Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Jan 2019
Multicenter StudyOutcomes of Anesthesia Selection in Endovascular Treatment of Acute Ischemic Stroke.
The association between anesthesia type and outcomes in patients with acute ischemic stroke undergoing endovascular treatment (EVT) remains a subject of ongoing debate. ⋯ The data indicated that the selection of GA or CS during EVT had no impact on the independent outcomes of patients with anterior circulation occlusion.
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J Neurosurg Anesthesiol · Jan 2019
Analgesia Nociception Index Monitoring During Supratentorial Craniotomy.
Objective monitoring of pain during and after surgery has been elusive. Recently, Analgesia Nociception Index (ANI) monitor based on the high frequency component of heart rate variability has been launched into clinical practice. We monitored analgesia during craniotomy using ANI monitor and compared it with cardiovascular parameters and response entropy (RE) of entropy monitor. ⋯ In neurosurgical patients undergoing elective supratentorial craniotomy, ANI measures response to noxious stimuli with at least as much reliability as hemodynamic variables and changes in ANI parallel the changes in HR and MAP. ANI is superior to RE for measurement of response to noxious stimuli.
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J Neurosurg Anesthesiol · Jan 2019
Letter Case ReportsPneumothorax Following Rib Graft: An Atypical Presentation.