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Neuroanesthesia

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https://www.readbyqxmd.com/read/28682827/anesthesia-for-minimally-invasive-neurosurgery
#1
Hemanshu Prabhakar, Charu Mahajan, Indu Kapoor
PURPOSE OF REVIEW: With an ultimate aim of improving patients overall outcome and satisfaction, minimally invasive surgical approach is becoming more of a norm. The related anesthetic evidence has not expanded at the same rate as surgical and technological advancement. This article reviews the recent evidence on anesthesia and perioperative concerns for patients undergoing minimally invasive neurosurgery. RECENT FINDINGS: Minimally invasive cranial and spinal surgeries have been made possible only by vast technological development...
July 5, 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28671879/feasibility-of-protective-ventilation-during-elective-supratentorial-neurosurgery-a-randomized-crossover-clinical-trial
#2
Francesco Ruggieri, Luigi Beretta, Laura Corno, Valentina Testa, Enrico A Martino, Marco Gemma
BACKGROUND: Traditional ventilation approaches, providing high tidal volumes (Vt), produce excessive alveolar distention and lung injury. Protective ventilation, employing lower Vt and positive end-expiratory pressure (PEEP), is an attractive alternative also for neuroanesthesia, when prolonged mechanical ventilation is needed. Nevertheless, protective ventilation during intracranial surgery may exert dangerous effects on intracranial pressure (ICP). We tested the feasibility of a protective ventilation strategy in neurosurgery...
June 30, 2017: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/28663612/dexmedetomidine-as-an-anesthetic-adjuvant-in-intracranial-surgery
#3
Ankita Batra, Reetu Verma, V K Bhatia, Girish Chandra, Shashi Bhushan
BACKGROUND: The basic principle of neuroanesthesia is to provide hemodynamic stability, provision of optimal operative conditions, maintenance of cerebral perfusion pressure, and cerebral oxygenation. AIM: This study was undertaken to see the effect of dexmedetomidine infusion on hemodynamics and its ability to act as an anesthetic adjuvant in patients undergoing supratentorial tumor surgery. SETTING AND DESIGN: Prospective randomized control double blind study...
April 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28498141/the-asa-committee-for-neuroanesthesia-and-anesthesia-quality-institute-report-for-demographic-patterns-for-neurosurgical-anesthesia-practice-in-the-united-states
#4
Ehab Farag, Benjamin Westlake, Richard P Dutton, Edward J Mascha, W Andrew Kofke
No abstract text is available yet for this article.
May 11, 2017: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/28492296/italian-consensus-in-neuroradiological-anaesthesia-icona-managing-anaesthesia-during-endovascular-procedures
#5
Carlo A Castioni, Andrea Amadori, Federico Bilotta, Moreno Bolzon, Edoardo Barboni, Anselmo Caricato, Guido Dall'acqua, Francesco DI Paola, Andrea Forastieri Molinari, Paolo Gritti, Italia LA Rosa, Marcello Longo, Carla Maglione, Pietro Martorano, Marina Munari, Valerio Perotti, Frank Rasulo, Maria Ruggiero, Antonio Santoro, Luigia Scudeller, Miriam Tumolo, Anna T Mazzeo
Anaesthetic management of patients undergoing endovascular procedures for treating intracranial aneurysms or cerebrovascular malformations must consider a number of specific challenges, in addition to those associated with anaesthesia for other specialties. In addition to maintenance of physiological stability, manipulation of systemic and cerebral haemodynamic parameters may be required to treat any sudden unexpected catastrophic neurological events. A multidisciplinary group including neuro- and pediatric anaesthesiologists, interventional neuroradiologists, neurosurgeons, and a clinical methodologist contributed to this document...
May 11, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28386682/-update-in-neuroanesthesiology-key-publications
#6
V-S Eckle, G Schneider
One of the aims of the Scientific Working Group Neuroanesthesia (WAKNA) of the German Society of Anesthesiology and Intensive Care Medicine is to disseminate new findings in the field of neuroscience and neuroanesthesia and to propagate novel therapeutic and diagnostic options into clinical practice. Once a year, the WAKNA displays and discusses recent noteworthy publications from the past 12 months at the German Anesthesia Meeting. In 2016, a new pharmacologic strategy with dexmedetomidine to prevent postoperative pain after craniotomy, the impact of the widely used anesthetic drug propofol on GABA receptor surface expression, a study highlighting the ultrasound-guided detection of increased intracranial pressure, and an article showing the interactions of neuromuscular blocking drugs on the BIS neuromonitoring were presented...
June 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28328593/fetal-monitor-as-precordial-doppler-in-neuroanesthesia
#7
John R Cormack, Anastasia Mellios, Desmond McGlade
No abstract text is available yet for this article.
May 15, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28266950/postoperative-analgesia-after-wound-infiltration-with-tramadol-and-dexmedetomidine-as-an-adjuvant-to-ropivacaine-for-lumbar-discectomies-a-randomized-controlled-clinical-trial
#8
Saikat Mitra, Shobha Purohit, Mamta Sharma
INTRODUCTION: Crippling postoperative pain linked with lumbar discectomies not only shackles patient's normal daily activities but also lengthens their hospital stay. So, allaying postoperative pain in these patients has become a substantive component in neuroanesthesia to expedite neurological recovery. Wound infiltration with local anesthetics is widely used to optimize postoperative pain. Different adjuvants like dexmedetomidine and tramadol when added to local anesthetics prolongs postoperative analgesia...
