Journal of neurosurgical anesthesiology最新文献_第7页

Differential Indirect Effects of Military Sexual Trauma on Posttraumatic Stress Disorder Symptom Clusters via Past-Year Intimate Partner Violence Experiences. 军队性创伤通过过去一年亲密伴侣暴力经历对创伤后应激障碍症状群的不同间接影响。

IF 3.2 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-03-01 Epub Date: 2020-02-27 DOI: 10.1037/trm0000242

Colin T Mahoney, Danielle R Shayani, Katherine M Iverson

{"title":"Differential Indirect Effects of Military Sexual Trauma on Posttraumatic Stress Disorder Symptom Clusters via Past-Year Intimate Partner Violence Experiences.","authors":"Colin T Mahoney, Danielle R Shayani, Katherine M Iverson","doi":"10.1037/trm0000242","DOIUrl":"10.1037/trm0000242","url":null,"abstract":"Women who serve in the military are at high risk for experiencing military sexual trauma (MST) and intimate partner violence (IPV), both of which are associated with symptoms of posttraumatic stress disorder (PTSD). To improve understanding of the psychological effects of experiencing multiple forms of interpersonal violence, it is important to identify the ways in which recent IPV experiences differentially increase the risk of specific PTSD symptom clusters for women with a history of MST. We aimed to identify if past-year IPV experiences mediate the relation between MST experiences and PTSD symptom clusters (i.e., intrusions, avoidance, negative alterations in cognitions/mood, hyperarousal) using structural equation modeling. A mail survey was administered to a sample of US female veterans at two time points 12 months apart. Among 198 participants, 108 women (54.5%) reported MST at Time 1, and 73 women (36.9%) reported IPV experiences in the past year at Time 2. PTSD symptom severity ranged from asymptomatic to beyond the diagnostic cutoff for a probable PTSD diagnosis. Past-year IPV experiences significantly mediated the association between MST history and PTSD avoidance symptoms, and MST history and PTSD negative alterations in cognitive/mood symptoms. No significant mediating effect was found for intrusion symptoms or hyperarousal symptoms. These findings can inform evidence-based practices for appropriate screening, assessment, detection, and intervention, including primary and secondary prevention efforts to instrumentally reduce future experiences of violence for female survivors of interpersonal violence.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":"5 1","pages":"17-26"},"PeriodicalIF":3.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83620635","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

Assessment and Recommendations for Website Platforms of Neuroanesthesiology Fellowship Programs. 神经麻醉学研究员计划网站平台的评估和建议。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-02-14 DOI: 10.1097/ANA.0000000000000958

Vladislav P Zhitny, Kenny Do, Eric Kawana, Jenifer Do, Michael C Wajda, Jose Gallegos, Kyle Carey, Geoff Yee, Lauren C Hollifield, Arturo Montes, Edward Walton, Shah Ahmed

{"title":"Assessment and Recommendations for Website Platforms of Neuroanesthesiology Fellowship Programs.","authors":"Vladislav P Zhitny, Kenny Do, Eric Kawana, Jenifer Do, Michael C Wajda, Jose Gallegos, Kyle Carey, Geoff Yee, Lauren C Hollifield, Arturo Montes, Edward Walton, Shah Ahmed","doi":"10.1097/ANA.0000000000000958","DOIUrl":"10.1097/ANA.0000000000000958","url":null,"abstract":"Background: Websites serve as recruitment and educational tools for many fellowship programs, including neuroanesthesiology. Since the COVID-19 pandemic, when interviews, conferences, and institutional visits were moved online, websites have become more important for applicants when deciding on their preferred fellowship program. This study evaluated the content of the websites of neuroanesthesiology fellowship programs.Methods: Neuroanesthesiology fellowship program websites were identified from the websites of the International Council on Perioperative Neuroscience Training and the Society for Neuroscience in Anesthesiology and Critical Care. The content was assessed against 24 predefined criteria.Results: Fifty-three fellowship programs were identified, of which 42 websites were accessible through a Google search and available for evaluation. The mean number of criteria met by the 42 fellowship websites was 12/24 (50%), with a range of 6 to 18 criteria. None of the evaluated fellowship websites met all 24 predefined criteria; 20 included more than 50% of the criteria, whereas 7 included fewer than 30% of the criteria. Having a functional website, accessibility through a single click from Google, and a detailed description of the fellowship program were the features of most websites. Information about salary and life in the area, concise program summaries, and biographical information of past and current fellows were missing from a majority of websites.Conclusion: Important information was missing from most of the 42 evaluated neuroanesthesiology fellowship program websites, potentially hindering applicants from making informed choices about their career plans.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139735453","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

