Anesthetic Management of Brain-dead Adult and Pediatric Organ Donors: The Harborview Medical Center Experience.

abstract：:Although cerebral monitoring during CPB remains primarily investigational, recent data support its clinical utility. In particular, it is cerebral metabolic monitoring that provides meaningful information in terms of preparing the brain for dhCPB and dhCA. Cerebral blood flow or cerebral blood flow velocity monitoring...

journal_title：Journal of neurosurgical anesthesiology

authors： Kern FH,Schell RM,Greeley WJ

更新日期：1993-07-01 00:00:00

abstract：:Because deliberate hypothermia is becoming commonly used during neurosurgery, this study was performed to investigate the effects of a progressive reduction of body core temperature (T) on whole body oxygenation variables in patients undergoing elective intracranial surgery. In 13 patients (Hypothermic Group), T was r...

journal_title：Journal of neurosurgical anesthesiology

authors： Bacher A,Illievich UM,Fitzgerald R,Ihra G,Spiss CK

更新日期：1997-07-01 00:00:00

abstract：BACKGROUND:The main target site of action for the sedative clonidine (CLO), an α2 adrenoceptor agonist, has been considered to be the locus coeruleus (LC). However, previous reports suggest other sites of action of CLO than the LC. Our previous studies suggested that the neuronal activities in the perifornical area (Pe...

journal_title：Journal of neurosurgical anesthesiology

authors： Sakamoto H,Fukuda S,Minakawa Y,Sawamura S

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:Cognitive training is beneficial in various clinical settings, although its perioperative feasibility and impact remain unknown. The objective of this pilot study was to determine the feasibility of home-based cognitive prehabilitation before major surgery in older adults. MATERIALS AND METHODS:Sixty-one pa...

journal_title：Journal of neurosurgical anesthesiology

authors： Vlisides PE,Das AR,Thompson AM,Kunkler B,Zierau M,Cantley MJ,McKinney AM,Giordani B

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Chronic pain of nonmalignant origin requires effective long-term treatments, as for many patients pain management will be necessary throughout the rest of their lives. Intrathecal drug delivery systems (IDDS) have become a recognized therapy for the management of severe and otherwise intractable chronic pain...

journal_title：Journal of neurosurgical anesthesiology

authors： Duarte RV,Raphael JH,Sparkes E,Southall JL,LeMarchand K,Ashford RL

更新日期：2012-01-01 00:00:00

abstract：:The clinical effects, recovery characteristics, and costs of total intravenous anesthesia (TIVA), sevoflurane, and isoflurane anesthesia have been measured in various out-patient operations, but have not been evaluated in patients undergoing laminectomy or discectomy. In the current study, the authors assessed the hem...

journal_title：Journal of neurosurgical anesthesiology

authors： Ozkose Z,Ercan B,Unal Y,Yardim S,Kaymaz M,Dogulu F,Pasaoglu A

更新日期：2001-10-01 00:00:00

abstract：:The function of the central nervous system-and other organs-depends upon preservation of ionic gradients across cell membranes. In nervous tissue, the ion gradients are especially important since generation of action potentials and synaptic processes relies on transfer of ions across the plasma membrane. This report d...

journal_title：Journal of neurosurgical anesthesiology

authors： Hansen AJ,Lundbaek JA

更新日期：1989-12-01 00:00:00

abstract：:The use of sevoflurane is favored for its rapid onset and offset of anesthesia as well as good intraoperative titratability of the anesthetic. With regard to neuroanesthesia, the reported effects of sevoflurane on cerebral hemodynamics and cerebrospinal fluid dynamics are inconsistent. We used phase-contrast magnetic ...

journal_title：Journal of neurosurgical anesthesiology

authors： Kolbitsch C,Lorenz HI,Hörmann C,Schocke M,Felber S,Zschiegner F,Pfeiffer PK,Benzer A

更新日期：2000-10-01 00:00:00

abstract：:The affect of L-644,711, an anion transport inhibitor, on ischemic brain injury and edema was investigated. Spontaneously hypertensive rats were given one of the following doses of intrathecal L-644,711 during 180 min of middle cerebral artery occlusion and 120 min of reperfusion: control, vehicle only; dose I, 100 mi...

journal_title：Journal of neurosurgical anesthesiology

authors： Cole DJ,Ghazal EA,Osborne TN

更新日期：1991-12-01 00:00:00

abstract：:Seizures are a common occurrence in the intensive care unit (ICU). The presentation of seizures is usually as focal or generalized motor convulsions, but other seizure types may occur. Etiologies of the seizures are typically secondary either to primary neurologic pathology or a consequence of critical illness and cli...

