Journal of neurosurgical anesthesiology最新文献

{"title":"Sedation Nurse-Driven Versus Anesthesia Team-Driven Conscious Sedation in Outpatient Cerebral Angiography-A Quality Audit.","authors":"Ahmed Aljuboori, Asha Krishnakumar, Tyler M Bielinski, Kelsey E Kline, Samantha Doucoure, Clemens M Schirmer, Oded Goren, Matthew J Kole, Philipp Hendrix","doi":"10.1097/ANA.0000000000001077","DOIUrl":"10.1097/ANA.0000000000001077","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"181-183"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604625","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}

{"title":"Risk of Postoperative Aspiration Pneumonia in Patients Undergoing ACDF With Preoperative Use of GLP-1 Receptor Agonists.","authors":"Yu Chang, Yu-Shiuan Lin, Kuan-Yu Chi, Junmin Song, Hong-Min Lin","doi":"10.1097/ANA.0000000000001078","DOIUrl":"10.1097/ANA.0000000000001078","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"184-186"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906183","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}

{"title":"Updated Policy on the Use of Artificial Intelligence for the Journal of Neurosurgical Anesthesiology.","authors":"Alana M Flexman, Abhijit V Lele","doi":"10.1097/ANA.0000000000001095","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001095","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":"38 2","pages":"97-99"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348388","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}

{"title":"Association of Preinjury Beta-Blocker Exposure With Brain Injury Biomarkers Following Traumatic Brain Injury.","authors":"Pattrapun Wongsripuemtet, Tetsu Ohnuma, Nancy Temkin, Jason Barber, Jordan Komisarow, Geoffrey T Manley, Jordan Hatfield, Miriam M Treggiari, Katharine Colton, Cina Sasannejad, Nophanan Chaikittisilpa, Ramesh Grandhi, Daniel T Laskowitz, Joseph P Mathew, Adrian Hernandez, Michael L James, Karthik Raghunathan, Joseph B Miller, Monica S Vavilala, Vijay Krishnamoorthy","doi":"10.1097/ANA.0000000000001063","DOIUrl":"10.1097/ANA.0000000000001063","url":null,"abstract":"<p><strong>Objective: </strong>Beta-blockers have been studied for their impact on traumatic brain injury (TBI). We aimed to examine the association of preinjury beta-blocker exposure with early brain injury biomarker levels and outcomes following TBI.</p><p><strong>Methods: </strong>We retrospectively studied adults (≥40 y) participating in the Transforming Clinical Research and Knowledge in TBI (TRACK-TBI) study. The exposure was preinjury beta-blocker utilization. Primary outcome was blood-based brain injury biomarker levels on day 1 following injury. Secondary outcomes included biomarkers on days 3 and 5, hospital mortality, and the 6-month Glasgow Outcome Scale-Extended. Inverse probability-weighted models assessed the association between preinjury beta-blocker exposure, biomarker levels, and outcomes, stratified by TBI severity.</p><p><strong>Results: </strong>A total of 1185 patients were included, with 101 on preinjury beta-blockers (BB+): 21 in the moderate/severe group and 80 in the mild TBI group. BB+patients were older than BB- in both mild (67 vs. 57 y, P <0.001) and moderate/severe TBI (64 vs. 56 y, P =0.003). Hypertension was more common in BB+patients (78% mild, 67% moderate/severe, P <0.001). Preinjury beta-blocker use was not associated with day 1 biomarker levels. The 6-month GOSE scores in the BB+ moderate/severe TBI were lower, but the effect was marginal (B= -1.20, 95% CI: -2.39 to -0.01, P =0.049).</p><p><strong>Conclusion: </strong>Our study did not find a clear association between preinjury beta-blocker exposure and day 1 blood-based brain injury biomarkers or clinical outcomes. These findings warrant confirmation in future studies with larger cohorts.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"155-160"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12988472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191835","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}

{"title":"Intraoperative and Postoperative Analgesia for Elective Craniotomy: A National Survey of Current Practice in the United Kingdom.","authors":"Nicholas J D Gould, Joseph Sebastian","doi":"10.1097/ANA.0000000000001059","DOIUrl":"10.1097/ANA.0000000000001059","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"179-180"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015639","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}

