Journal of neurosurgical anesthesiology最新文献

Enhanced Recovery After Surgery for Patients Undergoing Craniotomy Still Needs Affirmation!

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-02-18 DOI: 10.1097/ANA.0000000000001032

Indu Kapoor, Charu Mahajan, Hemanshu Prabhakar

引用次数: 0

A Quality Improvement Project to Reduce the Incidence of Prolonged Preoperative Fasting in Patients Undergoing Elective Neurosurgical Procedures, the NEURO-FAST Study.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-02-10 DOI: 10.1097/ANA.0000000000001030

Keta Thakkar, Lallu Joseph, Reka Karuppusami, Priscilla Rachel Meganathan, Deborah Snegalatha, Georgene Singh

引用次数: 0

Safety and Efficacy of Neuroprotective Agents as Adjunctive Therapies for Reperfusion in the Treatment of Acute Ischemic Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-02-06 DOI: 10.1097/ANA.0000000000001029

Zihui Zhang, Xinyan Wang, Kangda Zhang, Youxuan Wu, Fa Liang, Anxin Wang, Ruquan Han

{"title":"Safety and Efficacy of Neuroprotective Agents as Adjunctive Therapies for Reperfusion in the Treatment of Acute Ischemic Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Zihui Zhang, Xinyan Wang, Kangda Zhang, Youxuan Wu, Fa Liang, Anxin Wang, Ruquan Han","doi":"10.1097/ANA.0000000000001029","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001029","url":null,"abstract":"There is still no clear evidence of the efficacy of the application of neuroprotective agents (NPAs) for acute ischemic stroke (AIS) patients receiving reperfusion therapies. This meta-analysis aimed to determine the effects of NPAs versus placebo on functional and safety outcomes as an adjunctive treatment to intravenous thrombolysis (IVT) or endovascular therapy (EVT) in AIS patients. The primary outcome was neurological functional independence, as evaluated by the proportion of patients whose modified Rankin Scale scores were 0 to 2 at 90 days after treatment. Thirteen randomized controlled trials with a total of 3736 patients were included. The application of NPAs was associated with greater odds of functional independence (odds ratio [OR]: 1.28; 95% CI: 1.12 to 1.46; P < 0.001; I2 = 0.0%) within 90 days. However, subgroup analysis of reperfusion therapy type (IVT, EVT, or both) revealed that only the EVT subgroup showed a significant association between NPAs or placebo and functional independence at 90 days (EVT group, OR: 1.43; 95% CI: 1.05 to 1.94; P = 0.022; I2 = 0.0%; IVT group, OR: 1.51; 95% CI: 0.93 to 2.46; P = 0.099; I2 = 39.8%; IVT plus EVT group, OR: 1.17; 95% CI: 0.94 to 1.45; P = 0.157; I2 = 16.0%). This meta-analysis revealed that NPAs could increase the possibility of AIS patients undergoing reperfusion therapies achieving functional independence within 90 days of onset; however, with the limited number of studies on each drug, further evidence is still needed to demonstrate the efficacy of each individual agent as an adjunctive therapy for different means of reperfusion.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255883","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

Anesthesia for the Pregnant Patient Undergoing Intracranial Procedures.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-30 DOI: 10.1097/ANA.0000000000001026

Naima Kotadia, Alexandra E Kisilevsky

{"title":"Anesthesia for the Pregnant Patient Undergoing Intracranial Procedures.","authors":"Naima Kotadia, Alexandra E Kisilevsky","doi":"10.1097/ANA.0000000000001026","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001026","url":null,"abstract":"This focused review explores the current literature on anesthetic care of pregnant patients requiring intracranial intervention. Neuropathology in pregnancy is rare, and existing evidence for management remains limited by the ethical complexities surrounding maternal and fetal research-related risks; pregnant women are typically excluded from randomized controlled trials. Physiological changes during pregnancy, combined with additional fetal considerations, alter pharmacodynamics and complicate the safety profile of maternal interventions. This review highlights the complex interplay between the physiological changes of pregnancy and common neuropathologies in this patient population. Up-to-date strategies for managing elevated maternal intracranial pressure, appropriate timing of delivery relative to neurosurgical intervention, and key medications in neuro-interventional and obstetrical care are described. The appropriateness of imaging, current evidence in stroke management, and consideration for neuraxial anesthesia and awake surgery in pregnant patients are also addressed. Emphasis is placed on the importance of multidisciplinary collaboration to ensure safe, patient-centered care tailored to neuropathology, gestational age, and clinical status. Despite recent advances, significant gaps in evidence persist. Further research from large retrospective or observational data sets is recommended to improve evidence-based approaches for managing this complex and uncommon patient population.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066237","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