journal_title：Journal of neurosurgical anesthesiology

authors： Varelas PN,Mirski MA

更新日期：2001-04-01 00:00:00

abstract：:Clearance of valproic acid from brain tissue is believed to occur via a carrier-mediated system(s). The present study was designed to determine whether clearance was capacity-limited (saturable) and whether it occurred primarily at the choroid plexus. Ten rabbits were anesthetized with halothane and surgically prepare...

journal_title：Journal of neurosurgical anesthesiology

authors： Artru AA,Adkinson KD,Powers KM,Shen DD

更新日期：1994-07-01 00:00:00

abstract：BACKGROUND:Remifentanil is an ultrashort-acting µ-opioid receptor agonist and is especially suitable for neuroanesthesia. We previously reported that general anesthesia with remifentanil for brain tumor resection was associated with lower postoperative mortality and shorter postoperative length of stay (LOS) when compa...

journal_title：Journal of neurosurgical anesthesiology

authors： Uchida K,Yasunaga H,Sumitani M,Horiguchi H,Fushimi K,Yamada Y

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Prolongation of the interval from the peak to the end of the T wave (Tp-Te) on a 12-lead electrocardiogram (ECG) is associated with ventricular arrhythmias. The aim of this study was to clarify associations between Tp-Te, Tp-Te/QT, and Tp-Te/rate-corrected QT (QTc) with clinical severity of subarachnoid hemo...

journal_title：Journal of neurosurgical anesthesiology

authors： Komatsuzaki M,Takasusuki T,Kimura Y,Yamaguchi S

更新日期：2021-01-01 00:00:00

abstract：:The effect of the calcium blocker nimodipine on the cerebral blood flow (CBF) and cerebral autoregulatory responses was examined in seven fentanyl/N2O/anesthetized pigs. CBF was measured continuously from the sagittal sinus by a venous outlet flow technique. Cerebral autoregulation tests were performed before, after 3...

journal_title：Journal of neurosurgical anesthesiology

authors： Stånge K,Lagerkranser M,Sollevi A

更新日期：1994-04-01 00:00:00

abstract：BACKGROUND:Postoperative nausea and vomiting (PONV) is common after general anesthesia and are reported by approximately 20% to 25% of all patients and up to 39% of patients undergoing neurosurgical procedures. The most common standard prophylaxis is a single application of 4 mg of dexamethasone before initiating anest...

journal_title：Journal of neurosurgical anesthesiology

authors： Burkhardt T,Rotermund R,Schmidt NO,Kiefmann R,Flitsch J

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:We compared the effect of propofol and sevoflurane combined with remifentanil under comparable bispectral index (BIS) levels on transcranial electric motor-evoked potentials (TceMEPs) and somatosensory-evoked potentials (SSEPs) during brainstem surgery. MATERIALS AND METHODS:A total of 40 consecutive patien...

journal_title：Journal of neurosurgical anesthesiology

authors： Hernández-Palazón J,Izura V,Fuentes-García D,Piqueras-Pérez C,Doménech-Asensi P,Falcón-Araña L

更新日期：2015-10-01 00:00:00

abstract：:This experiment was designed to study the effect of progressively increasing blood propofol concentrations on cerebral blood flow (CBF), cerebral metabolic rate for oxygen (CMRO2), and the electroencephalogram (EEG). Nine New Zealand White rabbits were anesthetized with morphine (10 mg kg bolus and 2 mg/kg/h infusion)...

journal_title：Journal of neurosurgical anesthesiology

authors： Ramani R,Todd MM,Warner DS

更新日期：1992-04-01 00:00:00

abstract：:Stereotactically guided procedures are performed for an ever extending range of conditions. They present a unique anesthetic challenge. In our institution, a standardized anesthetic protocol for total intravenous anesthesia (TIVA) augmented by electrophysiologic monitoring with BIS or AEP monitors was introduced. We c...

journal_title：Journal of neurosurgical anesthesiology

authors： Dagtekin O,Berlet T,Delis A,Kampe S

更新日期：2007-01-01 00:00:00

abstract：:Disseminated intravascular coagulation (DIC) is reported in neurosurgical patients; however, the incidence of DIC after craniotomy procedures is unknown. Using a surgical database, we identified 3164 patients who underwent primary craniotomy at Mayo Clinic Rochester between January 1, 2000 and December 31, 2004. Poten...