{"title":"Perioperative Management of Carotid Blowout Syndrome After Head and Neck Cancer Treatment: A Retrospective Case Series.","authors":"Pratik S Vadlamudi, Andrew D P Prince, Zachary M Wilseck, Christian Schaaff, Yuan Yuan, Graciela Mentz, Keith Casper, Neeraj Chaudhary, Joshua Glauser, Samuel A Schechtman","doi":"10.1097/ANA.0000000000001060","DOIUrl":"10.1097/ANA.0000000000001060","url":null,"abstract":"<p><strong>Background: </strong>Carotid blowout syndrome (CBS) is a life-threatening emergency involving the rupture of the carotid arteries and/or branches, often following surgery and radiotherapy for head and neck cancer. Our case series aimed to describe airway management strategies, endovascular and surgical approaches, perioperative resuscitation management, and clinical outcomes in a cohort of patients with CBS at a tertiary referral academic health center.</p><p><strong>Methods: </strong>We retrospectively identified patients presenting with CBS between 2017 and 2021. Airway management, procedural treatment techniques, perioperative management, and clinical outcomes were extracted from the chart for each CBS occurrence.</p><p><strong>Results: </strong>We identified 76 total cases among 62 patients (n=20 [26.3%] female; median age: 61.5 [IQR: 56 to 67]). Three cases were type I (threatened), 18 were type II (impending), 53 were type III (active bleed), and 2 were undeterminable. The most common airway management strategies were a pre-existing airway (n=37 [48.7%]), oral awake bronchoscopic intubation (n=14 [18.4%] occurrences), or nasal awake bronchoscopic intubation (n=8 [10.5%] occurrences). Resuscitation per case included intravenous crystalloid (mean: 1484 mL, SD: 791 mL), red blood cells (mean: 272 mL, SD: 906 mL), fresh frozen plasma (mean: 49 mL, SD: 400 mL), and platelets (mean: 11 mL, SD: 94 mL). Perioperative mortality was 16.1%. Thirty-nine patients (62.9%) died by the time of review (median: 157 mo, IQR: 92 to 205 mo).</p><p><strong>Conclusions: </strong>Perioperative management of CBS is challenging, particularly airway management, in which awake bronchoscopic intubation was common. Endovascular interventions were commonly performed. The investigation highlights the importance of advanced airway management strategies for patients with CBS.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"141-147"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015616","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}

{"title":"Music During Awake Brain Tumor Resection: A Case Series.","authors":"Miriam Ratliff, Till Helm, Philipp Radler, Björn Warga, Gabriel Rinkel, Jens Langejürgen, Nima Etminan","doi":"10.1097/ANA.0000000000001058","DOIUrl":"10.1097/ANA.0000000000001058","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"176-178"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12952476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130840","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}

{"title":"Timing of Surgery After Ischemic Stroke.","authors":"Adekemi N Akano, Andrew J Bowman, Matthew K Whalin","doi":"10.1097/ANA.0000000000001097","DOIUrl":"10.1097/ANA.0000000000001097","url":null,"abstract":"<p><p>Prior ischemic stroke is a strong risk factor for perioperative mortality and morbidity, including recurrent stroke and other major adverse cardiovascular events. These risks are highest in the months after stroke and decline over time. Increasing the interval between stroke and surgery may decrease the risk of perioperative complications. The benefits of delay must be weighed against the risks of postponing surgery. In this focused review, we examine 5 major studies of the timing of surgery after ischemic stroke. On the basis of this evidence, we provide a framework to guide the appropriate scheduling of surgery after stroke.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"100-104"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147276476","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}

