Articles: general-anesthesia.
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Journal of neurosurgery · Nov 2022
Preservation of language function by mapping the arcuate fasciculus using intraoperative corticocortical evoked potential under general anesthesia in glioma surgery.
Intraoperative language mapping under general anesthesia is imperative for brain tumor surgery because awake surgery is not always feasible. Monitoring corticocortical evoked potential (CCEP) is known to be a useful method for tracking neuronal connectivity and localizing functional areas. The authors evaluated the clinical benefit of intraoperative CCEP monitoring for language function preservation in patients undergoing glioma surgery. ⋯ Intraoperative CCEP monitoring of the arcuate fasciculus is an acceptable technology for the preservation of language function under general anesthesia in glioma surgery in patients in whom awake surgery is not feasible.
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Case Reports
Knotting together of gastric and tracheal tubes inserted under general anesthesia: A CARE-compliant case report.
Gastric tube implantation is a routine part of preoperative preparation. Indwelling gastric tubes in patients under general anesthesia maintain gastrointestinal decompression and prevent gastrointestinal expansion. ⋯ We recommend that the gastric tube be intubated first before insertion of the endotracheal tube, and visualization tools should be used in time if the insertion of the gastric tube is unsuccessful.