Journal of Neuroanaesthesiology and Critical Care最新文献_第8页

Comparison of Monitored Anesthesia Care with Propofol Versus Dexmedetomidine for Awake Craniotomy: A Retrospective study 丙泊酚与右美托咪定用于清醒开颅术的监测麻醉护理的比较：回顾性研究

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-25 DOI: 10.1055/s-0042-1748195

Keta D. Thakkar, R. Mariappan, Krishna Prabhu, B. Yadav, Georgene Singh

{"title":"Comparison of Monitored Anesthesia Care with Propofol Versus Dexmedetomidine for Awake Craniotomy: A Retrospective study","authors":"Keta D. Thakkar, R. Mariappan, Krishna Prabhu, B. Yadav, Georgene Singh","doi":"10.1055/s-0042-1748195","DOIUrl":"https://doi.org/10.1055/s-0042-1748195","url":null,"abstract":"\u0000 Background Anesthetic agents used for awake craniotomy should be safe, short-acting, titratable, and provide an adequate level of sedation and analgesia, along with facilitating adequate neurological assessment during the functional testing. Our study aims to review the efficacy and safety profile, along with the potential for neurophysiological monitoring, of two commonly used anesthetic regimens, i.e., propofol and dexmedetomidine.\u0000 Methods After the Ethics Committee approval, a retrospective analysis of 51 patients who underwent awake craniotomy for brain tumor excision over a period of 7 years was done. Those who received monitored anesthesia care (MAC) were divided into two groups, namely, Group P for that received propofol, and Group D that received dexmedetomidine and their hemodynamic profile, perioperative complications, neuromonitoring techniques, and postoperative course was noted from the records.\u0000 Results A total of 31 patients were administered MAC with propofol and 20 with dexmedetomidine. The baseline demographic data, duration of surgery, intensive care unit (ICU), and hospital stay were comparable between the two. The hemodynamic profile as assessed by the heart rate and blood pressure was also comparable. The incidence of intraoperative seizures was found to be less in Group P, though. Episodes of transient desaturation were observed more in Group P (9.7%) than in Group D (5%), but none of the patients required conversion to general anesthesia. Direct cortical stimulation was satisfactorily elicited in 80% in Group P and 85% in Group D.\u0000 Conclusions MAC with propofol and dexmedetomidine are acceptable techniques with comparable hemodynamic profile, intraoperative and postoperative complications, and potential for neurophysiological monitoring.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49393181","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

Association of ABO Blood Group Antigen and Neurological Tumors ABO血型抗原与神经系统肿瘤的关系

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-20 DOI: 10.1055/s-0042-1749656

G. Patidar, Y. Dhiman, A. Hazarika

{"title":"Association of ABO Blood Group Antigen and Neurological Tumors","authors":"G. Patidar, Y. Dhiman, A. Hazarika","doi":"10.1055/s-0042-1749656","DOIUrl":"https://doi.org/10.1055/s-0042-1749656","url":null,"abstract":"\u0000 Background Various risk factors for tumors such as smoking, alcohol consumption, diet, and radiation, etc., were already identified. ABO blood group antigens are also present on epithelia, endothelia, and neurons. Recent evidence suggested the role of ABO antigens in the pathogenesis of certain malignancies.\u0000 Materials and Methods A retrospective observational study was conducted in a tertiary care neurosurgical center in North India from January 2016 to December 2018. The hospital information system was used to obtain patient information while the blood center information system was used to collect blood group information. Brain tumors were majorly divided into cavernoma, glioma, meningioma, neuroma, pituitary adenoma, schwannoma, and others.\u0000 Results We found a total of 1,970 patients with brain tumors admitted during our study period. Most patients had glioma (33.55%), followed by pituitary adenoma (20.05%) and neuroma (2.23%). B blood group individuals had more prevalence of cavernoma, glioma, meningioma, pituitary adenoma, schwannoma, and others followed by O, A, and AB. Only association of O blood group with neuroma tumor was found statistically significant.\u0000 Conclusions Our patient population had blood group distribution similar to our general population and no significant association was observed by blood group antigens and brain tumors. Although neuroma was significantly associated with blood group O but the prevalence of neuroma in our patient population is very low hence large sample study is required to draw a firm conclusion regarding this association.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46386405","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

Pediatric Microcuff Tube for Neurosurgical Procedures: A Boon or Bane? 用于神经外科手术的儿科微绒毛管：Boon还是Bane？

