Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Oct 2019
Retrospective Analysis of Perioperative Variables Associated With Postoperative Delirium and Other Adverse Outcomes in Older Patients After Spine Surgery.
The aim of this retrospective study was to identify perioperative variables predictive of the development of delirium in older surgical patients after spine surgery. ⋯ Postoperative delirium is a common complication in older patients after spine surgery, and there are several perioperative risk factors associated with its development.
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J Neurosurg Anesthesiol · Oct 2019
The Effect of Fluid Loading and Hypertonic Saline Solution on Cortical Cerebral Microcirculation and Glycocalyx Integrity.
Fluid loading and hyperosmolar solutions can modify the cortical brain microcirculation and the endothelial glycocalyx (EG). This study compared the short-term effects of liberal fluid loading with a restrictive fluid intake followed by osmotherapy with hypertonic saline (HTS) on cerebral cortical microcirculation and EG integrity in a rabbit craniotomy model. ⋯ Liberal fluid loading was associated with altered cortical cerebral microcirculation and EG integrity parameters. The 3.2% saline treatment did not affect cortical cerebral microcirculation or EG integrity markers.