Journal of Neuroanaesthesiology and Critical Care最新文献

Management and Outcomes of Delayed Cerebral Ischemia Associated with Vasospasm Post Nontraumatic Subarachnoid Hemorrhage: A Retrospective Cohort Study in the National Neurosurgical Center in Ireland 非创伤性蛛网膜下腔出血后与血管痉挛相关的延迟性脑缺血的处理和预后：爱尔兰国家神经外科中心的回顾性队列研究

IF 0.2

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-08-08 DOI: 10.1055/s-0044-1787880

Patrick N. Wiseman, Sarah Power, S. MacNally, D. Nolan, Paula Corr, Gerard Curley, C. Larkin

{"title":"Management and Outcomes of Delayed Cerebral Ischemia Associated with Vasospasm Post Nontraumatic Subarachnoid Hemorrhage: A Retrospective Cohort Study in the National Neurosurgical Center in Ireland","authors":"Patrick N. Wiseman, Sarah Power, S. MacNally, D. Nolan, Paula Corr, Gerard Curley, C. Larkin","doi":"10.1055/s-0044-1787880","DOIUrl":"https://doi.org/10.1055/s-0044-1787880","url":null,"abstract":"\u0000 Background Delayed cerebral ischemia (DCI) is the leading cause of adverse outcome in patients who survive the initial phase of subarachnoid hemorrhage (SAH). While guidelines recommend induced hypertension as a first-line treatment for DCI, there is no high-level evidence confirming outcome benefit.\u0000 Methods Patients admitted with nontraumatic SAH over 3 years period were identified. Demographics, clinical/radiological presentation, aneurysm repair method, and Glasgow outcome score (GOS) 3 months postdischarge were recorded. A subgroup of patients who suffered clinically significant vasospasm were identified, and their hypertensive therapy and outcomes were examined.\u0000 Results A total of 532 patients were admitted with SAH; 68 developed vasospasm. The vasospasm subgroup was divided based on vasopressor treatment—norepinephrine alone (n = 27) versus norepinephrine plus vasopressin (n = 35). No correlation was found between percentage of days that mean arterial pressure (MAP) targets were met and GOS outcome. Patients treated with both agents had worse GOS outcomes at than those treated with norepinephrine alone.\u0000 Conclusion In our study, 12.8% of patients SAH developed vasospasm. Twenty-seven patients were treated with norepinephrine alone and 35 were treated with norepinephrine plus vasopressin to achieve augmented MAP targets. There was no correlation between percentage of days that MAP targets were met and improved patient outcome. The 68 patients stayed a total of 783 days in ICU, with a mean length of stay of 11.5 days. Patients who required dual therapy to achieve MAP targets had significantly worse neurological outcomes.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141926322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intense Noxious Stimulus during an Adequate Depth of General Anesthesia Produces a Transient Burst Suppression Pattern in a Density Spectral Array 在适当深度的全身麻醉过程中，强刺激会在密度谱阵列中产生瞬时爆发抑制模式

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Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-08-08 DOI: 10.1055/s-0044-1787977

R. Mariappan, James T. Magar

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Anesthetic Challenges in Hirayama Disease Patients Undergoing Cervical Spine Surgery—A Case Series 接受颈椎手术的平山症患者面临的麻醉挑战--病例系列

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Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-08-08 DOI: 10.1055/s-0044-1787879

Sreyashi Naskar, Soumya Chakrabarti, Dipanjan Dawn, Amita A. Pahari

引用次数: 0

The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report 经鼻湿化快速充气通气交换（THRIVE）技术和 C-MAC 视频喉镜在一名 Klippel-Feil 综合征患者的困难气道管理中的新作用：病例报告

IF 0.2

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-08-08 DOI: 10.1055/s-0044-1787877

Anjana Kashyap, Alia Vidyadhara, Vidyadhara Srinivasa, M. P. Kanhangad

引用次数: 0

Chronic Epidural Hematoma in an Elderly Patient: A Rare Encounter!! 老年患者的慢性硬膜外血肿：罕见病例！..！

IF 0.2

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-08-08 DOI: 10.1055/s-0044-1788309

Sharmishtha Pathak, S. Dube, Vanitha Rajagopalan, N. Sokhal

引用次数: 0

Optimizing Comfort and Efficiency: The Crucial Role of Ergonomics for Neuroanesthesiologists in the Operating Room 优化舒适度和效率：人体工程学在手术室神经麻醉医师中的关键作用

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-06-11 DOI: 10.1055/s-0044-1786177

Sapna Suresh, Ashitha Arumadi, Sreeja Ravindranath, A. Hrishi, R. Praveen, M. Sethuraman

{"title":"Optimizing Comfort and Efficiency: The Crucial Role of Ergonomics for Neuroanesthesiologists in the Operating Room","authors":"Sapna Suresh, Ashitha Arumadi, Sreeja Ravindranath, A. Hrishi, R. Praveen, M. Sethuraman","doi":"10.1055/s-0044-1786177","DOIUrl":"https://doi.org/10.1055/s-0044-1786177","url":null,"abstract":"Abstract Ergonomic principles, when applied effectively, reduce the risk of musculoskeletal injuries, fatigue, and discomfort among neuroanesthesiologists who spend extended hours in the operating room. Properly designed workstations and equipment can enhance accessibility and allow for better positioning during procedures, minimizing the potential for errors and complications. Furthermore, an ergonomic approach fosters a culture of safety and well-being, supporting neuroanesthesiologists' physical and mental health. It promotes teamwork and communication among the surgical team, leading to smoother and more efficient surgeries. Neuroanesthesiologists who work in ergonomically optimized environments are more likely to remain focused, make critical decisions with clarity, and provide the highest standard of patient care. In the evolving landscape of neurosurgery, where advancements in technology and techniques continue to push the boundaries of what is possible, ergonomics is a fundamental pillar that ensures neuroanesthesiologists can adapt, learn, and perform at their best. As we recognize the significance of ergonomics, it becomes essential to invest in ongoing education, research, and implementation of ergonomic solutions to support the dedicated professionals who play a crucial role in neurosurgical care. In summary, prioritizing ergonomics in neurosurgical operating rooms is not just a matter of comfort, it is an investment in the well-being and effectiveness of neuroanesthesiologists and, ultimately, in the quality of care provided to patients undergoing neurosurgical procedures. By integrating ergonomic principles into our practice, we can create safer, more efficient, and more sustainable environments for neuroanesthesiologists, ensuring the continued success of neurosurgery in the years to come.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141357524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges of Super-Super Obese Patient Presenting for Neurosurgery: A Case-Based Review 神经外科超级肥胖患者的挑战：基于病例的回顾

