Journal of neurosurgical anesthesiology最新文献

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Additional Considerations on "Individualized ICP and CPP Targets in Severe CVT": Comment to the Editor. 关于“严重CVT个体化ICP和CPP目标”的附加考虑:给编辑的评论。
IF 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2025-06-27 DOI: 10.1097/ANA.0000000000001045
Prachi Sharma
{"title":"Additional Considerations on \"Individualized ICP and CPP Targets in Severe CVT\": Comment to the Editor.","authors":"Prachi Sharma","doi":"10.1097/ANA.0000000000001045","DOIUrl":"10.1097/ANA.0000000000001045","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"417"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506006","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
Temporary Intraoperative Cerebral Blood Flow Reduction to Facilitate Neurovascular Procedures. 术中临时减少脑血流以促进神经血管手术。
IF 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2025-07-04 DOI: 10.1097/ANA.0000000000001046
Adele S Budiansky, Tomasz Polis, Kan Ma
{"title":"Temporary Intraoperative Cerebral Blood Flow Reduction to Facilitate Neurovascular Procedures.","authors":"Adele S Budiansky, Tomasz Polis, Kan Ma","doi":"10.1097/ANA.0000000000001046","DOIUrl":"10.1097/ANA.0000000000001046","url":null,"abstract":"<p><p>Temporary blood flow reduction is essential in the management of complex neurovascular lesions in both open and endovascular settings. This focused review examines the four principal techniques commonly used to achieve flow reduction for neurovascular procedures. Deep hypothermic circulatory arrest (DHCA) has largely become obsolete in recent years due to significant perioperative morbidity and the emergence of less invasive flow reduction strategies. Intravenous adenosine remains a popular option since it is readily available in the perioperative setting, though the hemodynamic response may be unpredictable because of interindividual dose-response variability. Rapid ventricular pacing (RVP) provides controlled, predictable flow reduction but requires advanced procedural planning. Endovascular balloon-assisted occlusion provides localized control in anatomically challenging areas under a hybrid neurosurgical-endovascular approach. To date, no single technique has demonstrated superiority over another, and the optimal strategy should be individualized based on lesion characteristics, institutional expertise, and available resources. Future research should focus on potential neuroprotective strategies during flow reduction and further characterize the safety and efficacy profiles of various flow reduction techniques through prospective cohort studies.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"335-340"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560425","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
Neuromonitoring for Carotid Endarterectomy: Does it Provide Value-Based Care? 颈动脉内膜切除术的神经监测:是否提供了基于价值的护理?
IF 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2025-06-30 DOI: 10.1097/ANA.0000000000001043
Alan Tung
{"title":"Neuromonitoring for Carotid Endarterectomy: Does it Provide Value-Based Care?","authors":"Alan Tung","doi":"10.1097/ANA.0000000000001043","DOIUrl":"10.1097/ANA.0000000000001043","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"333-334"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528420","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
Response to: "Challenges and Technical Considerations in EEG Electrode Placement for Craniotomy Under Total Intravenous Anesthesia: A Critical Perspective". 回应:“全静脉麻醉下开颅术中脑电图电极放置的挑战和技术考虑:一个关键的观点”。
IF 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2025-07-25 DOI: 10.1097/ANA.0000000000001052
Oliver G Isik
{"title":"Response to: \"Challenges and Technical Considerations in EEG Electrode Placement for Craniotomy Under Total Intravenous Anesthesia: A Critical Perspective\".","authors":"Oliver G Isik","doi":"10.1097/ANA.0000000000001052","DOIUrl":"https://doi.org/10.1097/ANA.0000000000001052","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":"37 4","pages":"415-416"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023536","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
Feasibility of Alerting Systems and Family Care Partner Support for Postoperative Delirium Prevention. 报警系统和家庭护理伙伴支持预防术后谵妄的可行性。
IF 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2024-12-19 DOI: 10.1097/ANA.0000000000001016
Phillip E Vlisides, Nathan Runstadler, Selena Martinez, Jacqueline W Ragheb, Graciela Mentz, Aleda Leis, Amanda Schoettinger, Kimberly Hickey, Amy McKinney, Joseph Brooks, Mackenzie Zierau, Alexandra Norcott, Lona Mody, Sharon K Inouye, Michael S Avidan, Lillian Min