High Intraoperative Serum Lactate Level is Associated with Acute Kidney Injury after Brain Tumor Resection. 术中血清乳酸水平过高与脑肿瘤切除术后急性肾损伤有关

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-29 DOI: 10.1097/ANA.0000000000000954

Seungeun Choi, Jiwon You, Yoon Jung Kim, Hyung-Chul Lee, Hee-Pyoung Park, Chul-Kee Park, Hyongmin Oh

{"title":"High Intraoperative Serum Lactate Level is Associated with Acute Kidney Injury after Brain Tumor Resection.","authors":"Seungeun Choi, Jiwon You, Yoon Jung Kim, Hyung-Chul Lee, Hee-Pyoung Park, Chul-Kee Park, Hyongmin Oh","doi":"10.1097/ANA.0000000000000954","DOIUrl":"https://doi.org/10.1097/ANA.0000000000000954","url":null,"abstract":"Background: Postoperative acute kidney injury (AKI) is associated with poor clinical outcomes. Identification of risk factors for postoperative AKI is clinically important. Serum lactate can increase in situations of inadequate oxygen delivery and is widely used to assess a patient's clinical course. We investigated the association between intraoperative serum lactate levels and AKI after brain tumor resection.Methods: Demographics, medical and surgical history, tumor characteristics, surgery, anesthesia, preoperative and intraoperative blood test results, and postoperative clinical outcomes were retrospectively collected from 4131 patients who had undergone brain tumor resection. Patients were divided into high (n=1078) and low (n=3053) lactate groups based on an intraoperative maximum serum lactate level of 3.35 mmol/L. After propensity score matching, 1005 patients were included per group. AKI was diagnosed using the Kidney Disease Improving Global Outcomes criteria, based on serum creatinine levels within 7 days after surgery.Results: Postoperative AKI was observed in 53 (1.3%) patients and was more frequent in those with high lactate both before (3.2% [n=35] vs. 0.6% [n=18]; P < 0.001) and after (3.3% [n=33] vs. 0.6% [n=6]; P < 0.001) propensity score matching. Intraoperative predictors of postoperative AKI were maximum serum lactate levels > 3.35 mmol/L (odds ratio [95% confidence interval], 3.57 [1.45-8.74], P = 0.005), minimum blood pH (odds ratio per 1 unit, 0.01 [0.00-0.24], P = 0.004), minimum hematocrit (odds ratio per 1%, 0.91 [0.84-1.00], P = 0.037), and mean serum glucose levels > 200 mg/dL (odds ratio, 6.22 [1.75-22.16], P = 0.005).Conclusion: High intraoperative serum lactate levels were associated with AKI after brain tumor resection.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139642369","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

Real-time 3D Transesophageal Echocardiography for the Placement of Ventriculoatrial Shunt: A Case Series and Technical Note. 实时三维经食道超声心动图用于心室分流术的安置：病例系列和技术说明。

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-17 DOI: 10.1097/ANA.0000000000000952

Jason Chui, Keith MacDougall, Wai Ng

{"title":"Real-time 3D Transesophageal Echocardiography for the Placement of Ventriculoatrial Shunt: A Case Series and Technical Note.","authors":"Jason Chui, Keith MacDougall, Wai Ng","doi":"10.1097/ANA.0000000000000952","DOIUrl":"https://doi.org/10.1097/ANA.0000000000000952","url":null,"abstract":"Background: Ventriculoatrial (VA) shunts are used to manage hydrocephalus and idiopathic intracranial hypertension when peritoneal drainage of cerebrospinal fluid is not feasible. The technique of distal catheter placement during VA shunt insertion is controversial, especially between fluoroscopy-guided and transesophageal echocardiography (TEE)-guided techniques.Methods: We retrospectively reviewed our utilization of 2-dimensional (2D) ultrasound-guided internal jugular vein catheterization combined with 3-dimensional (3D) TEE-guided distal VA shunt placement and compared it to the conventional fluoroscopy-guided technique.Results: Ten patients underwent 18 VA shunt insertion procedures between November 2012 and October 2022. The patients had a mean (SD) age of 50 (19) years, body mass index of 35 (14) m/kg², and minimal comorbidities. All had previously undergone failed ventriculoperitoneal shunt procedures. The use of 2D ultrasound to guide internal jugular vein catheterization and 3D TEE to guide distal catheter placement resulted in 22-minute shorter surgical times compared with the fluoroscopy-guided technique (91 minutes vs. 113 minutes, respectively). No complications were noted with either technique.Conclusions: The combined use of 2D ultrasound and 3D TEE allowed for faster procedure times and more precise distal catheter confirmation, contributing to a more streamlined surgical procedure. This small case series underscores the feasibility, efficiency, and safety of anesthesiologist-delivered combined 2D ultrasound and 3D TEE during VA shunt insertion. The use of 3D TEE allows repeated confirmation of distal catheter position and has potential to improve patient safety during rare but complex VA shunt insertion procedures.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491593","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

