Journal of Neuroanaesthesiology and Critical Care最新文献_第9页

Effect of Heat and Moisture Exchange Filter on the Dead Space Ventilation in a Pediatric Patient 湿热交换过滤器在小儿死区通气中的作用

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-08-02 DOI: 10.1055/s-0041-1731602

Mrunmayee Bhagwat, Rohini M. Surve, P. Patwardhan

引用次数: 1

Challenges during Electroconvulsive Therapy—A Review 电休克治疗中的挑战-回顾

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-08-02 DOI: 10.1055/s-0041-1731627

S. Bansal, Rohini M. Surve, Rajeev Dayananda

{"title":"Challenges during Electroconvulsive Therapy—A Review","authors":"S. Bansal, Rohini M. Surve, Rajeev Dayananda","doi":"10.1055/s-0041-1731627","DOIUrl":"https://doi.org/10.1055/s-0041-1731627","url":null,"abstract":"Electroconvulsive therapy (ECT) is one of the most successful treatment techniques employed in psychiatric practice. ECT is usually administered as a last resort to a patient who fails to respond to medical management or on an urgent basis as a life-saving procedure when immediate response is desired. It is performed under general anesthesia and is often associated with autonomic changes. All attempts should be made to minimize the resulting hemodynamic disturbances in all the patients using various pharmacological methods. Anesthesiologists providing anesthesia for ECT frequently encounter patients with diverse risk factors. Concurrent cardiovascular, neurological, respiratory, and endocrine disorders may require modification of anesthetic technique. It is ideal to optimize patients before ECT. In this review, the authors discuss the optimization, management, and modification of anesthesia care for patients with various cardiac, neurological, respiratory, and endocrine disorders presenting for ECT to improve the safety of the procedure. It is not infrequent that an anesthesiologist also plays an important role in inducing a seizure. Proconvulsants such as caffeine, adjuvants like opioids, hyperventilation, and appropriate choice of anesthetic agent for induction such as etomidate or ketamine can help. The use of BIS monitoring to guide the timing of electric stimulation is also elaborated in this review.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1731627","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47777384","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: 3

The Effect of Dorsal Midbrain Compression by the Posterior third Ventricular Cyst on Frontal EEG Under Propofol Anesthesia 异丙酚麻醉下第三脑室后囊压迫后脑对正面脑电图的影响

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-08-02 DOI: 10.1055/s-0041-1731147

R. Mariappan, Sruthi Yalamanchili, Krishna Prabhu, Sharon Poldoss

引用次数: 0

Regional Anesthesia Practice in Neurosurgery 神经外科区域麻醉实践

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-06-01 DOI: 10.1055/s-0041-1734402

P. Bithal, G. Rath

引用次数: 0

Protocol Adherence in the Intensive Care Unit for the Management of Adult Patients Admitted with Acute Aneurysmal Subarachnoid Hemorrhage 重症监护室对急性动脉瘤性蛛网膜下腔出血成年患者治疗方案的遵守情况

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-05-25 DOI: 10.1055/s-0040-1718504

L. Taylor, A. Lane

{"title":"Protocol Adherence in the Intensive Care Unit for the Management of Adult Patients Admitted with Acute Aneurysmal Subarachnoid Hemorrhage","authors":"L. Taylor, A. Lane","doi":"10.1055/s-0040-1718504","DOIUrl":"https://doi.org/10.1055/s-0040-1718504","url":null,"abstract":"Abstract Background There are recognized protocols that exist for management with minimal data regarding protocol adherence. We conducted a retrospective analysis of aneurysmal subarachnoid hemorrhage (aSAH) to determine whether the level of protocol adherence varied based on patient demographics or specific aspects of management. Materials and Methods All cases of aSAH admitted to a tertiary-level intensive care unit (ICU) from 2014 to 2016 were identified from the Australia and New Zealand Intensive Care Society Core Database as well as the clinical records system. ICU demographic and descriptive data for protocol adherence, were collected from admission to discharge up to 22 days, or until death whichever was earlier. Results A total of 58 cases of aSAH were registered; mean age was 56.7 years, 70.7% of patients were female, and mean length of stay was 12.6 days. World Federation of Neurosurgical Societies (WFNS) scale was documented more than Fisher grading. Of the 58 cases, 63.7% (37) underwent surgical clipping, with 83.7% (30) patients having this surgery within 48 hours. SBP/MAP were the most consistently recorded observations within protocol ranges, with adherence of 82.4% and 82.1%, respectively. Thirty-two percent of temperature measurements were outside of the normothermic range of 36.5 to 37.5°C with a mean adherence of 47.5% (standard deviation = ±0.24, median = 40). There was no correlation between adherence and patient, disease, or admission factors. Conclusion This study demonstrated that there was no association between variation in protocol adherence based on age, admission dates, or disease factors including WFNS grade and Fisher scale. Best protocol adherence protocol for the management of aSAH within the ICU was blood pressure control. Areas for improvement were documentation of the WFNS and Fisher grading, and temperature measurement and management.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":"08 1","pages":"99 - 105"},"PeriodicalIF":0.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0040-1718504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48912149","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

