Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Jan 2016
Randomized Controlled TrialThe Opioid-sparing Effect of Intraoperative Dexmedetomidine Infusion After Craniotomy.
We conducted a randomized trial to evaluate the opioid-sparing effect of an intraoperative infusion of dexmedetomidine (DEX) after craniotomy. ⋯ An intraoperative infusion of DEX reduced cumulative morphine consumption and adverse effects after craniotomy.
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J Neurosurg Anesthesiol · Jan 2016
Traumatic Brain Injury Patients With a Glasgow Coma Scale Score of ≤8, Cerebral Edema, and/or a Basal Skull Fracture are More Susceptible to Developing Hyponatremia.
Traumatic brain injury (TBI) is a common injury treated at the neurosurgery department. The incidence rate is approximately 3% in the general population and the mortality rate is 25%. The incidence of hyponatremia following TBI is 33%. Hyponatremia is one of the main causes of disability and/or death in TBI patients. This study investigated the epidemiology of hyponatremia following TBI. ⋯ TBI patients with a GCS score ≤8, cerebral edema, and/or a basal skull fracture are particularly prone to developing hyponatremia. These patients require additional treatment that should entail the normalization of serum sodium levels to prevent deterioration of their condition.
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J Neurosurg Anesthesiol · Jan 2016
Biography Historical ArticleIn Memoriam Prof. Dr Med. Thomas Pasch, FRCA.