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Kamath Sriganesh, Jason W Busse, Harsha Shanthanna, Venkatapura J Ramesh
Background and Aims: There is a paucity of clinical practice guidelines for the ideal approach to airway management in patients with cervical spine instability (CSI). The aim of this survey was to evaluate preferences, perceptions and practices regarding airway management in patients with CSI among neuroanaesthesiologists practicing in India. Methods: A 25-item questionnaire was circulated for cross-sectional survey to 378 members of the Indian Society of Neuroanaesthesiology and Critical Care (ISNACC) by E-mail...
February 2018: Indian Journal of Anaesthesia
Zbigniew Karwacki, Seweryn Niewiadomski, Marta Rzaska
BACKGROUND: Total intravenous anaesthesia with propofol and remifentanil is widely used in neuroanaesthesiology and enables the quick recovery and early neurological assessment of patients. The administration of muscle relaxants carries a risk of residual relaxation following surgery. The administration of a suitable dose of sugammadex reverses the neuromuscular block irrespective of its depth and has none of the side effects associated with acetylcholinesterase inhibitors. The aim of the present study was to evaluate the usefulness of sugammadex for the reversal of vecuronium-induced effects following intracranial surgery...
2015: Anaesthesiology Intensive Therapy
Lionel J Velly, Federico Bilotta, Neus Fàbregas, Martin Soehle, Nicolas J Bruder, Michael H Nathanson
BACKGROUND: Many aspects of the perioperative management of aneurysmal subarachnoid haemorrhage (SAH) remain controversial. It would be useful to assess differences in the treatment of SAH in Europe to identify areas for improvement. OBJECTIVE: To determine the clinical practice of physicians treating SAH and to evaluate any discrepancy between practice and published evidence. DESIGN: An electronic survey. PARTICIPANTS: Physicians identified through each national society of neuroanaesthesiology and neurocritical care...
March 2015: European Journal of Anaesthesiology
A V Gribkov, V V Berezina, A Iu Sheludiakov, L Ia Kravets
The choice of myorelaxation agent for rapid sequence tracheal intubation for surgical cerebral decompression is a less studied question in neuroanaesthesiology. 32 patients with cerebral trauma (GCS<8) were involved in the study. Influence of succinylcholine and rocuronium bromide on cerebral circulation, intracranial pressure, cerebral perfusion pressure and systemic haemodynamics was assessed. Rocuronium bromide in dose 0.6 mg/kg provides good conditions for tracheal intubation in 40-60 seconds and does not influence on studied parameters...
May 2013: Anesteziologiia i Reanimatologiia
Nidhi Gupta, Mihir P Pandia, Hari Hara Dash
Through evolving research, recent years have witnessed remarkable achievements in neuromonitoring and neuroanesthetic techniques, with a huge body of literature consisting of excellent studies in neuroanaesthesiology. However, little of this work appears to be directly important to clinical practice. Many controversies still exist in care of patients with neurologic injury. This review discusses studies of great clinical importance carried out in the last five years, which have the potential of influencing our current clinical practice and also attempts to define areas in need of further research...
March 2013: Indian Journal of Anaesthesia
Srilata Moninigi, Dilip Kulkarni, Gopinath Ramachanran
No abstract text is available yet for this article.
January 2009: Anesthesia and Analgesia
A Varma, V S Mehta, V P Singh, R Patir
Potentially salvageable patients with aneurysmal subarachnoid hemorrhage may rebleed and die after admission to a hospital, awaiting an angiogram or surgery. In an attempt to reduce the number of patients thus lost, we are operating on such patients on an emergency basis. This report is a retrospective analysis of patients operated early after aneurysmal SAH, but during routine working hours, versus patients operated on an emergency basis. During an 18 month period 109 patients underwent surgery for intracranial aneurysm...
March 2000: Neurology India
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