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Neuroanesthesiology

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https://www.readbyqxmd.com/read/28820303/rapid-ventricular-pacing-for-clip-reconstruction-of-complex-unruptured-intracranial-aneurysms-results-of-an-interdisciplinary-prospective-trial
#1
Juergen Konczalla, Johannes Platz, Stephan Fichtlscherer, Haitham Mutlak, Ulrich Strouhal, Volker Seifert
OBJECTIVE To date, treatment of complex unruptured intracranial aneurysms (UIAs) remains challenging. Therefore, advanced techniques are required to achieve an optimal result in treating these patients safely. In this study, the safety and efficacy of rapid ventricular pacing (RVP) to facilitate microsurgical clip reconstruction was investigated prospectively in a joined neurosurgery, anesthesiology, and cardiology study. METHODS Patients with complex UIAs were prospectively enrolled. Both the safety and efficacy of RVP were evaluated by recording cardiovascular events and outcomes of patients as well as the amount of aneurysm occlusion after the surgical clip reconstruction procedure...
August 18, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28751948/orbitocerebral-impalement-case-discussion-and-management-algorithm
#2
Matthew Gordon Crowson, Miles Berger, Grace C McCarthy, David B Powers
Orbitocerebral impalement by inanimate objects is a relatively uncommon event. If orbitocerebral impalement is suspected, management entails prompt referral to a trauma facility with neurosurgical, neuroanesthesiological, craniomaxillofacial, and ophthalmological expertise. The aim of this report is to describe the unique mechanism and perioperative considerations of a remarkable, deep orbitocerebral impalement from a walker brake lever through the orbital roof after a fall from standing. We discuss clinical vignette, evaluation, anesthetic approach, and considerations and review the literature on the epidemiology, pathophysiology, surgical and anesthetic management, and prognosis of this traumatic mechanism...
September 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28742536/neuroanesthesiology-the-ineludible-path-toward-super-specialty
#3
Federico Bilotta
No abstract text is available yet for this article.
July 22, 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28386682/-update-in-neuroanesthesiology-key-publications
#4
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/28225471/neuroanesthesiology-update
#5
REVIEW
Jeffrey J Pasternak, William L Lanier
We reviewed manuscripts published in 2016 that are related to the care of neurosurgical patients or the perioperative care of patients with neurological diseases. We address the broad categories of general neurosurgery and neuroanesthesiology, anesthetic neurotoxicity and neuroprotection, stroke, traumatic brain injury, and nervous system monitoring.
April 2017: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/27984312/-wave-of-the-future-in-neuroanesthesiology-too
#6
Brian E Schmidt, Arthur M Lam
No abstract text is available yet for this article.
January 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27598318/a-giant-of-neuroanesthesiology-has-passed-maurice-s-albin-march-18-1923-to-july-2-2016
#7
W Andrew Kofke
No abstract text is available yet for this article.
October 2016: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/27500773/-mini-orbitozygomatic-craniotomy-in-surgery-for-supratentorial-aneurysms-and-tumors-of-the-anterior-and-middle-cranial-fossae
#8
R S Dzhindzhikhadze, O N Dreval', V A Lazarev, R L Kambiev
UNLABELLED: Progress in microneurosurgical techniques, neuroanesthesiology, and intraoperative imaging enables surgery using small incisions and craniotomy, in accordance with the keyhole surgery concept. Supraorbital craniotomy is the most widespread minimally invasive approach. There are a number of supraorbital craniotomy modifications, regarding different soft tissue incisions and the extent of craniotomy. We present the first results of using mini-orbitozygomatic craniotomy for aneurysms of the anterior circle of Willis and space-occupying lesions of the anterior and middle cranial fossae performed through an eyebrow incision...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/27468505/-fast-track-concept-in-modern-neuroanesthesiology
#9
REVIEW
A S Kulikov, A Yu Lubnin
The concept of fast-track is one of the most discussed trends in the development of modern surgery. According to supporters of this ideology, the use of fast-track leads to the reduction ofhospital stay without increasing in readmission, reducing the frequency of postoperative complications, which is reflected in the decrease in the cost of the treatment and social expenses, due to earlier return of patients to normal life. The authors of this review discuss different anesthetic issues of fast-track approach (early awakening, postoperative analgesia, prevention of PONV; neuromuscular block reversion)...