Epidemiology of Post-craniotomy Hypertension and Its Association With Adverse Outcome(s): A Systematic Review and Meta-analysis. 开颅术后高血压的流行病学及其与不良后果的关系：一项系统综述和荟萃分析。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-14 DOI: 10.1097/ANA.0000000000001025

Abramo Aziz Rizk, Kristof Nijs, Anne T Di Donato, Nahemah Hasanaly, Naeema S Masohood, Tumul Chowdhury

{"title":"Epidemiology of Post-craniotomy Hypertension and Its Association With Adverse Outcome(s): A Systematic Review and Meta-analysis.","authors":"Abramo Aziz Rizk, Kristof Nijs, Anne T Di Donato, Nahemah Hasanaly, Naeema S Masohood, Tumul Chowdhury","doi":"10.1097/ANA.0000000000001025","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001025","url":null,"abstract":"After intracranial surgery, sympathetic overdrive and increased blood catecholamine levels can contribute to postoperative hypertension, a significant clinical problem. The objective of this review was to summarize, quantify, and assess the epidemiological perspective of post-craniotomy hypertension and its association with adverse outcomes. This PROSPERO-registered systematic review was conducted following PRISMA guidelines. We searched electronic databases for studies that investigated adult patients who had elective craniotomy for any indication and reported hypertension within 72 hours postoperatively. Study quality was assessed using the Newcastle-Ottawa scale. Twenty-one studies, including 2602 patients, were identified for inclusion in this review. Multiple thresholds and criteria for defining post-craniotomy hypertension were used across studies. The pooled incidence of post-craniotomy hypertension from 13 studies (2279 patients) was 30% [95% CI, 15%-50%]. Post-craniotomy hypertension was associated with a 2.6 times higher risk of having an intracerebral hemorrhage within 72 hours after surgery (pooled risk ratio, 2.63; 95% CI, 1.16-5.97). There were insufficient data to investigate the quantitative association of post-craniotomy hypertension with 30-day adverse events. In summary, 1 out of 3 patients exhibited hypertension post-craniotomy, and this was associated with a significantly higher risk of having intracranial hemorrhage within 72 hours post-procedure. A generally accepted and clinically relevant criteria for post-craniotomy hypertension should be defined.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978972","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

Effects of Scalp Nerve Block on Symptomatic Cerebral Hyperperfusion Syndrome After Combined Revascularization Surgery for Moyamoya Disease. 头皮神经阻滞对烟雾病联合血运重建术后症状性脑高灌注综合征的影响。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-13 DOI: 10.1097/ANA.0000000000001024

Seungeun Choi, Jung Yeon Park, Woo-Young Jo, Kyung Won Shin, Hee-Pyoung Park, Sung Ho Lee, Won-Sang Cho, Jeong Eun Kim, Hyongmin Oh

{"title":"Effects of Scalp Nerve Block on Symptomatic Cerebral Hyperperfusion Syndrome After Combined Revascularization Surgery for Moyamoya Disease.","authors":"Seungeun Choi, Jung Yeon Park, Woo-Young Jo, Kyung Won Shin, Hee-Pyoung Park, Sung Ho Lee, Won-Sang Cho, Jeong Eun Kim, Hyongmin Oh","doi":"10.1097/ANA.0000000000001024","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001024","url":null,"abstract":"Background: Strict blood pressure control can be used to prevent or treat cerebral hyperperfusion syndrome. This study investigated whether scalp nerve block (SNB) is associated with a reduced risk of postoperative symptomatic cerebral hyperperfusion syndrome (SCHS) by reducing postoperative blood pressure in adult patients who underwent combined revascularization surgery for moyamoya disease.Methods: Patients were retrospectively divided into the SNB (n=167) and control (n=221) groups depending on whether SNB was performed immediately before placement of wound dressings at the end of surgery. Postoperative SCHS was defined as new-onset postoperative neurological deficits with a focal increase in cerebral blood flow at the perianastomosis site in the absence of infarction or hemorrhage on postoperative brain imaging. Inverse probability of treatment weighting was used to balance preoperative variables between the 2 groups.Results: The incidence of postoperative SCHS did not differ between the SNB and control groups (61 [36.5%] vs. 102 [46.2%], P=0.072), but its duration was shorter in the SNB group (4 [2-6] vs. 5 [3-7] days, P=0.021). Although of limited clinical relevance, the SNB group had lower postoperative pain scores and systolic blood pressures at postoperative days 0 to 1 and a shorter intensive care unit stay.Conclusions: Despite some potential benefits, SNB was not associated with a reduced incidence of postoperative SCHS in adult patients who underwent combined revascularization surgery for moyamoya disease.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971127","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