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-20 DOI: 10.1055/s-0042-1750092

Keta D. Thakkar, M. Sethuraman, A. Hrishi

引用次数: 0

Incidence and Perioperative Risk Factors of Delayed Extubation following Pediatric Craniotomy for Intracranial Tumor: A 10-Year Retrospective Analysis in a Thailand Hospital 儿童颅内肿瘤开颅术后延迟拔管的发生率和围手术期危险因素：泰国一家医院10年回顾性分析

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-20 DOI: 10.1055/s-0042-1750421

Sunisa Sangtongjaraskul, Kornkamon Yuwapattanawong, Vorrachai Sae-Phua, Thichapat Jearranaiprepame, Paweena Paarporn

{"title":"Incidence and Perioperative Risk Factors of Delayed Extubation following Pediatric Craniotomy for Intracranial Tumor: A 10-Year Retrospective Analysis in a Thailand Hospital","authors":"Sunisa Sangtongjaraskul, Kornkamon Yuwapattanawong, Vorrachai Sae-Phua, Thichapat Jearranaiprepame, Paweena Paarporn","doi":"10.1055/s-0042-1750421","DOIUrl":"https://doi.org/10.1055/s-0042-1750421","url":null,"abstract":"Abstract Background The determination of extubation (early or delayed) after pediatric craniotomy for intracranial tumor should be carefully considered because each has its pros and cons. The aim of this study was to investigate the incidence of the delayed extubation in these patients. The secondary goal was to identify the perioperative factors influencing the determination of delayed extubation. Methods This retrospective study was performed in pediatric patients with intracranial tumor who underwent craniotomy at a university hospital between April 2010 and March 2020. Preoperative and intraoperative variables were examined. The variables were compared between the delayed extubation and early extubation group. Results Forty-two of 286 pediatric patients were in the delayed extubation group with an incidence of 14.69%. According to multivariate analyses, the risk factors that prompted delayed extubation were the intracranial tumor size ≥ 55 mm (adjusted odds ratio [AOR], 2.338; 95% confidence interval [CI], 1.032–5.295; p = 0.042), estimated blood loss (EBL) ≥ 40% of calculated blood volume (AOR, 11.959; 95% CI, 3.457–41.377; p < 0.001), blood transfusion (AOR, 3.093; 95% CI, 1.069–8.951; p = 0.037), duration of surgery ≥ 300 minutes (AOR, 2.593; 95% CI, 1.099–6.120; p = 0.030), and completion of the operation after working hours (AOR, 13.832; 95% CI, 2.997–63.835; p = 0.001). Conclusions The incidence of delayed extubation after pediatric craniotomy was 14.69%. The predictive factors were the size of tumor ≥ 55 mm, EBL ≥ 40% of calculated blood volume, blood transfusion, duration of surgery ≥ 300 minutes, and completion of surgery after routine working hours.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48613748","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

Delayed Aspiration of Air Emboli from the Central Venous Catheter in a Case of Suspected Massive Venous Air Embolism: A Therapeutic Success 疑似大面积静脉空气栓塞的中心静脉导管延迟抽吸空气栓塞1例:治疗成功

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-20 DOI: 10.1055/s-0042-1748840

Ankur Khandelwal, S. Nayak, Anshil Bhatia, Amit K. Shrivastava, Vikas Bhardwaj

引用次数: 0

Effects of Magnesium Sulfate on Intraoperative Blood Loss and Anesthetic Requirement in Meningioma Patients Undergoing Craniotomy with Tumor Removal: A Prospective Randomized Study 硫酸镁对开颅肿瘤切除脑膜瘤患者术中失血和麻醉需求的影响：一项前瞻性随机研究

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-20 DOI: 10.1055/s-0042-1750692

Thanawut Jitsinthunun, M. Raksakietisak, Chanitda Pantubtim, Porntip Mahatnirunkul

