INTERNATIONAL ANESTHESIOLOGY CLINICS最新文献_第9页

Emerging anesthesia techniques for managing intraoperative rupture of cerebral aneurysms. 术中处理脑动脉瘤破裂的新兴 麻醉 技术 。

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INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000400

Adele S Budiansky, Emma P Hjartarson, Tomasz Polis, Gregory Krolczyk, John Sinclair

{"title":"Emerging anesthesia techniques for managing intraoperative rupture of cerebral aneurysms.","authors":"Adele S Budiansky, Emma P Hjartarson, Tomasz Polis, Gregory Krolczyk, John Sinclair","doi":"10.1097/AIA.0000000000000400","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000400","url":null,"abstract":"Intraoperative aneurysm rupture (IAR) is one of the most feared complications associated with microsurgical clipping of cerebral aneurysms. To the surgeon, this situation is typi ﬁ ed by an operative ﬁ eld that is rapidly ﬁ lling with blood, often with the ultimate source of hemorrhage not readily identi ﬁ ed. Coupled with the sudden and unexpected nature of the event, an IAR can create great stress for the surgeon and the anesthesiologist. In a survey of neurovascular surgeons, IAR was identi ﬁ ed as one of the major technical challenges to aneurysm clipping. 1 Despite the advancement of endovascular techniques, microsurgical clipping performed via a craniotomy remains indicated for a variety of reasons, such as for patients with subarachnoid hemorrhage (SAH) with mass effect, cranial nerve palsies due to compression by the aneurysm, wide-necked bifurcation or irre-gularly-shaped aneurysms, and ones that have failed endovascular treatment. 2 As microsurgical clipping becomes reserved for more complex indications, the risk of IAR is likely to remain signi ﬁ cant. In the event of IAR, the anesthesiologist plays a critical role, not only in providing adequate resuscitation but also in facilitating the surgeon ’ s visualization and treatment of the bleeding aneurysm. This narrative review focuses on anesthesia techniques that can aid the surgeon in the management of ruptured aneurysms, namely induced hypotension with either adenosine or rapid ventricular pacing (RVP). In addition to the incidence and risk factors for IAR, this review speci ﬁ cally aims to present the management of IAR from the surgeon ’ s","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 3","pages":"64-72"},"PeriodicalIF":0.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10074401","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

Index. 索引。

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INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 Epub Date: 2023-06-08 DOI: 10.1097/01.aia.0000943248.22310.81

引用次数: 0

Anesthesia management in patients with neurostimulators. 神经刺激器患者的麻醉管理。

IF 0.6

INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000407

Anuja Rathore, Michael Dinsmore, Lashmi Venkatraghavan

{"title":"Anesthesia management in patients with neurostimulators.","authors":"Anuja Rathore, Michael Dinsmore, Lashmi Venkatraghavan","doi":"10.1097/AIA.0000000000000407","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000407","url":null,"abstract":"Neurostimulators are active implantable devices that clinicians use to perform diverse neuromodulation treatments in patients with neurological and non-neurological disorders. 1 Neuromodulation works on the principle of reverse engineering the disorder allowing the clinicians to think from a patient-system point of view. This enables them to personalize interventions by understanding the patient-speci ﬁ c pathophysiology that can translate insights from cognitive neuroscience into targeted therapies for various disorders. 2 Neurostimulators can be intracranial [deep brain stimulation (DBS)], neuraxial [spinal cord stimulation (SCS), sacral nerve stimulators], or peripheral (vagal nerve trigeminal nerve or other peripheral nerve stimulation). The number of patients using neurostimulators is growing rapidly, making it imperative for anesthesiologists to understand these devices and their potential interactions with other medical equipment. 3 The literature on perioperative management of patients with neurostimulators is scarce, and most of the information comes from case reports and manufacturer recommendations. In this review, we provide an overview of various neurostimulators, general considerations, and recommendations regarding the perioperative management of these patients for speci ﬁ c surgeries.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 3","pages":"13-18"},"PeriodicalIF":0.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10429526","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