Comparison of Intubating Conditions Between Direct Laryngoscopy and C-MAC Video-laryngoscopy in Patients With Simulated Cervical Spine Immobilization: A Systematic Review and Meta-analysis. 模拟颈椎固定患者直接喉镜和C-MAC视频喉镜插管条件的比较：系统回顾和meta分析。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-10 DOI: 10.1097/ANA.0000000000001023

Sharmishtha Pathak, Niraj Kumar, Aanchal Purohit, Ashish Bindra, Anjishnujit Bandyopadhyay

{"title":"Comparison of Intubating Conditions Between Direct Laryngoscopy and C-MAC Video-laryngoscopy in Patients With Simulated Cervical Spine Immobilization: A Systematic Review and Meta-analysis.","authors":"Sharmishtha Pathak, Niraj Kumar, Aanchal Purohit, Ashish Bindra, Anjishnujit Bandyopadhyay","doi":"10.1097/ANA.0000000000001023","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001023","url":null,"abstract":"Intubation of patients requiring cervical spine immobilization can be challenging. Recently, the use of C-MAC video laryngoscopes (VL) has increased in popularity over direct laryngoscopy (DL). We aimed to conduct a systematic review and meta-analysis to evaluate the efficacy of C-MAC VL as compared with DL for intubation in C-spine immobilized patients. A systematic search of electronic databases, including PubMed, Cochrane Library, Embase, and Web of Science was performed. Time taken to intubate was the primary outcome whereas the use of optimization maneuvers, laryngoscopy view, first-pass success rates, and difficulty of intubation were secondary outcomes. Seven trials involving 490 patients were included in the analysis. There was no significant difference between the 2 groups in terms of time taken to intubate, standardized mean difference 0.65 (95% CI, -2.55, 3.86). The certainty of evidence for the primary outcome, time taken to intubate, was low, with high heterogeneity (I2=97%). The C-MAC VL group had higher first-pass success rates (odds ratio 2.92 [95% CI, 1.14, 7.49]) and a lower incidence of a poor laryngoscopy view (odds ratio 0.21 [95% CI, 0.07, 0.66]). There was no difference in terms of the difficulty of intubation and the use of optimization maneuvers. Overall, C-MAC VL did not reduce the time taken to intubate, although the strength of this finding is limited by wide confidence intervals. C-MAC VL significantly improved laryngoscopy views and first-pass success rate as compared with DL.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950322","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 Processed Electroencephalography in the Detection and Management of Acute Cerebral Ischemia: A Scoping Review. 处理脑电图在急性脑缺血检测和治疗中的作用：范围综述。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-09 DOI: 10.1097/ANA.0000000000001018

David W Hewson, Alex Mankoo, Philip M Bath, Mark Barley, Permesh Dhillon, Luqman Malik, Kailash Krishnan

{"title":"The Role of Processed Electroencephalography in the Detection and Management of Acute Cerebral Ischemia: A Scoping Review.","authors":"David W Hewson, Alex Mankoo, Philip M Bath, Mark Barley, Permesh Dhillon, Luqman Malik, Kailash Krishnan","doi":"10.1097/ANA.0000000000001018","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001018","url":null,"abstract":"Processed electroencephalography (pEEG) is increasingly used to titrate the depth of anesthesia. Whether such intra-procedural pEEG monitoring can offer additional information on cerebral perfusion or acute focal or global cerebral ischemia is unknown. This scoping review aimed to provide a narrative analysis of the current literature reporting the potential role of pEEG in adults with acute cerebral ischemia. In keeping with the scoping review methodology, a broad search strategy was defined, including descriptions of encephalography in acute ischemic stroke, carotid endarterectomy, cardiac surgery, and cardiac arrest. Additional screening of citations was conducted by 2 independent assessors. From 310 records, 28 full-text articles met inclusion criteria. Most identified studies were observational in design, and described the diagnostic ability of pEEG to identify cerebral hypoperfusion or its prognostic sensitivity after stroke or carotid surgery. No studies were identified that evaluated pEEG in the specific setting of endovascular therapy for acute ischemic stroke. Low sensitivity associations between pEEG indices and cerebral blood flow were highlighted, which may be influenced by cerebral autoregulatory thresholds. Despite the associations reported in observational studies, this review identified significant uncertainty in the role of pEEG during cerebral ischemia. There is a paucity of high-level observational (cohort or case-control) or randomized trial research examining the possible role of pEEG for the detection and management of cerebral ischemia during acute stroke, including during endovascular therapy, or in other common scenarios of acute cerebral ischemia.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950323","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

Reducing Cerebrospinal Fluid Sampling Frequency and Costs in Patients With Ventriculostomy for Aneurysmal Subarachnoid Hemorrhage: A Quality Improvement Initiative. 减少脑室造瘘治疗动脉瘤性蛛网膜下腔出血患者的脑脊液采样频率和成本：质量改进倡议。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-03 DOI: 10.1097/ANA.0000000000001020