March 2016: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/26886862/neuroanesthesiology-update
#10
REVIEW
Jeffrey J Pasternak, William L Lanier
We provide a synopsis of innovative research, recurring themes, and novel experimental findings pertinent to the care of neurosurgical patients and critically ill patients with neurological diseases. The following broad topics are covered: general neurosurgery, spine surgery, stroke, traumatic brain injury, anesthetic neurotoxicity, perioperative cognitive dysfunction, and monitoring.
April 2016: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/26108877/-intensive-care-therapy-of-space-occupying-large-hemispheric-infarction-summary-of-the-ncs-dgni-guidelines
#11
J Bösel, S Schönenberger, C Dohmen, E Jüttler, D Staykov, K Zweckberger, W Hacke, S Schwab, M T Torbey, H B Huttner
Large hemispheric infarction (LHI), synonymously called malignant middle cerebral artery (MCA) infarction, is a severe neurological disease with a high mortality and morbidity. Treating physicians as well as relatives are often faced with few and low quality data when attempting to apply optimal treatment to these patients and make decisions. While current stroke treatment guidelines focus on risk factors, prevention and acute management, they include only limited recommendations concerning intensive care management of LHI...
August 2015: Der Nervenarzt
https://www.readbyqxmd.com/read/25647095/neuroanesthesiology-update
#12
REVIEW
Jeffrey J Pasternak, William L Lanier
This survey provides a synopsis of new findings, recurring themes, and data that may initiate practice changes in the perioperative care of neurosurgical patients and critically ill patients with neurological diseases.
April 2015: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/25605626/evidence-based-guidelines-for-the-management-of-large-hemispheric-infarction-a-statement-for-health-care-professionals-from-the-neurocritical-care-society-and-the-german-society-for-neuro-intensive-care-and-emergency-medicine
#13
Michel T Torbey, Julian Bösel, Denise H Rhoney, Fred Rincon, Dimitre Staykov, Arun P Amar, Panayiotis N Varelas, Eric Jüttler, DaiWai Olson, Hagen B Huttner, Klaus Zweckberger, Kevin N Sheth, Christian Dohmen, Ansgar M Brambrink, Stephan A Mayer, Osama O Zaidat, Werner Hacke, Stefan Schwab
Large hemispheric infarction (LHI), also known as malignant middle cerebral infarction, is a devastating disease associated with significant disability and mortality. Clinicians and family members are often faced with a paucity of high quality clinical data as they attempt to determine the most appropriate course of treatment for patients with LHI, and current stroke guidelines do not provide a detailed approach regarding the day-to-day management of these complicated patients. To address this need, the Neurocritical Care Society organized an international multidisciplinary consensus conference on the critical care management of LHI...
February 2015: Neurocritical Care
https://www.readbyqxmd.com/read/25523322/-hot-topics-in-neuroanesthesiology-three-important-publications-in-2013-and-2014
#14
P Michels, G Schneider, T A Crozier
No abstract text is available yet for this article.
February 2015: Der Anaesthesist
https://www.readbyqxmd.com/read/25208678/consensus-summary-statement-of-the-international-multidisciplinary-consensus-conference-on-multimodality-monitoring-in-neurocritical-care-a-statement-for-healthcare-professionals-from-the-neurocritical-care-society-and-the-european-society-of-intensive-care
#15
REVIEW
Peter Le Roux, David K Menon, Giuseppe Citerio, Paul Vespa, Mary Kay Bader, Gretchen M Brophy, Michael N Diringer, Nino Stocchetti, Walter Videtta, Rocco Armonda, Neeraj Badjatia, Julian Böesel, Randall Chesnut, Sherry Chou, Jan Claassen, Marek Czosnyka, Michael De Georgia, Anthony Figaji, Jennifer Fugate, Raimund Helbok, David Horowitz, Peter Hutchinson, Monisha Kumar, Molly McNett, Chad Miller, Andrew Naidech, Mauro Oddo, DaiWai Olson, Kristine O'Phelan, J Javier Provencio, Corinna Puppo, Richard Riker, Claudia Robertson, Michael Schmidt, Fabio Taccone
Neurocritical care depends, in part, on careful patient monitoring but as yet there are little data on what processes are the most important to monitor, how these should be monitored, and whether monitoring these processes is cost-effective and impacts outcome. At the same time, bioinformatics is a rapidly emerging field in critical care but as yet there is little agreement or standardization on what information is important and how it should be displayed and analyzed. The Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine, and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to begin to address these needs...