{"title":"Feasibility of Alerting Systems and Family Care Partner Support for Postoperative Delirium Prevention.","authors":"Phillip E Vlisides, Nathan Runstadler, Selena Martinez, Jacqueline W Ragheb, Graciela Mentz, Aleda Leis, Amanda Schoettinger, Kimberly Hickey, Amy McKinney, Joseph Brooks, Mackenzie Zierau, Alexandra Norcott, Lona Mody, Sharon K Inouye, Michael S Avidan, Lillian Min","doi":"10.1097/ANA.0000000000001016","DOIUrl":"10.1097/ANA.0000000000001016","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to determine whether postoperative pager alerts to the Hospital Elder Life Program (HELP), a delirium prevention service, would accelerate program enrollment for older surgical patients. This study also tested feasibility of family care partner interventions for delirium prevention.</p><p><strong>Methods: </strong>This single-center, pilot clinical trial factorially randomized 57 non-cardiac surgical patients ≥70 years of age to 4 arms: (1) standard care, (2) pager alerts to accelerate HELP enrollment, (3) family care partner-based delirium prevention interventions, or (4) a combined arm with both HELP and family interventions. The primary clinical outcome was delirium (assessed through the Confusion Assessment Method).</p><p><strong>Results: </strong>In the pager alerting arms, 13/24 (54%) participants were enrolled by HELP on postoperative day 1 compared with 0/26 (0%, P <0.001) in the non-alerting arms. Median [interquartile range] time spent in delirium prevention protocols was significantly longer in pager alerting arms than in non-alerting arms (39 [5 to 75] min vs. 0 [0 to 0] min; P <0.001). Family care partners spent 18 [11 to 25)] hours at the bedside over the first 3 postoperative days. There was no significant difference in delirium occurrence in participants randomized to pager alert arms compared with non-alerting arms (odds ratio, 1.02, 95% CI, 0.97-1.07; P =0.390). Similarly, there was no significant difference in delirium occurrence in family intervention arms compared with nonintervention arms (odds ratio, 0.97; 95% CI 0.93-10.02; P =0.270).</p><p><strong>Conclusions: </strong>Pager alerts significantly reduced time to HELP enrollment, albeit without reducing delirium incidence in this pilot study. Family care partners spent substantial time at the bedside during the study period.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"361-370"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854602","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
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. 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 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2024-12-25 DOI: 10.1097/ANA.0000000000001022
Ankita Maheshwari, Manish Gupta, Bhavuk Garg, Akhil Kant Singh, Puneet Khanna
{"title":"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":"Ankita Maheshwari, Manish Gupta, Bhavuk Garg, Akhil Kant Singh, Puneet Khanna","doi":"10.1097/ANA.0000000000001022","DOIUrl":"10.1097/ANA.0000000000001022","url":null,"abstract":"<p><strong>Background: </strong>Smoking negatively impacts postoperative outcomes but acute abstinence from smoking during hospitalization can increase postoperative pain, lower pain thresholds, disrupt pain management, and trigger hyperalgesia due to abrupt nicotine withdrawal in tobacco users. Nicotine replacement therapy has been recommended to minimize these complications. We hypothesized that a high dose (21 mg/24 h) transdermal nicotine (TDN) patch would reduce postoperative pain and opioid requirements.</p><p><strong>Methods: </strong>One hundred abstinent tobacco smokers undergoing single-level spinal fusion were randomized into placebo (n=50) and nicotine treatment (n=50) groups. Placebo and TDN patches were applied 24 hours before surgery until 48 hours after surgery. Primary outcomes were postoperative pain scores and opioid (morphine) consumption, and serum nicotine levels. The relationship between daily tobacco use and pain and opioid requirements, and between serum nicotine levels and morphine consumption, were assessed.</p><p><strong>Results: </strong>Postoperative pain scores at rest and on movement were lower in the nicotine group than in the placebo group at 6 hours, 12 hours, and 24 hours after surgery ( P <0.05). Postoperative morphine consumption was lower in the nicotine group than in the placebo group (9.92 ± 4.0 vs. 15.9 ± 5.0 mg, respectively; P =0.0002). There was a positive correlation between the number of cigarettes smoked per day and postoperative pain scores at rest (r = 0.4553; P = 0.0001) and during movement and a negative correlation between serum nicotine concentration and postoperative morphine consumption (r =-0.3664; P = 0.0089).