Journal of neurosurgical anesthesiology最新文献

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Letter to the Editor: Effect of Nicotine Replacement Therapy on Perioperative Pain Management and Opioid Requirement in Abstinent Tobacco Smokers Undergoing Spinal Fusion: A Double-Blind Randomized Controlled Trial. 致编辑:尼古丁替代疗法对脊柱融合术中戒烟吸烟者围手术期疼痛管理和阿片类药物需求的影响:一项双盲随机对照试验。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-05-06 DOI: 10.1097/ANA.0000000000001041
Gabriel P A Costa, Joao P De Aquino
{"title":"Letter to the Editor: Effect of Nicotine Replacement Therapy on Perioperative Pain Management and Opioid Requirement in Abstinent Tobacco Smokers Undergoing Spinal Fusion: A Double-Blind Randomized Controlled Trial.","authors":"Gabriel P A Costa, Joao P De Aquino","doi":"10.1097/ANA.0000000000001041","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001041","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transfusion Thresholds in Patients With Neurological Injury: Balancing Oxygen Delivery and Risk. 神经损伤患者的输血阈值:平衡氧输送和风险。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-05-01 DOI: 10.1097/ANA.0000000000001039
Cara Rathmell, Susana Vacas
{"title":"Transfusion Thresholds in Patients With Neurological Injury: Balancing Oxygen Delivery and Risk.","authors":"Cara Rathmell, Susana Vacas","doi":"10.1097/ANA.0000000000001039","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001039","url":null,"abstract":"<p><p>Transfusion strategies in neurocritical care require a delicate and nuanced balance between optimizing oxygen delivery to the injured brain and minimizing transfusion-associated risks. Although restrictive transfusion protocols are widely adopted in critical care, their applicability to patients with neurological injury remains the subject of debate. Anemia may exacerbate cerebral hypoxia, potentially worsening neurological outcomes, yet transfusion carries risks such as thrombosis, immune modulation, and increased intracranial pressure. Studies comparing liberal and restrictive transfusion strategies in neurocritical care have yielded mixed results, with most settling on the noninferiority of a restrictive approach while still considering a higher threshold for particular subgroups. This focused review will examine the current evidence on transfusion strategies in neurocritically ill patients and highlight key areas for future research.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative Management of Patients on Chronic Aspirin Therapy for Elective Brain Surgery: A Delphi Study. 择期脑外科慢性阿司匹林治疗患者围手术期管理:一项德尔菲研究。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-30 DOI: 10.1097/ANA.0000000000001036
Shaun E Gruenbaum, Alexander Kulikov, Ilana Logvinov, Ivana Erac, Philip M Jones, Federico Bilotta
{"title":"Perioperative Management of Patients on Chronic Aspirin Therapy for Elective Brain Surgery: A Delphi Study.","authors":"Shaun E Gruenbaum, Alexander Kulikov, Ilana Logvinov, Ivana Erac, Philip M Jones, Federico Bilotta","doi":"10.1097/ANA.0000000000001036","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001036","url":null,"abstract":"<p><strong>Background: </strong>The perioperative management of chronic aspirin therapy in patients undergoing elective brain surgery is challenging due to the risk of bleeding and thromboembolic events. Although aspirin discontinuation reduces the bleeding risk, it can increase thrombotic complications, particularly in patients at high risk of cardiovascular complications. This Delphi study aimed to develop consensus-based guidelines to address these clinical challenges.</p><p><strong>Methods: </strong>A 2-round Delphi survey was conducted among an international panel of 42 experienced anesthesiologists and neurosurgeons. Participants assessed the risks and benefits of perioperative aspirin management, including bleeding risk, thrombotic risk, timing of cessation and resumption, and the utility of platelet function testing. Consensus was defined as ≥80% agreement in round 2.