December 2014: Neurocritical Care
https://www.readbyqxmd.com/read/25138226/consensus-summary-statement-of-the-international-multidisciplinary-consensus-conference-on-multimodality-monitoring-in-neurocritical-care-a-statement-for-healthcare-professionals-from-the-neurocritical-care-society-and-the-european-society-of-intensive-care
#16
Peter Le Roux, David K Menon, Giuseppe Citerio, Paul Vespa, Mary Kay Bader, Gretchen M Brophy, Michael N Diringer, Nino Stocchetti, Walter Videtta, Rocco Armonda, Neeraj Badjatia, Julian Böesel, Randall Chesnut, Sherry Chou, Jan Claassen, Marek Czosnyka, Michael De Georgia, Anthony Figaji, Jennifer Fugate, Raimund Helbok, David Horowitz, Peter Hutchinson, Monisha Kumar, Molly McNett, Chad Miller, Andrew Naidech, Mauro Oddo, DaiWai Olson, Kristine O'Phelan, J Javier Provencio, Corinna Puppo, Richard Riker, Claudia Robertson, Michael Schmidt, Fabio Taccone
Neurocritical care depends, in part, on careful patient monitoring but as yet there are little data on what processes are the most important to monitor, how these should be monitored, and whether monitoring these processes is cost-effective and impacts outcome. At the same time, bioinformatics is a rapidly emerging field in critical care but as yet there is little agreement or standardization on what information is important and how it should be displayed and analyzed. The Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine, and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to begin to address these needs...
September 2014: Intensive Care Medicine
https://www.readbyqxmd.com/read/24594653/neuroanesthesiology-update
#17
REVIEW
Jeffrey J Pasternak, William L Lanier
We review topics pertinent to the perioperative care of patients with neurological disorders. Our review addresses topics not only in the anesthesiology literature, but also in basic neurosciences, critical care medicine, neurology, neurosurgery, radiology, and internal medicine literature. We include literature published or available online up through December 8, 2013. As our review is not able to include all manuscripts, we focus on recurring themes and unique and pivotal investigations. We address the broad topics of general neuroanesthesia, stroke, traumatic brain injury, anesthetic neurotoxicity, neuroprotection, pharmacology, physiology, and nervous system monitoring...
April 2014: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/23825809/research-studies-that-have-influenced-practice-of-neuroanesthesiology-in-recent-years-a-literature-review
#18
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
https://www.readbyqxmd.com/read/23434749/neuroanesthesiology-update
#19
REVIEW
Jeffrey J Pasternak, William L Lanier
We provide a review of both clinical and basic science literature from 2012 relevant to care of the patient with neurological disease. Our review addresses the following major areas: general neurosurgical procedures, stroke, traumatic brain injury, spine surgery, anesthetic neurotoxicity, neuroprotective strategies, electrophysiological monitoring, history, and graduate medical education. We have focused on research describing new and innovative concepts and recurring themes. This review is intended to be of interest to those working in the clinical arena and also to neuroscientists...
April 2013: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/23171854/neuroanesthesiology-fellowship-training-curricular-guidelines-from-the-society-for-neuroscience-in-anesthesiology-and-critical-care
#20
George A Mashour, Rafi Avitsian, Kathryn K Lauer, Sulpicio G Soriano, Deepak Sharma, Antoun Koht, Gregory Crosby
Standardization and accreditation of fellowship training have been considered in the field of neuroanesthesiology. A prior survey of members of the Society for Neuroscience in Anesthesiology and Critical Care (SNACC) suggested strong support for accreditation and standardization. In response, SNACC created a Task Force that developed curricular guidelines for neuroanesthesiology fellowship training programs. These guidelines represent a first step toward standards for neuroanesthesiology training and will be useful if accreditation is pursued in the future...
January 2013: Journal of Neurosurgical Anesthesiology
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