March 6, 2017: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/28194399/the-role-of-permissive-and-induced-hypotension-in-current-neuroanesthesia-practice
#9
Suren Soghomonyan, Nicoleta Stoicea, Gurneet S Sandhu, Jeffrey J Pasternak, Sergio D Bergese
BACKGROUND: Induced hypotension (IH) had been used for decades in neurosurgery to reduce the risk for intraoperative blood loss and decrease blood replacement. More recently, this method fell out of favor because of concerns for cerebral and other end-organ ischemia and worse treatment outcomes. Other contributing factors to the decline in its popularity include improvements in microsurgical technique, widespread use of endovascular procedures, and advances in blood conservation and transfusion protocols...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28017177/maintenance-of-balance-between-airway-pressure-and-intracranial-pressure-in-a-patient-with-tracheal-stenosis-undergoing-craniotomy-a-case-report
#10
Çiğdem Yıldırım Güçlü, Başak Ceyda Meço, Meltem Karamustafa, Yüksel Keçik
BACKGROUND AND OBJECTIVES: Tracheal stenosis is a rare but a life-threatening condition and anesthesia of a patient with tracheal stenosis is challenging for anesthesiologists. Maintaining stable hemodynamics and ventilation parameters are important issues in neuroanesthesia. Any increase in airway peak pressure and ETCO2 will result in increase in intracranial pressure which must be avoided during craniotomies. Tracheal stenosis could be a reason for increased airway pressure. CASE REPORT: We described a patient undergoing craniotomy with tracheal stenosis...
January 2017: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27918329/complications-in-neuroanesthesia
#11
Keith J Ruskin
No abstract text is available yet for this article.
December 1, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27554372/neuroanesthesia-and-cerebrospinal-protection-hiroyuki-uchino-kazuo-ushijima-yukio-ikeda-editors-springer-japan-2015-pages-725-isbn-978-4-431-54489-0
#12
Nitin Ahuja
No abstract text is available yet for this article.
August 23, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27530360/complications-in-neuroanesthesia-hemanshu-prabhaker-editor-elsevier-2016-502-pages-isbn-978-0-12-804075-1
#13
Melissa Brockerville, Lashmi Venkatraghavan
No abstract text is available yet for this article.
August 16, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27521202/update-in-neuroanesthesia-an-anesthesiology-clinics-issue-affiliated-with-snacc
#14
EDITORIAL
W Andrew Kofke, William M Armstead, Dhanesh K Gupta, Martin Smith, Michael L Luke James
No abstract text is available yet for this article.
September 2016: Anesthesiology Clinics
https://www.readbyqxmd.com/read/27375400/a-case-of-bronchiectasis-needing-lung-isolation-for-cerebello-pontine-angle-tumor-excision-anesthetic-challenges
#15
C Srinivasan, G P Kurian, R Mariappan
The main goals of neuroanesthesia are the maintenance of adequate cerebral perfusion pressure, avoidance of hypercarbia, hypoxemia, and to provide better brain relaxation. Providing anesthesia for a patient with bronchiectasis needing lung isolation for craniotomy can be challenging. A 56-year-old male patient, case of right lung bronchiectasis with a right cerebello pontine angle tumor underwent excision in the left lateral position. Since he had severe bronchiectasis of the right lung, we had isolated the right lung using right-sided double lumen tube to avoid spillage...
July 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26950704/9th-international-update-on-neuroanesthesia-and-neurointensive-care-euroneuro-2016-barcelona-spain-april-14-16-2016
#16
(no author information available yet)
No abstract text is available yet for this article.
April 2016: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/26796607/comparison-of-2-resident-learning-tools-interactive-screen-based-simulated-case-scenarios-versus-problem-based-learning-discussions-a-prospective-quasi-crossover-cohort-study
#17
COMPARATIVE STUDY
Shobana Rajan, Ashish Khanna, Maged Argalious, Stephen J Kimatian, Edward J Mascha, Natalya Makarova, Eman M Nada, Hesham Elsharkawy, Farhad Firoozbakhsh, Rafi Avitsian
STUDY OBJECTIVE: Simulation-based learning is emerging as an alternative educational tool in this era of a relative shortfall of teaching anesthesiologists. The objective of the study is to assess whether screen-based (interactive computer simulated) case scenarios are more effective than problem-based learning discussions (PBLDs) in improving test scores 4 and 8 weeks after these interventions in anesthesia residents during their first neuroanesthesia rotation. DESIGN: Prospective, nonblinded quasi-crossover study...
February 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/26661082/-hot-topics-in-neuroanesthesia-key-publications-from-2014-and-2015
#18
R Zanner, G Schneider
No abstract text is available yet for this article.
January 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26308517/pediatric-neuroanesthesia
#19
REVIEW
Anna Clebone
PURPOSE OF REVIEW: A series of recent studies have changed the practice of pediatric neuroanesthesia, improving outcomes and making children's quality of life better. RECENT FINDINGS: Potential long-term neurologic effects in infants and young children undergoing surgery and anesthesia have been recognized for over a decade. Several recent, well performed studies suggest that hypotension may also be a major contributor to postoperative neurologic impairment in children...
October 2015: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/26280113/endoscopic-and-gravity-assisted-resection-of-medial-temporo-occipital-lesions-through-a-supracerebellar-transtentorial-approach-technical-notes-with-case-illustrations
#20
Pablo Villanueva, Robert G Louis, Aaron R Cutler, Hua Wei, Danjuma Sale, Huy T Duong, Garni Barkhoudarian, Daniel F Kelly
BACKGROUND: Traditional approaches to medial temporo-occipital intra-axial brain tumors carry the risk of visual or language deficits related to brain retraction or transgression of deep fiber tracts. To reduce these risks, the microscopic supracerebellar transtentorial approach with the patient in the sitting position has been previously described for lesions in relative proximity to the tentorium. OBJECTIVE: We describe this approach performed with endoscopic tumor resection to allow better visualization and a more ergonomic operating position...
August 14, 2015: Neurosurgery
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