Reply to Correspondence on "Determining the Role of Preoperative Oral Amisulpride as Part of a Multimodal Antiemetic Prophylaxis Regime in Patients Undergoing Craniotomy". 对关于 "确定开颅手术患者术前口服氨磺必利作为多模式止吐预防方案一部分的作用 "的通信的回复。

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-12 DOI: 10.1097/ANA.0000000000000950

Devendra Gupta, Ruchi Verma, Pragya Gupta, Anubha Gupta

引用次数: 0

Determining the Role of Preoperative Oral Amisulpride as Part of a Multimodal Antiemetic Prophylaxis Regime in Patients Undergoing Craniotomy. 确定开颅手术患者术前口服氨磺必利作为多模式止吐预防方案一部分的作用

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-12 DOI: 10.1097/ANA.0000000000000951

Kai Su, Fu-Shan Xue, Yi Cheng

引用次数: 0

Abstracts From the Neuro Anaesthesia and Critical Care Society, UK Annual Scientific Meeting: Nottingham May 11-12, 2023. 神经麻醉与重症监护学会，英国年度科学会议:诺丁汉，2023年5月11-12日。

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-01 Epub Date: 2023-12-04 DOI: 10.1097/ANA.0000000000000943

引用次数: 0

The Role of Remimazolam in Neurosurgery and in Patients With Neurological Diseases: A Narrative Review. 雷马唑仑在神经外科和神经系统疾病患者中的作用:综述。

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-01 Epub Date: 2023-05-31 DOI: 10.1097/ANA.0000000000000917

Miguel T Teixeira, Nathan J Brinkman, Jeffrey J Pasternak, Arnoley S Abcejo

{"title":"The Role of Remimazolam in Neurosurgery and in Patients With Neurological Diseases: A Narrative Review.","authors":"Miguel T Teixeira, Nathan J Brinkman, Jeffrey J Pasternak, Arnoley S Abcejo","doi":"10.1097/ANA.0000000000000917","DOIUrl":"10.1097/ANA.0000000000000917","url":null,"abstract":"Remimazolam is a novel ultrashort-acting benzodiazepine that produces sedation by acting as a positive allosteric modulator of the gamma-amino butyric acid-A receptor. Its high water solubility and metabolism via tissue esterases allow for a rapid onset of sedation/anesthesia and prompt arousal despite prolonged use. In addition, the effects of remimazolam can be reversed with flumazenil. This narrative review discusses the role of remimazolam in patients undergoing neurosurgical and neuroradiological procedures, specifically its role during awake craniotomies and compatibility with neuromonitoring. Considerations for remimazolam use in patients with neurological diseases are also highlighted. In addition, the impact of remimazolam on postoperative excitation, risk for postoperative delirium, and delayed neurocognitive recovery are discussed. Although there seems to be a clinical promise for remimazolam based on limited case studies and our own institutional experience of its use, further clinical investigation is warranted to understand the potential impact of remimazolam on surgical and neurological outcomes.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":" ","pages":"11-19"},"PeriodicalIF":3.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10055920","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

Role of Fellowship Training in Furthering Innovations in Perioperative Neuroscience. 奖学金培训在促进围手术期神经科学创新中的作用。

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-01 Epub Date: 2023-11-03 DOI: 10.1097/ANA.0000000000000940

Shobana Rajan, Astri M V Luoma, W Andrew Kofke

引用次数: 0

Simulation in Anesthesia for Perioperative Neuroscience: Present and Future. 围手术期神经科学麻醉模拟：现状与未来。

IF 3.7 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2024-01-01 Epub Date: 2023-10-27 DOI: 10.1097/ANA.0000000000000939

Rodrigo Nakatani, Krisha Patel, Tumul Chowdhury

引用次数: 0