Perioperative pearls on epilepsy surgery. 癫痫手术的围手术期珍珠。

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INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000401

Ashish Bindra

引用次数: 0

Evolving horizon of global neuroanesthesia education, pathway to standardization, and accreditation. 全球神经麻醉教育的发展前景、标准化途径和认证。

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INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000406

Shobana Rajan, Jad Alchoubassi, Meghana S Bharadwaj, W Andrew Kofke

{"title":"Evolving horizon of global neuroanesthesia education, pathway to standardization, and accreditation.","authors":"Shobana Rajan, Jad Alchoubassi, Meghana S Bharadwaj, W Andrew Kofke","doi":"10.1097/AIA.0000000000000406","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000406","url":null,"abstract":"• With the rapid growth in innovative neurosurgical procedures, the current situation of training in neuroanesthesiology is heterogeneous. • There are a number of gaps pertaining to neuroanesthesiology education that could be bridged under the umbrella of the International Council on Perioperative Neuroscience Training (ICPNT). • The ICPNT serves as a bridge to bring together fellowship programs from around the world. • The Three Pillars of Neuroanesthesiology have formed the basis of the standardized curriculum to train neuroanesthesiologists. • Major changes in education include onlinemodules, webinars, and workshops which foster an environment of collaboration between accredited programs. • Grandfathering the first specialists has been the norm for specialties, but fellowship-trained neuroanesthesiologists are the need of the hour to provide optimal perioperative patient care and foster innovation. • Sustaining and generating interest in this specialty requires proactive steps towardmaking educationmore interactive and interesting, which is important in improving interest in neuroanesthesiology fellowship training. • The focus should be on expanding the specialty to encompass new and upcoming areas in perioperative neurosciences.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 3","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10449887","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

Acute perioperative neurological emergencies. 急性围手术期神经急症。

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INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000404

Michelle S H Lam, Astri M V Luoma, Ugan Reddy

{"title":"Acute perioperative neurological emergencies.","authors":"Michelle S H Lam, Astri M V Luoma, Ugan Reddy","doi":"10.1097/AIA.0000000000000404","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000404","url":null,"abstract":"Perioperative neurological complications can be a result of anesthesia or surgical procedures. Both surgery and anesthesia increases the risk of neurological sequelae due to ischemia, hemorrhage, hypoxia, or metabolic disorder (Table 1). The impact can be devastating, leading to morbidity, increased length of stay, impaired quality of life, and mortality. During anesthesia, there is no standard monitoring for the neurological system compared with other organs (eg, electrocardiograph and blood pressure for the cardiovascular system, pulse oximetry, and capnography for the respiratory system). When patients present with neurological signs and symptoms perioperatively, early assessment and imaging is needed to facilitate prompt diagnosis and management. This article will provide an overview of common neurological complications in the perioperative period. To cover details of all neurological emergencies will be beyond the scope of this article. We will focus on common emergencies in general surgery with a brief discussion of neurological complications in specific surgical populations. The common presentation of these complications will be explored, followed by the diagnosis and management of these pathologies.","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 3","pages":"53-63"},"PeriodicalIF":0.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10429524","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

Index. 索引。

IF 0.6

INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/01.aia.0000943248.22310.81

引用次数: 0

Palliative care in neurology patients. 神经内科患者的姑息治疗。

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INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000403

Wasimul Hoda, Sachidanand J Bharati

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Airway management pearls in cervical spine disorders. 颈椎疾患的气道管理要点。

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INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000405

Kiran Jangra, Girija Prasad Rath

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Awake craniotomy: nuts and bolts. 清醒开颅术:螺母和螺栓。

IF 0.6

INTERNATIONAL ANESTHESIOLOGY CLINICS Pub Date : 2023-07-01 DOI: 10.1097/AIA.0000000000000408

Geraldine Raphaela B Jose, Gerardo D Legaspi, Mark Gibson D Ibale, Alec Brandon C Duñgo

引用次数: 0