{"title":"Effects of Magnesium Sulfate on Intraoperative Blood Loss and Anesthetic Requirement in Meningioma Patients Undergoing Craniotomy with Tumor Removal: A Prospective Randomized Study","authors":"Thanawut Jitsinthunun, M. Raksakietisak, Chanitda Pantubtim, Porntip Mahatnirunkul","doi":"10.1055/s-0042-1750692","DOIUrl":"https://doi.org/10.1055/s-0042-1750692","url":null,"abstract":"Abstract Background Meningioma brain tumor is associated with significant blood loss. Magnesium (Mg), a calcium blocker, can facilitate blood pressure control during surgery. This study aimed to evaluate effects of magnesium on blood loss, anesthetic requirement, and its neuroprotective effect in meningioma patients undergoing craniotomy. Methods Eighty patients aged between 18 and 70, American Society of Anesthesiologists physical status I and II, diagnosed with meningioma and scheduled for craniotomy tumor removal were randomized into two groups. Group M (Mg) received intravenous magnesium sulfate 40 mg/kg over 30 minutes initiated at skin incision and followed by continuous infusion of 10 mg/kg/h until dura closure. Group N (NSS) received 0.9% NaCl as placebo. Anesthesiologists in charge, surgeons, and patients were all blinded. The assessed outcomes were perioperative blood loss, anesthetic requirement, and pre- and postoperative neurocognitive functions assessed by Montreal Cognitive Assessment (MoCA). Results Thirty-eight patients in each group were analyzed. In group M, the intraoperative blood losses were 500 (70, 2300) mL, and 510 (100, 1600) mL in group N ( p = 0.315). Patients who received blood within 24 hours were 39.5% in group M and 47.4% in group N ( p = 0.644). No differences were observed in anesthetic requirement, intraoperative mean arterial pressure, hypotensive episodes, and vasopressor usages. There were no significant differences in postoperative MoCA score. Magnesium levels did not exceed acceptable levels. Conclusions Magnesium administration in meningioma patients had no significant effects on blood loss, anesthetic requirement, and postoperative cognitive function.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44138489","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

Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey 2011年至2019年土耳其1998例脑死亡患者的回顾性分析

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-07-20 DOI: 10.1055/s-0042-1750093

H. Sipahioğlu, Gulseren Elay, Nezahat Bingol, I. Bahar

{"title":"Retrospective Analysis of 1998 Patients Diagnosed with Brain Death between 2011 and 2019 in Turkey","authors":"H. Sipahioğlu, Gulseren Elay, Nezahat Bingol, I. Bahar","doi":"10.1055/s-0042-1750093","DOIUrl":"https://doi.org/10.1055/s-0042-1750093","url":null,"abstract":"Background Organ transplantation reduces mortality and morbidity in patients with end-stage organ failure. The number of living organ donations is not enough to meet the current organ transplantation need; therefore, there is an urgent need for organ donation from cadavers. We aimed to determine the organ donation rates and reveal the obstacles against donation. Methods This study is designed as a retrospective multicenter study consisting of eight university hospitals, three training and research hospitals, 26 state hospitals, and 74 private hospitals in nine provinces in Turkey. A total of 1,998 patients diagnosed with brain death between January 2011 to April 2019 were examined through the electronic medical records data system. Results Median patient age was 38 (IQR: 19–57), and 1,275 (63.8%) patients were male. The median time between the intensive care unit admission and brain death diagnosis was 56 (IQR:2–131) hours. The most commonly used confirmatory diagnostic test was computed tomography in 216 (30.8%) patients, and the most common cause of brain death was intraparenchymal hemorrhage with 617 (30.9%) patients. A total of 1,646 (82.4%) families refused to permit organ donation. The most common reasons for refusal were family disagreement (68%), social/relative pressure (24%), and religious beliefs (8%). Conclusions Many families refuse permission for organ donation; some of the provinces included in this study experienced years of exceptionally high refusal rates.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45601604","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

Type-2 Neurofibromatosis Patient with Parasagittal Meningioma: A Challenging Airway 2型神经纤维瘤病伴矢状旁脑膜瘤患者的气道挑战

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-06-19 DOI: 10.1055/s-0042-1745724

Aparna Depuru, A. Barik, K. Jangra, N. Panda

引用次数: 0

Mobius Airo TruCT Scanner in the Operating Room: An Ergonomic Challenge to Neuroanesthesiologist 手术室中的Mobius Airo TruCT扫描仪：对神经麻醉师的人体工程学挑战

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-06-07 DOI: 10.1055/s-0042-1744401

S. Mallikarjuna, N. Ramakumar, B. Gupta, S. Chakraborty

引用次数: 0

Management of a Patient with Bombay Blood Group and Chronic Liver Disease with Subdural Hematoma 孟买血型和慢性肝病合并硬膜下血肿患者的处理

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2022-06-07 DOI: 10.1055/s-0042-1744402

Siddharth Chavali, Subodh Raju, Suresh Kanasani, Abhirama C Gabbita

引用次数: 0