Journal of neurosurgical anesthesiology
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The 2007 literature pertaining to perioperative care of neurosurgical patients contains a wealth of articles. In this review, we provide a synopsis of common themes and unique contributions that are relevant to the care of patients with neurologic disorders who require either neurosurgical intervention or care in a neurosurgical-based intensive care unit.
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A positive correlation between brain temperature and intracranial pressure (ICP) has been proposed for patients under intensive care conditions. ⋯ These data do not support the notion of a clinically useful correlation between brain temperature and ICP.
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J Neurosurg Anesthesiol · Apr 2008
Predictors of difficult intubation in patients with cervical spine limitations.
Cervical spine function is of paramount importance to the management of the airway. What has not been reported in the literature is a systematic analysis of airway management in patients with cervical spine limitation (CSL) compared with their normal counterparts or a predictive model of difficult intubation (DI) in patients with CSL. ⋯ Limitations of cervical spine mobility are relatively common and increase the incidence of difficulty throughout the spectrum of airway management. DI should be anticipated in CSL patients who are > or =48 years old, have a Mallampati class 3 or 4, and a thyromental distance of <6 cm.