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-05-09 DOI: 10.1055/s-0044-1782503

Sapna Suresh, A. Hrishi, Ashitha Arumadi, R. Praveen

引用次数: 0

Neuromonitoring in a Case with Midbrain Cavernoma Operated in Sitting Position: Unveiling the Complexities 坐位手术中中脑海绵状瘤病例的神经监测：揭开复杂的面纱

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-05-07 DOI: 10.1055/s-0044-1786516

Joslita Rebello, B. Thakore

引用次数: 0

Takotsubo's Cardiomyopathy in a Young Female with Severe Traumatic Brain Injury: A Case Report 严重脑外伤年轻女性的 Takotsubo 心肌病：病例报告

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-05-07 DOI: 10.1055/s-0043-1778077

Gayatri Kumari, Anoop K. Singh, Sharma V. Jaishree, Ashutosh Tiwari

{"title":"Takotsubo's Cardiomyopathy in a Young Female with Severe Traumatic Brain Injury: A Case Report","authors":"Gayatri Kumari, Anoop K. Singh, Sharma V. Jaishree, Ashutosh Tiwari","doi":"10.1055/s-0043-1778077","DOIUrl":"https://doi.org/10.1055/s-0043-1778077","url":null,"abstract":"Takotsubo's cardiomyopathy (TC) typically presents with acute cardiac dysfunction due to regional wall motion abnormality, but unlike other cardiac pathologies, it recovers within a short period. Here, we report the case of a 23-year-old woman who presented to us following severe traumatic brain injury (TBI). Her Glasgow coma scale (GCS) deteriorated rapidly in the preoperative period and she developed TC following surgery. Despite an uneventful surgery, she needed cardiovascular support by vasopressors and inotropes in the postoperative period. She was diagnosed with TC on serial transthoracic echocardiography, with complete cardiac function recovery within 9 days. The diagnosis of TC was supported by electrocardiography (not correlating coronary artery disease), elevated troponin I and N-terminal prohormone of brain natriuretic peptide (NT-proBNP), and the presence of a physical sessor like TBI. As an unrecognized TC due to a low GCS score after severe TBI may negatively impact outcomes, we aim to emphasize that vigilant perioperative management may give good outcomes even in less commonly encountered serious TC.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Preoperative Anxiety Utilizing Amsterdam Preoperative Anxiety and Information Scale in Patients Undergoing Intracranial Tumor Surgery: An Exploratory Study 利用阿姆斯特丹术前焦虑和信息量表评估颅内肿瘤手术患者的术前焦虑：一项探索性研究

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2024-05-07 DOI: 10.1055/s-0044-1779595

Vikram Chandra, Nishant Goel, Ranjeeta Kumari, Sanjay Agrawal

{"title":"Assessment of Preoperative Anxiety Utilizing Amsterdam Preoperative Anxiety and Information Scale in Patients Undergoing Intracranial Tumor Surgery: An Exploratory Study","authors":"Vikram Chandra, Nishant Goel, Ranjeeta Kumari, Sanjay Agrawal","doi":"10.1055/s-0044-1779595","DOIUrl":"https://doi.org/10.1055/s-0044-1779595","url":null,"abstract":"\u0000 Background Preoperative anxiety in neurosurgical patients is high due to life-threatening illness and uncertainty of the surgical outcome. This study assessed preoperative anxiety and its influencing factors in patients undergoing intracranial tumor surgeries utilizing the Amsterdam Preoperative Anxiety and Information Scale (APAIS).\u0000 Methods One-hundred twenty patients, 18 to 65 years of age, of either sex, American Society of Anesthesiologists (ASA) grades I/II posted for elective craniotomy and tumor excision, were selected for the study. Various components of the APAIS were explained, and the level of anxiety and need for information were noted. The level of anxiety and depression by HADS (Hospital Anxiety and Depression Scale) score was also evaluated.\u0000 Results The mean age was 38.00 ± 12.15 years. About 57.5% of the patients were male. Eighteen (15%) patients had an educational qualification of class 10, 60(50%) of 10 + 2, 36 (30%) were graduates, and 6 (5%) had a postgraduate qualification.The mean APAIS for total anxiety was 11.10 ± 1.79; the score for need for information was 6.28 ± 1.61. Mean total anxiety scores were higher in female patients (11.96 vs. 10.46, p < 0.001). Higher anxiety was observed in ASA status I patients (11.33 vs. 10.539 ASA I vs. II, p = 0.020). Significantly higher anxiety was observed in patients educated till class 10 (p = 0.012). A significantly higher need for information was observed in postgraduates (p = 0.012). Eighty (66.7%) patients had clinical anxiety, and 35 (29.2%) had clinical depression on the HADS score.\u0000 Conclusion Neurosurgical patients have higher anxiety due to intracranial pathology, site of surgery, and unpredictability of outcome. Demographic and clinical variables do affect anxiety levels.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0