Victor Lin, Michael R Levitt, Joseph Zunt, Abhijit V Lele

{"title":"Reducing Cerebrospinal Fluid Sampling Frequency and Costs in Patients With Ventriculostomy for Aneurysmal Subarachnoid Hemorrhage: A Quality Improvement Initiative.","authors":"Victor Lin, Michael R Levitt, Joseph Zunt, Abhijit V Lele","doi":"10.1097/ANA.0000000000001020","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001020","url":null,"abstract":"Background: We implemented a quality improvement project to transition from routine cerebrospinal fluid (CSF) sampling to indication-based sampling in aneurysmal subarachnoid hemorrhage (aSAH) patients with an external ventricular drain (EVD).Methods: Forty-seven patients were assessed across 2 epochs: routine (n=22) and indication-based (n=25) CSF sampling. The primary outcome was the number of CSF samples, and secondary outcomes included cost reductions and ventriculostomy-associated infections.Results: Patient characteristics were similar in the routine and indication-based sampling groups, as was the mean (SD) EVD duration (13.86 [5.28] days vs. 12.44 [4.78] days, respectively; P=0.936). One hundred eight CSF samples were collected during the quality improvement project; 81 in the routine sampling period and 27 in the indication-based sampling period. The median (interquartile range) CSF sampling rate reduced from 4 (3 to 4) per patient during routine sampling to 1 (0 to 2) during indication-based sampling (odds ratio: 0.19; 95% CI: 0.08-0.46; P<0.001), representing a 73% reduction in the number of samples after the transition to indication-based sampling. Each CSF sample cost $723, resulting in total sampling costs in the routine and indication-based sampling periods of $58,571 and $19,524, respectively. Therefore, the mean cost per patient was significantly higher in the routine sampling period than in the indication-based period ($2772 [$615] vs. $889 [$165], respectively; P=0.007). There were no ventriculostomy-associated infections in either period.Conclusion: Transitioning from routine to indication-based CSF sampling in aSAH patients with an EVD reduced sampling frequency and associated costs without increasing infection rates.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921866","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

Radiographic Predictors of Difficult Fiberscopic Intubation During General Anesthesia in Patients With a Cervical Collar to Simulate a Difficult Airway. 采用颈套模拟困难气道患者全身麻醉期间纤维镜插管困难的影像学预测。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-03 DOI: 10.1097/ANA.0000000000001019

Woo-Young Jo, Sang Joon Park, Kyung Won Shin, Hee-Pyoung Park, Hyongmin Oh

{"title":"Radiographic Predictors of Difficult Fiberscopic Intubation During General Anesthesia in Patients With a Cervical Collar to Simulate a Difficult Airway.","authors":"Woo-Young Jo, Sang Joon Park, Kyung Won Shin, Hee-Pyoung Park, Hyongmin Oh","doi":"10.1097/ANA.0000000000001019","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001019","url":null,"abstract":"Background: Predictors of difficult fiberscopic intubation have not been fully elucidated. This study focused on identifying radiographic predictors of difficult fiberscopic intubation during general anesthesia in patients with a cervical collar.Methods: This retrospective study included unconscious patients who underwent orotracheal intubation using a flexible fiberscope while wearing a cervical collar to simulate a difficult airway. Easy fiberscopic intubation was defined as successful fiberscopic intubation within 120 seconds on the first attempt without desaturation below 90%. The patients were divided into easy (n=133) and difficult (n=24) fiberscopic intubation groups. Demographic, mask ventilation-related, upper airway-related, and radiographic variables measured on sagittal images of preoperative cervical x-ray and magnetic resonance imaging were analyzed.Results: The difficult fiberscopic intubation group had a smaller oral cavity area (2.1 [1.2-2.5] vs. 2.9 [2.1-3.7] cm2, P<0.001), higher tongue area divided by oral cavity area (9.3 [6.5-13.3] vs. 6.4 [4.6-8.3], P<0.001), smaller epiglottis angle (33±10° vs. 37±8°, P=0.02), and longer skin-glottis distance (1.3 [1.1-1.6] vs. 1.1 [1.0-1.3] cm, P=0.004). Tongue area/oral cavity area (odds ratio per 1 [95% CI]: 1.24 [1.09-1.40]) and skin-glottis distance (odds ratio per 1 cm [95% CI]: 13.0 [2.69-62.4]) were independently associated with the difficulty in fiberscopic intubation.Conclusions: High tongue area/oral cavity area and long skin-glottis distance were predictive of difficult fiberscopic intubation during general anesthesia in patients with a cervical collar.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921863","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