Journal of neurosurgical anesthesiology最新文献_第4页

Research Methods and Approaches for Studies in Pediatric Anesthesia Safety.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/ANA.0000000000000999

Max Feinstein, Caleb Ing, Andrew Knapp, Guohua Li, Samuel D Pimentel

引用次数: 0

Alternate Electrode Placements to Facilitate Frontal Electroencephalography Monitoring in Anesthetized and Critically Ill Patients. 在麻醉和危重病人中使用替代电极位置以促进额叶脑电图监测。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-03-11 DOI: 10.1097/ANA.0000000000000955

Oliver G Isik, Vikas Chauhan, Meah T Ahmed, Brian A Chang, Tuan Z Cassim, Morgan C Graves, Shobana Rajan, Paul S Garcia

{"title":"Alternate Electrode Placements to Facilitate Frontal Electroencephalography Monitoring in Anesthetized and Critically Ill Patients.","authors":"Oliver G Isik, Vikas Chauhan, Meah T Ahmed, Brian A Chang, Tuan Z Cassim, Morgan C Graves, Shobana Rajan, Paul S Garcia","doi":"10.1097/ANA.0000000000000955","DOIUrl":"10.1097/ANA.0000000000000955","url":null,"abstract":"Background: Frontal electroencephalography (EEG) monitoring can be useful in guiding the titration of anesthetics, but it is not always feasible to place electrodes in the standard configuration in some circumstances, including during neurosurgery. This study compares 5 alternate configurations of the Masimo Sedline Sensor.Methods: Ten stably sedated patients in the intensive care unit were recruited. Frontal EEG was monitored in the standard configuration (bifrontal upright) and 5 alternate configurations: bifrontal inverse, infraorbital, lateral upright, lateral inverse, and semilateral. Average power spectral densities (PSDs) with 95% CIs in the alternate configurations were compared to PSDs in the standard configuration. Two-one-sided-testing with Wilcoxon signed-rank tests assessed equivalence in the spectral edge frequency (SEF-95), EEG power, and relative delta (0.5 to 3.5 Hz), alpha (8 to 12 Hz), and beta (20 to 30 Hz) power between each alternate and standard configurations.Results: After the removal of unanalyzable tracings, 7 patients were included for analysis in the infraorbital configuration and 9 in all other configurations. In the lateral upright and lateral inverse configurations, PSDs significantly differed from the standard configuration within the 15 to 20 Hz band. The greatest decrease in EEG power was in the lateral inverse configuration (median: -97 dB; IQR: -130, -62 dB). The largest change in frequency distribution of EEG power was in the infraorbital configuration; median SEF-95 change of -1.4 Hz (IQR: -2.8, 0.7 Hz), median relative delta power change of +7.3% (IQR: 1.4%, 7.9%), and median relative alpha power change of -0.6% (IQR: -5.7%, 0.0%).Conclusions: These 5 alternate Sedline electrode configurations are suitable options for monitoring frontal EEG when the standard configuration is not possible.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"47-54"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101760","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

Prospective Randomized Controlled Trial Comparing Anesthetic Management With Remimazolam Besylate and Flumazenil Versus Propofol During Awake Craniotomy Following an Asleep-awake-asleep Method. 前瞻性随机对照试验：比较在开颅手术中使用苯磺酸瑞马唑仑和氟马西尼与丙泊酚进行麻醉管理的 "睡-醒-睡 "方法。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-06-05 DOI: 10.1097/ANA.0000000000000975

Takehito Sato, Takahiro Ando, Kanako Ozeki, Ichiko Asano, Yachiyo Kuwatsuka, Masahiko Ando, Kazuya Motomura, Kimitoshi Nishiwaki

