh, Neeraj K Chaudhary
No abstract text is available yet for this article.
June 29, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29952815/mannitol-in-critical-care-and-surgery-over-50-years-a-systematic-review-of-randomized-controlled-trials-and-complications-with-meta-analysis
#11
Weiliang Zhang, Jonathan Neal, Liang Lin, Feng Dai, Denise P Hersey, David L McDonagh, Fan Su, Lingzhong Meng
OBJECTIVE: Despite clinical use spanning 50+ years, questions remain concerning the optimal use of mannitol. The published reviews with meta-analysis frequently focused on mannitol's effects on a specific physiological aspect such as intracranial pressure (ICP) in sometimes heterogeneous patient populations. A comprehensive review of mannitol's effects, as well as side effects, is needed. METHODS: The databases Medline (OvidSP), Embase (OvidSP), and NLM PubMed were systematically searched for randomized controlled trials (RCTs) comparing mannitol to a control therapy in either the critical care or perioperative setting...
June 26, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29939977/performance-of-electrical-velocimetry-for-noninvasive-cardiac-output-measurements-in-perioperative-patients-after-subarachnoid-hemorrhage
#12
Tatsushi Mutoh, Kazumasu Sasaki, Shuzo Yamamoto, Nobuyuki Yasui, Tatsuya Ishikawa, Yasuyuki Taki
BACKGROUND: Fluid therapy guided by cardiac output measurements is of particular importance for adequate cerebral perfusion and oxygenation in neurosurgical patients. We examined the usefulness of a noninvasive electrical velocimetry (EV) device based on the thoracic bioimpedance method for perioperative hemodynamic monitoring in patients after aneurysmal subarachnoid hemorrhage. PATIENTS AND METHODS: In total, 18 patients who underwent surgical clipping or endovascular coiling for ruptured aneurysms were examined prospectively...
June 22, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29939976/dilated-pupil-as-a-diagnostic-component-of-brain-death-does-it-really-matter
#13
Ankur Khandelwal, Rajeeb K Mishra, Sneha Singh, Shalendra Singh, Girija P Rath
No abstract text is available yet for this article.
June 22, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29912724/selection-of-patients-recumbent-position-laterality-according-to-physician-handedness-bias-increases-the-success-rate-of-lumbar-puncture-a-multicenter-study
#14
Jian-Lan Zhao, Yi-Rui Sun, Qiao Shan, Zhi-Peng Xiao, Ben-Chao Hou, Jin Hu
BACKGROUND: Lumbar puncture (LP) is a medical procedure required during spinal anesthesia and for obtaining cerebrospinal fluid samples in the diagnosis of neurological disorders. The aim of this study was to assess the effects of physicians' handedness bias and the laterality of patients' recumbent position on the success rate of LPs. METHODS AND PATIENTS: A prospective multicenter study including 36 physicians (18 left-handed and 18 right-handed) and 7200 patients was conducted in 6 medical centers...
June 15, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29912723/balanced-crystalloids-versus-saline-for-perioperative-intravenous-fluid-administration-in-children-undergoing-neurosurgery-a-randomized-clinical-trial
#15
Mariana F Lima, Iuri S Neville, Sergio Cavalheiro, Dafne C Bourguignon, Paolo Pelosi, Luiz M S Malbouisson
BACKGROUND: Balanced crystalloid solutions induce less hyperchloremia than normal saline, but their role as primary fluid replacement for children undergoing surgery is unestablished. We hypothesized that balanced crystalloids induce less chloride and metabolic derangements than 0.9% saline solutions in children undergoing brain tumor resection. METHODS: In total, 53 patients (age range, 6 mo to 12 y) were randomized to receive balanced crystalloid (balanced group) or 0...
June 15, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29912722/an-unusual-case-of-difficult-nasogastric-tube-insertion-in-a-patient-with-displaced-cervical-spine-fracture
#16
Vanya Chugh, Sushil Guria, Suniti Kale
No abstract text is available yet for this article.
June 15, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29863540/hemodynamic-management-of-patients-during-endovascular-treatment-of-acute-ischemic-stroke-under-conscious-sedation-a-retrospective-cohort-study
#17
Gabriela Alcaraz, Jason Chui, Joanna Schaafsma, Pirjo Manninen, Andreu Porta-Sánchez, Vitor Mendes Pereira, Lashmi Venkatraghavan
BACKGROUND: Anesthetic modality and hemodynamic management during mechanical thrombectomy (MT) for acute ischemic stroke (AIS) are potential contributors to the success of revascularization. The aims of our study were to review the hemodynamic management by anesthesiologists and clinical outcomes in patients undergoing MT under conscious sedation. METHODS: Retrospective cohort study of patients with anterior circulation AIS from January 2012 to March 2016. Primary outcome was hemodynamic intervention, defined as administration of vasoactive drugs to maintain systolic blood pressure (BP) between 140 and 180 mm Hg...
May 31, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29847468/ketamine-anesthesia-does-not-improve-depression-scores-in-electroconvulsive-therapy-a-randomized-clinical-trial
#18
Charles William Carspecken, Anna Borisovskaya, Shu-Tsui Lan, Katherine Heller, Jonathan Buchholz, David Ruskin, Irene Rozet
BACKGROUND: Although interest in ketamine use during electroconvulsive therapy (ECT) has increased, studies have been equivocal with regard to its efficacy. The aims of this clinical trial were to evaluate ketamine's antidepressive effects in ECT as a primary anesthetic, determine ketamine's tolerability when compared with standard anesthesia, and determine if plasma brain-derived neurotrophic factor (BDNF) is necessary for treatment response. MATERIALS AND METHODS: Adults meeting criteria for treatment-resistant depression undergoing index course ECT received either methohexital (1 to 2 mg/kg) or ketamine (1 to 2 mg/kg) anesthesia in this dual-arm double-blinded randomized clinical trial (NCT02752724)...
May 25, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29794571/perioperative-hyperchloremia-and-its-association-with-postoperative-acute-kidney-injury-after-craniotomy-for-primary-brain-tumor-resection-a-retrospective-observational-study
#19
Tak Kyu Oh, Chae-Yong Kim, Young-Tae Jeon, Jung-Won Hwang, Sang-Hwan Do
BACKGROUND: Hyperchloremia is known to influence postoperative outcomes and may result in postoperative acute kidney injury (AKI). This study sought to investigate whether hyperchloremia was associated with postoperative AKI in patients who underwent surgery for primary brain tumor resection. MATERIALS AND METHODS: This is a retrospective, observational study of patients who underwent craniotomy for primary brain tumor resection at a single tertiary care hospital between January 2005 and October 2017...
May 22, 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29787402/a-pilot-study-of-a-novel-automated-somatosensory-evoked-potential-ssep-monitoring-device-for-detection-and-prevention-of-intraoperative-peripheral-nerve-injury-in-total-shoulder-arthroplasty-surgery
#20
Jason Chui, John M Murkin, Darren Drosdowech
INTRODUCTION: Peripheral nerve injury is a potentially devastating complication after total shoulder arthroplasty (TSA) surgery. This pilot study aimed to assess the feasibility of using an automated somatosensory evoked potential (SSEP) device to provide a timely alert/intervention to minimize intraoperative nerve insults during TSA surgery. METHODS: A prospective, single-arm, observational study was conducted in a single university hospital. The attending anesthesiologist monitored the study participants using the EPAD automated SSEP device and an intervention was made if there was an alert during TSA surgery...
May 21, 2018: Journal of Neurosurgical Anesthesiology
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