</p><p><strong>Results: </strong>Round 1 highlighted significant variability in practice patterns. In round 2, consensus was reached on several key areas. Most experts (84%) agreed that continuing aspirin increases perioperative bleeding risk in high-risk procedures, with 87% recommending discontinuing aspirin 5 to 7 days before surgery. Nearly all experts (97%) supported continuing low-dose aspirin in high-thrombotic-risk patients. Conversely, for low-thrombotic-risk patients, only 65% agreed on aspirin continuation, reflecting an ongoing debate. No consensus was reached regarding routine platelet function testing.</p><p><strong>Conclusions: </strong>This Delphi study provides experience-based recommendations for managing chronic aspirin therapy in neurosurgical patients. The panel strongly supports aspirin continuation in high-thrombotic-risk patients, with cessation 5 to 7 days before high-bleeding-risk surgeries. Individualized management is advised for low-bleeding-risk procedures and low-thrombotic-risk patients. Future research should further clarify aspirin management in these groups and explore the role of platelet function testing in neurosurgical settings.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges and Technical Considerations in EEG Electrode Placement for Craniotomy Under Total Intravenous Anesthesia: A Critical Perspective. 全静脉麻醉下开颅术脑电图电极放置的挑战和技术考虑:一个关键的观点。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-17 DOI: 10.1097/ANA.0000000000001035
Maria C Niño, Daniel Benitez, Paula Martinez
{"title":"Challenges and Technical Considerations in EEG Electrode Placement for Craniotomy Under Total Intravenous Anesthesia: A Critical Perspective.","authors":"Maria C Niño, Daniel Benitez, Paula Martinez","doi":"10.1097/ANA.0000000000001035","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001035","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative Glymphatic Dysfunction and Cognitive Decline: A Critical Appraisal. 围手术期淋巴功能障碍和认知能力下降:一个关键的评估。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-10 DOI: 10.1097/ANA.0000000000001037
Ibrahim Nagmeldin Hassan
{"title":"Perioperative Glymphatic Dysfunction and Cognitive Decline: A Critical Appraisal.","authors":"Ibrahim Nagmeldin Hassan","doi":"10.1097/ANA.0000000000001037","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001037","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Journal of Neurosurgical Anesthesiology 2024 Reviewer Acknowledgement. 《神经外科麻醉学杂志》2024审稿人致谢。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-01 Epub Date: 2025-01-29 DOI: 10.1097/ANA.0000000000001027
{"title":"Journal of Neurosurgical Anesthesiology 2024 Reviewer Acknowledgement.","authors":"","doi":"10.1097/ANA.0000000000001027","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001027","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":"37 2","pages":"149"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between High Preoperative White Blood Cell-to-Hemoglobin Ratio and Postoperative Symptomatic Cerebral Vasospasm in Patients With Aneurysmal Subarachnoid Hemorrhage. 动脉瘤性蛛网膜下腔出血患者术前高白细胞血红蛋白比值与术后症状性脑血管痉挛之间的关系
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-01 Epub Date: 2024-06-17 DOI: 10.1097/ANA.0000000000000977
Kyung Won Shin, Eun Bi Park, Woo-Young Jo, Hyung-Chul Lee, Hee-Pyoung Park, Hyongmin Oh
{"title":"Association Between High Preoperative White Blood Cell-to-Hemoglobin Ratio and Postoperative Symptomatic Cerebral Vasospasm in Patients With Aneurysmal Subarachnoid Hemorrhage.","authors":"Kyung Won Shin, Eun Bi Park, Woo-Young Jo, Hyung-Chul Lee, Hee-Pyoung Park, Hyongmin Oh","doi":"10.1097/ANA.0000000000000977","DOIUrl":"10.1097/ANA.0000000000000977","url":null,"abstract":"<p><strong>Background: </strong>Cerebral vasospasm after aneurysmal subarachnoid hemorrhage (ASAH) is a serious complication and has a strong relationship with systemic inflammatory responses. Given previously reported relationships between leukocytosis and anemia with ASAH-related cerebral vasospasm, this study examined the association between the preoperative white blood cell-to-hemoglobin ratio (WHR) and postoperative symptomatic cerebral vasospasm (SCV) in patients with ASAH.