Journal of neurosurgical anesthesiology最新文献_第9页

Antiplatelet Agents in Endovascular Neurointerventional Procedures. 血管内神经介入手术中的抗血小板药物。

IF 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub Date: 2024-10-28 DOI: 10.1097/ANA.0000000000001010

Kelley Flesher, Sophia Pathan, William Andrew Kofke

{"title":"Antiplatelet Agents in Endovascular Neurointerventional Procedures.","authors":"Kelley Flesher, Sophia Pathan, William Andrew Kofke","doi":"10.1097/ANA.0000000000001010","DOIUrl":"10.1097/ANA.0000000000001010","url":null,"abstract":"Minimally invasive, image-guided endovascular procedures are becoming increasingly prevalent as techniques and technologies have advanced, particularly within the realm of neurovascular interventions. Endovascular approaches ubiquitously result in endothelial injury with subsequent risk of thromboembolic complications. Periprocedural antiplatelet agent use is an integral component of the management of patients undergoing endovascular neurointerventional procedures. This patient population has a unique risk profile encompassing thromboembolic and hemorrhagic complications simultaneously, and the precise balance of these risks impacts patient outcomes almost as much as the interventional procedure itself. Clinical experience and study consensus demonstrate overall improved outcomes with the use of periprocedural antiplatelet agents, though current practices remain highly institution and practitioner-dependent. This focused review will discuss the major mechanisms of action of antiplatelet agents, and their clinical indications and management in the periprocedural neurointerventional setting. Despite the importance of antiplatelet agents in the management of neurointerventional patients, many questions remain. Further research and clinical expertise are needed to establish standardized, procedure-specific, antiplatelet regimens as well as standardized monitoring of antiplatelet agent regimen efficacy and safety.","PeriodicalId":16550,"journal":{"name":"Journal of neurosurgical anesthesiology","volume":"37 1","pages":"4-10"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066246","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

Use of the Electroencephalogram to Measure Pain in Infants and Young Children. 使用脑电图测量婴儿和幼儿的疼痛。

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.0000000000001001

Jennifer Busse, Stephanie Chen, Kelin Brace, Rebeccah Slater

引用次数: 0

Sedation Strategies in Pediatric Intensive Care Unit Patients: Challenges in Management. 儿科重症监护病房患者的镇静策略：管理上的挑战。

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.0000000000000994

Shawn S Jackson, Teeda Pinyavat, Hulya Bayir, Heidi A B Smith

引用次数: 0

Updates on the NIH Toolbox V3 and Introduction to the NIHTB Infant and Toddler Toolbox and Mobile Toolbox. 更新NIH工具箱V3和介绍NIHTB婴幼儿工具箱和移动工具箱。

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.0000000000001000

Matthew Monteleone, Katherine Biagas, Neeta Saraiya, Stephanie Young

引用次数: 0

The Use of Real-world Data to Generate Real-world Evidence to Accelerate Neonatal Drug Development. 使用真实数据生成真实证据以加速新生儿药物开发。

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.0000000000000989

Shawn S Jackson, Joseph P Cravero, Lena Sun, Jonathan M Davis

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 2.3 2区医学

Journal of neurosurgical anesthesiology Pub Date : 2025-01-01 Epub 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":"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":"55-63"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","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

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

A New Chapter in Leadership for the Journal: An Exciting Time for Perioperative Neuroscience. 《领导杂志》的新篇章：围手术期神经科学的激动人心的时刻。

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.0000000000001012

Alana M Flexman

引用次数: 0

Research Methods and Approaches for Studies in Pediatric Anesthesia Safety. 儿童麻醉安全性研究的方法与途径。

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

Neonates at Risk for Adverse Neurodevelopment. 新生儿神经发育不良的风险。

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