{"title":"Emergency Conversion to General Anesthesia During Endovascular Therapy and Stroke Outcomes: A Retrospective Matched Study.","authors":"Kangda Zhang, Fa Liang, Youxuan Wu, Xinyan Wang, Xuan Hou, Zihui Zhang, Yun Yu, Yunzhen Wang, Ruquan Han","doi":"10.1097/ANA.0000000000001042","DOIUrl":"10.1097/ANA.0000000000001042","url":null,"abstract":"<p><strong>Background: </strong>In endovascular treatment (EVT) for ischemic stroke, conversion from non-general anesthesia (non-GA) to general anesthesia (GA) may be necessary. This study aims to evaluate the effects of intra-EVT emergency GA conversion on patient outcomes and to identify potential risk factors for such conversions.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted on ischemic stroke patients who underwent EVT without GA at a tertiary hospital in China. The primary outcome was the modified Rankin scale (mRS) score at 90 days. Secondary outcomes included procedural duration, rates of successful reperfusion, discharge status, and mRS scores at 1 and 3 months. Multivariable logistic regression, propensity score matching (PSM), and coarsened exact matching (CEM) were utilized to control for confounding factors.</p><p><strong>Results: </strong>Among 418 screened patients, 215 met eligibility criteria (non-GA=172, GA conversion=43). The 3-month mRS scores were similar between GA and non-GA groups across all analyses. However, GA conversion significantly reduced the likelihood of achieving mRS scores of 0 to 3 at discharge (unmatched: OR=0.37; PSM: OR=0.29; CEM: OR=0.33) and at 90 days (unmatched: OR=0.41; PSM: OR=0.38; CEM: OR=0.36). CEM analysis indicated that GA conversion significantly increased the 1-month mortality (OR=2.76). High National Institutes of Health Stroke Scale (NIHSS) scores and the absence of atrial fibrillation emerged as independent predictors of GA conversion.</p><p><strong>Conclusions: </strong>During EVT, the conversion from non-GA to GA is associated with significant hemodynamic fluctuations and may adversely affect both short-term and long-term neurological outcomes. The likelihood of GA conversion increases with higher NIHSS scores or in the absence of atrial fibrillation.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"132-140"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225753","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}

{"title":"Workflow, Alarm Notification and Technology Acceptance of Continuous, Wearable-Based Vital Sign Monitoring on A Neurosurgical Ward-A Pilot Feasibility Study.","authors":"Joan Alsolivany, Lina Mosch, Lars Wessels, Laura Hallek, Tarik Alp Sargut, Claudia Spies, Peter Vajkoczy, Felix Balzer, Akira Poncette, Nils Hecht","doi":"10.1097/ANA.0000000000001094","DOIUrl":"10.1097/ANA.0000000000001094","url":null,"abstract":"<p><strong>Background: </strong>Continuous, wearable-based vital sign monitoring can enhance patient safety and reduce intensive care demands but is not routinely used on standard neurosurgical wards. This study assessed alarm events and technology acceptance during the implementation of such a system for postoperative patients in a university hospital's neurosurgical ward.</p><p><strong>Methods: </strong>In this pilot feasibility study, selected patients were continuously monitored for 12 to 24 hours after elective neurosurgery on a 44-bed ward. Phase 1 (June to December 2019) used 12 mobile units with manual alarm documentation; Phase 2 (August 2023 to January 2024) used 44 fixed bedside units with automatic documentation. Alarm patterns and nurse-rated technology acceptance (4-point Likert scale) were analyzed.</p><p><strong>Results: </strong>Vital signs were monitored in 214 patients (median age: 58, IQR: 42 to 70) in Phase 1 and 290 patients (median age: 60, IQR: 43 to 77) in Phase 2. Procedures included cranial, spinal, and peripheral nerve surgeries. Phase 1 recorded 30 nonclinical alarms and no clinical alarms. In contrast, Phase 2 registered 14,500 clinical and 185,744 nonclinical alarms, mostly from detached sensors (177,989/185,744; 96%). Clinical alarms were mainly due to hypoxia (8305/14,500; 57%) and tachycardia (3487/14,500; 30%). Most alarms were acknowledged within 30 seconds (clinical: 12,969/14,500; 90% and nonclinical: 181,447/185,744; 98%), with delayed responses mostly for nonclinical events (3625/4189; 87%). Nurses reported improved convenience, usability, and system connection in Phase 2.</p><p><strong>Conclusions: </strong>Wearable-based vital sign monitoring is feasible on neurosurgical wards, but high nonclinical alarm rates highlight the need to refine alarm management strategies for effective clinical integration.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"166-171"},"PeriodicalIF":2.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12952484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966044","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}