Recent Advances in Trigeminal Neuralgia and Its Management: A Narrative Review 三叉神经痛及其治疗的最新进展：叙事综述

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-05-24 DOI: 10.1055/s-0041-1726152

Sourav Burman, Ankur Khandelwal, A. Chaturvedi

{"title":"Recent Advances in Trigeminal Neuralgia and Its Management: A Narrative Review","authors":"Sourav Burman, Ankur Khandelwal, A. Chaturvedi","doi":"10.1055/s-0041-1726152","DOIUrl":"https://doi.org/10.1055/s-0041-1726152","url":null,"abstract":"Abstract Trigeminal neuralgia (TN) is a chronic facial pain condition that affects one or more divisions of the trigeminal nerve (5th cranial nerve). It can be idiopathic, primary, or secondary. The cornerstone of the therapy has been antiepileptic medications, peripheral nerve blocks with various neurolytic agents, and surgical procedures. With the advent of newer technologies, minimally invasive neurolytic techniques like low-level laser therapy and ozone injection have revolutionized the management of TN. Novel drugs like vixotrigine and eslicarbazepine have been promising in reducing the frequency and severity of attacks. Inhaled carbon dioxide too has shown promising results in initial trials. Neuromodulation has given robust data in controlling neuralgic pain especially refractory to medical management. Pulsed radiofrequency has been used with increasing success and the side effects like dysesthesia and paresthesia are less. Cryotherapy, neural prolotherapy, and fiber knife techniques have helped us believe that TN can be controlled and cured. The need of the hour is to develop and explore newer modalities for trigeminal neuralgia treatment with minimum side effects. In this narrative review, we have tried to shed light into the newer modalities of treatment of TN along with new clinical classification for better disease recognition and management.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":"8 1","pages":"112 - 117"},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0041-1726152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45197313","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: 2

Incidence of Paroxysmal Sympathetic Hyperactivity after Traumatic Brain Injury in a Tertiary Care ICU: A Retrospective Cohort Study 三级护理ICU中创伤性脑损伤后发作性交感神经过度活动的发生率：一项回顾性队列研究

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-04-13 DOI: 10.1055/S-0040-1721553

Ajit Bhardwaj, G. Satapathy, Arpit Garg, V. Chawla, K. Jangra

{"title":"Incidence of Paroxysmal Sympathetic Hyperactivity after Traumatic Brain Injury in a Tertiary Care ICU: A Retrospective Cohort Study","authors":"Ajit Bhardwaj, G. Satapathy, Arpit Garg, V. Chawla, K. Jangra","doi":"10.1055/S-0040-1721553","DOIUrl":"https://doi.org/10.1055/S-0040-1721553","url":null,"abstract":"\u0000Background Paroxysmal sympathetic hyperactivity (PSH) is an understudied complication of traumatic brain injury (TBI). PSH usually presents with transient rise in sympathetic outflow, leading to increased blood pressure, heart rate, temperature, respiratory rate, sweating, and posturing activity. We retrospectively analyzed the incidence of PSH in TBI using PSH-assessment measure (PSH-AM) scale.\u0000Methods This single-center retrospective cohort study was conducted in traumatic head injury patients admitted in the intensive care unit from January 1, 2016 to December 31, 2019 in a tertiary care center. The data was collected from the hospital database after obtaining approval from the hospital ethics committee.\u0000Results A total of 287 patients (18–65 years of age) were admitted to intensive care unit (ICU) with TBI out of which 227 patients were analyzed who had ICU stay for more than 14 days. PSH was diagnosed in 70 (30.8%) patients. Mean age of PSH positive patients was 40 ± 18 and 49 ± 11 years for PSH negative patients (p < 0.001). The age group between 40 and 50 years had a higher incidence of PSH. The age and Glasgow coma score (GCS) were significantly associated with the occurrence of PSH. The GCS score demonstrated good accuracy for predicting the occurrence of PSH with AUC 0.83, 95% CI of 0.775 to 0.886, and a p-value of 0.001.\u0000Conclusion We observed that the incidence of PSH was 30.8% in the patients with TBI. Age and GCS were found to have a significant association for predicting the occurrence of PSH. The patients who developed PSH had a longer length of hospital stay in ICU.","PeriodicalId":16574,"journal":{"name":"Journal of Neuroanaesthesiology and Critical Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/S-0040-1721553","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45150006","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: 2

Year in Review: Synopsis of Selected Articles in Neuroanesthesia and Neurocritical Care from 2020 年度回顾：2020年神经麻醉和神经危重症护理精选文章摘要

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-03-01 DOI: 10.1055/s-0041-1725223

Tariq Esmail, Sudhakar Subramaniam, L. Venkatraghavan

引用次数: 0

Radiation Exposure and the Neuroanesthesiologist 辐射暴露与神经麻醉师

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2021-03-01 DOI: 10.1055/S-0041-1725229

J. Pasternak

引用次数: 0

Radiation Concerns for the Neuroanesthesiologists 神经麻醉师的辐射问题

Journal of Neuroanaesthesiology and Critical Care Pub Date : 2020-12-27 DOI: 10.1055/s-0040-1715354

Sourav Burman, A. Das, C. Mahajan, G. Rath

引用次数: 0