</p><p><strong>Methods: </strong>Demographic, preoperative (comorbidities, ASAH characteristics, laboratory findings), intraoperative (operation and anesthesia), and postoperative (SCV, other neurological complications, clinical course) data were retrospectively analyzed in patients with ASAH who underwent surgical or endovascular treatment of the culprit aneurysm. Patients were divided into high-WHR (n=286) and low-WHR (n=257) groups based on the optimal cutoff value of preoperative WHR (0.74), and stabilized inverse probability weighting was performed between the 2 groups. The predictive power of the WHR and other preoperative systemic inflammatory indices (neutrophil-to-albumin, neutrophil-to-lymphocyte, platelet-to-lymphocyte, platelet-to-neutrophil, platelet-to-white blood cell ratios, and systemic immune-inflammation index) for postoperative SCV was evaluated.</p><p><strong>Results: </strong>Postoperative SCV was more frequent in the high-WHR group than in the low-WHR group before (33.2% vs. 12.8%; P <0.001) and after (29.4% vs. 19.1%; P =0.005) inverse probability weighting. Before weighting, the predictive power for postoperative SCV was the highest for the WHR among the preoperative systematic inflammatory indices investigated (area under receiver operating characteristics curve 0.66, P <0.001). After weighting, preoperative WHR ≥0.74 was independently associated with postoperative SCV (odds ratio 1.76; P =0.006).</p><p><strong>Conclusions: </strong>High preoperative WHR was an independent predictor of postoperative SCV in patients with ASAH.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"216-224"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141331187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Giant Calcified Posterior Circulation Aneurysm in an Adolescent: An Unusual Presentation. 一名青少年的巨型钙化后循环动脉瘤:不寻常的表现
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-01 Epub Date: 2024-07-22 DOI: 10.1097/ANA.0000000000000965
Sumit Roy Chowdhury, Surya Kumar Dube, Ashish Bindra, Girija Prasad Rath
{"title":"Giant Calcified Posterior Circulation Aneurysm in an Adolescent: An Unusual Presentation.","authors":"Sumit Roy Chowdhury, Surya Kumar Dube, Ashish Bindra, Girija Prasad Rath","doi":"10.1097/ANA.0000000000000965","DOIUrl":"10.1097/ANA.0000000000000965","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"239-240"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Practice Variation of Anesthetic Management for Endovascular Thrombectomy in Acute Ischemic Stroke: A Comprehensive Multicenter Survey. 评估急性缺血性脑卒中血管内血栓切除术麻醉管理的实践差异:多中心综合调查。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-01 Epub Date: 2024-07-08 DOI: 10.1097/ANA.0000000000000976
Sonal Sharma, Surya Kumar Dube, Tariq Esmail, Amie L Hoefnagel, Kiran Jangra, Jorge Mejia-Mantilla, Ananya Abate Shiferaw, Veerle De Sloovere, David Wright, Abhijit Vijay Lele, Samuel Neal Blacker
{"title":"Assessing Practice Variation of Anesthetic Management for Endovascular Thrombectomy in Acute Ischemic Stroke: A Comprehensive Multicenter Survey.","authors":"Sonal Sharma, Surya Kumar Dube, Tariq Esmail, Amie L Hoefnagel, Kiran Jangra, Jorge Mejia-Mantilla, Ananya Abate Shiferaw, Veerle De Sloovere, David Wright, Abhijit Vijay Lele, Samuel Neal Blacker","doi":"10.1097/ANA.0000000000000976","DOIUrl":"10.1097/ANA.0000000000000976","url":null,"abstract":"<p><strong>Objective: </strong>This study explored the current global landscape of periprocedural care of acute ischemic stroke patients undergoing endovascular thrombectomy (EVT).</p><p><strong>Methods: </strong>An anonymous, 54-question electronic survey was sent to 354 recipients in hospitals worldwide. The responses were stratified by World Bank country income level into high-income (HICs) and low/middle-income (LMICs) countries.