</p><p><strong>Conclusions: </strong>TDN patches (21 mg/24 h) reduced postoperative pain and opioid requirements in abstinent tobacco smokes undergoing spinal fusion.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"371-378"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885880","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 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub 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":"10.1097/ANA.0000000000001019","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The difficult fiberscopic intubation group had a smaller oral cavity area (2.1 [1.2-2.5] vs. 2.9 [2.1-3.7] cm 2 , 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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"387-392"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","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
Addressing Methodological and Clinical Aspects of the Scalp Nerve Block Study By Choi et al. 解决头皮神经阻滞研究的方法学和临床问题。
IF 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2025-07-31 DOI: 10.1097/ANA.0000000000001053
Tanushree Mohan, Ajay P Hrishi, Manikandan Sethuraman, Unnikrishnan Prathapadas
{"title":"Addressing Methodological and Clinical Aspects of the Scalp Nerve Block Study By Choi et al.","authors":"Tanushree Mohan, Ajay P Hrishi, Manikandan Sethuraman, Unnikrishnan Prathapadas","doi":"10.1097/ANA.0000000000001053","DOIUrl":"10.1097/ANA.0000000000001053","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"417-418"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753635","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
Learnings From an Audit of Anesthesia Information Management System for Neurosurgery Operating Room Utilization. 神经外科手术室麻醉信息管理系统审计的启示。
IF 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub Date: 2025-01-03 DOI: 10.1097/ANA.0000000000001021
Rohit Malhotra, Kamath Sriganesh, Sudhir Venkataramaiah, Dhritiman Chakrabarti
{"title":"Learnings From an Audit of Anesthesia Information Management System for Neurosurgery Operating Room Utilization.","authors":"Rohit Malhotra, Kamath Sriganesh, Sudhir Venkataramaiah, Dhritiman Chakrabarti","doi":"10.1097/ANA.0000000000001021","DOIUrl":"10.1097/ANA.0000000000001021","url":null,"abstract":"<p><strong>Background: </strong>An anesthesia information management system (AIMS) can be used to assess operating room utilization. The aim of this study was to assess neurosurgery OR utilization patterns using an AIMS.</p><p><strong>Methods: </strong>This retrospective audit was performed at a tertiary neurosciences university hospital over a 1-year period. The time taken for various OR activities were identified from the timestamps recorded in the AIMS and used to assess whether the type of surgical procedure, patient's American Society of Anesthesiologists (ASA) physical status score, case schedule order, or surgeons' experience impacted operating room utilization.</p><p><strong>Results: </strong>Data from 1800 patients were available for analysis. Utilization times for various operating room activities were different based on the type of surgery, ASA grade, case order, and surgeon seniority. The main differences were found in the durations of surgery and anesthesia, and the time from the arrival of a patient into the operating room and the start of surgery, which were significantly impacted by the type of surgery, case order, and surgeon seniority ( P <0.001), but not by ASA score.</p><p><strong>Conclusions: </strong>AIMS can effectively track and identify operating room utilization patterns by analyzing the durations of various operating room activities. Prospective multicenter studies are required to validate these findings in different surgical populations and centers.</p>","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"393-397"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921861","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
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 2.4 2区 医学
Journal of neurosurgical anesthesiology Pub Date : 2025-10-01 Epub 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":"10.1097/ANA.0000000000001041","url":null,"abstract":"","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"418-419"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","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
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