{"title":"Prospective Randomized Controlled Trial Comparing Anesthetic Management With Remimazolam Besylate and Flumazenil Versus Propofol During Awake Craniotomy Following an Asleep-awake-asleep Method.","authors":"Takehito Sato, Takahiro Ando, Kanako Ozeki, Ichiko Asano, Yachiyo Kuwatsuka, Masahiko Ando, Kazuya Motomura, Kimitoshi Nishiwaki","doi":"10.1097/ANA.0000000000000975","DOIUrl":"10.1097/ANA.0000000000000975","url":null,"abstract":"Background: Awake craniotomy is performed to resect brain tumors in eloquent brain areas to maximize tumor reduction and minimize neurological damage. Evidence suggests that intraoperative anesthetic management of awake craniotomy with remimazolam is safe. We compared the time to arousal and efficacy of anesthetic management with remimazolam and propofol during awake craniotomy.Methods: In a single-institution randomized, prospective study, patients who underwent elective awake craniotomy were randomized to receive remimazolam and reversal with flumazenil (group R) or propofol (group P). The primary end point was time to awaken. Secondary end points were time to loss of consciousness during induction of anesthesia, the frequency of intraoperative complications (pain, hypertension, seizures, nausea, vomiting, and delayed arousal), and postoperative nausea and vomiting. Intraoperative task performance was assessed using a numerical rating scale (NRS) score.Results: Fifty-eight patients were recruited, of which 52 (26 in each group) were available for the efficacy analysis. Patients in group R had faster mean (±SD) arousal times than those in the P group (890.8±239.8 vs. 1075.4±317.5 s; P =0.013)and higher and more reliable intraoperative task performance (NRS score 8.81±1.50 vs. 7.69±2.36; P =0.043). There were no significant intraoperative complications.Conclusions: Compared with propofol, remimazolam was associated with more rapid loss of consciousness and, after administration of flumazenil, with faster arousal times and improved intraoperative task performance.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"40-46"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247890","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/Analgesia/Sedation and Brain Health in Children: A Supplement of the Eighth PANDA Symposium.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/ANA.0000000000001004

Lena S Sun

引用次数: 0

Neonates at Risk for Adverse Neurodevelopment.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/ANA.0000000000001005

Jennifer J Lee, Daniel Victorio, Matthew P Monteleone, Jiannah Paulino, Michael W Kuzniewicz, Emily W Y Tam, Jonathan M Davis

引用次数: 0

Neurodevelopmental Outcomes Following Early Childhood Anesthetic Exposure: Consideration of Perioperative Health Disparities.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/ANA.0000000000000995

Lisa Eisler, Andrew Knapp, Keren K Griffiths, Constance S Houck, Olubukola O Nafiu

引用次数: 0

Sedation and Anesthesia in Very Preterm or Very Low Birth Weight Infants on Neurodevelopmental Outcome: Methodology and Preliminary Results of an Ongoing Systematic Review.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/ANA.0000000000000997

Arinzechukwu Aniekwe, Reem Farjo, Lena S Sun, Jennifer J Lee

引用次数: 0

Update on Clinical Research in Anesthetic Neurotoxicity.

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/ANA.0000000000001002

Stephanie Chen, Manon Haché, Shivani Patel, Caleb Ing

引用次数: 0

Representation of Authors From Low and Middle-income Countries in 2 Neuroanesthesiology and Neurocritical Care Journals: A Retrospective Analysis. 来自低收入和中等收入国家的作者在两种神经麻醉学和神经危重症期刊上的代表性：回顾性分析。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-12-30 DOI: 10.1097/ANA.0000000000001017

Chandini Kukanti, Indu Kapoor, Charu Mahajan, Hemanshu Prabhakar

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 2.3 2区医学

Journal of neurosurgical anesthesiology Pub 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":"https://doi.org/10.1097/ANA.0000000000001022","url":null,"abstract":"Background: 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.Methods: 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.Results: 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).Conclusions: TDN patches (21 mg/24 h) reduced postoperative pain and opioid requirements in abstinent tobacco smokes undergoing spinal fusion.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-25","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