</p><p><strong>Results: </strong>A total of 354 survey invitations were issued. Two hundred twenty-three respondents started the survey, and 87 fully completed surveys were obtained from centers in which anesthesiologists were routinely involved in EVT care (38 in HICs; 49 in LMICs). Respondents from 35 (92.1%) HICs and 14 (28.6%) LMICs reported that their centers performed >50 EVTs annually. Respondents from both HICs and LMICs reported low rates of anesthesiologist involvement in pre-EVT care, though a communication system was in place in 100% of HIC centers and 85.7% of LMIC centers to inform anesthesiologists about potential EVTs. Respondents from 71.1% of HIC centers and 51% of LMIC centers reported following a published guideline during EVT management, though the use of cognitive aids was low in both (28.9% and 24.5% in HICs and LMICs, respectively). Variability in multiple areas of practice, including choice of anesthetic techniques, monitoring and management of physiological variables during EVT, and monitoring during intrahospital transport, were reported. Quality metrics were rarely tracked or reported to the anesthesiology teams.</p><p><strong>Conclusions: </strong>This study demonstrated variability in anesthesiology involvement and in clinical care during and after EVT. Centers may consider routinely involving anesthesiologists in pre-EVT care, using evidence-based recommendations for EVT management, and tracking adherence to published guidelines and other quality metrics.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"196-205"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of the Glymphatic System in Perioperative Neurocognitive Disorders. 淋巴系统在围手术期神经认知障碍中的作用。
IF 2.3 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-04-01 Epub Date: 2024-05-22 DOI: 10.1097/ANA.0000000000000973
Bhaswati Roy, Rajesh Kumar, Stephanie-Dee Sarovich, Susana Vacas
{"title":"The Role of the Glymphatic System in Perioperative Neurocognitive Disorders.","authors":"Bhaswati Roy, Rajesh Kumar, Stephanie-Dee Sarovich, Susana Vacas","doi":"10.1097/ANA.0000000000000973","DOIUrl":"10.1097/ANA.0000000000000973","url":null,"abstract":"<p><strong>Background: </strong>The glymphatic system plays a crucial role in clearing metabolic waste from the central nervous system and is most active during sleep. Patients with obstructive sleep apnea (OSA) have a dysfunctional glymphatic system that correlates with disease severity. In addition, these patients have worse outcomes after surgery. The status of the glymphatic system during the perioperative period is unclear and can be examined with magnetic resonance imaging (MRI)-based diffusion tensor imaging (DTI). This study assessed perioperative glymphatic system changes in OSA surgical patients and possible relationships with perioperative neurocognitive disorders.</p><p><strong>Methods: </strong>DTI data from 13 OSA patients having laparoscopic abdominal surgery with general anesthesia were acquired and analyzed using a 3.0-T MRI scanner. Diffusivity maps in the x -axis (D xx ), y -axis (D yy ), z -axis (D zz ), x - y axis (D xy ), y - z axis (D yz ), and x - z axis (D xz ) were calculated. Diffusion values for the projection and association fibers were extracted, and DTI analysis along the perivascular space (ALPS) was performed. The patients' cognition was assessed using the Montreal Cognitive Assessment tool. Evaluations were carried out within 5 days before surgery and within the first 48 hours after surgery.</p><p><strong>Results: </strong>The ALPS index decreased after surgery, and this correlated with a decrease in general cognition scores and specific memory domains, including visuospatial and delayed recall.</p><p><strong>Conclusions: </strong>The glymphatic system in OSA patients is worsened after surgery and this may contribute to an increased risk for long-term postoperative cognitive disorders. This study suggest that the glymphatic system might play a role in the pathophysiology of perioperative neurocognitive disorders and be a potential therapeutic target.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"181-187"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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