journal_title：Journal of neurosurgical anesthesiology

authors： Pasternak JJ,Hertzfeldt DN,Stanger SR,Walter KR,Werts TD,Marienau ME,Lanier WL

更新日期：2008-01-01 00:00:00

abstract：:The aim of this study was to determine the influence of acute and chronic ethanol treatment on neurological outcome following head trauma in rats. Eight-two Sprague-Dawley rats were divided into 10 groups. Four groups received sham head trauma (surgical incision of the scalp but no trauma) and were treated with (A) no...

journal_title：Journal of neurosurgical anesthesiology

authors： Shapira Y,Lam AM,Paez A,Artru AA,Laohaprasit V,Donato T

更新日期：1997-04-01 00:00:00

abstract：BACKGROUND:Microdialysis is used to determine the concentrations of substances in the extracellular fluid of tissues. To date, it has not been used to measure rocuronium concentrations in human muscle. We determined the ability of microdialysis to recover rocuronium from muscle interstitial tissue for the purpose of as...

journal_title：Journal of neurosurgical anesthesiology

authors： Fernández-Candil J,Gambús PL,Trocóniz IF,Valero R,Carrero E,Fábregas N

更新日期：2010-04-01 00:00:00

abstract：INTRODUCTION:Crippling postoperative pain linked with lumbar discectomies not only shackles patient's normal daily activities but also lengthens their hospital stay. So, allaying postoperative pain in these patients has become a substantive component in neuroanesthesia to expedite neurological recovery. Wound infiltrat...

journal_title：Journal of neurosurgical anesthesiology

authors： Mitra S,Purohit S,Sharma M

更新日期：2017-10-01 00:00:00

abstract：:Postoperative nausea and vomiting (PONV) are frequent and distressing complications after neurosurgical procedures. We evaluated the efficacy of ondansetron and granisetron to prevent PONV after supratentorial craniotomy. In a randomized double-blind, placebo controlled trial, 90 adult American Society of Anesthesiolo...

journal_title：Journal of neurosurgical anesthesiology

authors： Jain V,Mitra JK,Rath GP,Prabhakar H,Bithal PK,Dash HH

更新日期：2009-07-01 00:00:00

abstract：:We present a retrospective review of the perioperative management and complications of 102 cases of acoustic neuroma operated on at an English teaching hospital over the last 9 years. Nine patients had a bulbar palsy postoperatively; five of those patients developed pulmonary complications. A bulbar palsy was more lik...

journal_title：Journal of neurosurgical anesthesiology

authors： Duane DT,Howard SJ,Kraayenbrink M

更新日期：1997-07-01 00:00:00

abstract：:We report an unusual case of fatal intracranial hypertension following tracheostomy due to the obstruction of the internal jugular veins (left side: thrombosis after central venous cannulation, right side: hypoplastic vein) and their collaterals. Principal cerebral outflow through the internal jugular veins can be sub...

journal_title：Journal of neurosurgical anesthesiology

authors： Schummer W,Schummer C,Niesen WD

更新日期：2002-10-01 00:00:00

abstract：:Levels of jugular blood oxygen saturation (SjvO2) and lactate have been proposed as indicators of cerebral ischemia and prognosis. However, sensitivity and specificity of these markers remain unknown. We retrospectively analyzed records of a series of 43 comatose patients at risk for cerebral ischemia, mainly after he...

journal_title：Journal of neurosurgical anesthesiology

authors： Artru F,Dailler F,Burel E,Bodonian C,Grousson S,Convert J,Renaud B,Perret-Liaudet A

更新日期：2004-07-01 00:00:00

abstract：:Patients receiving anticonvulsants such as phenytoin or carbamazepine may be resistant to neuromuscular blocking agents. The authors report the response to rapacuronium bromide (1.5 mg/kg) in two adult patients; one receiving phenytoin and the other receiving carbamazepine. In both patients, there was a delay in achie...

journal_title：Journal of neurosurgical anesthesiology

authors： Tobias JD,Johnson JO

更新日期：2001-07-01 00:00:00

abstract：:Olprinone is a promising new drug used for treating cerebral vasospasm. To clarify the effects of olprinone on systemic and cerebral circulation in patients with subarachnoid hemorrhage, hemodynamic and oxygenation parameters were evaluated as 12 such patients underwent surgery. After aneurysm clipping and confirmatio...

journal_title：Journal of neurosurgical anesthesiology

authors： Sato K,Yoshimoto A

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Muscle relaxants are prescribed routinely for patients undergoing general anesthesia, but the requirement for paralysis in spinal surgery is unclear. This study compared the operating conditions of general anesthesia with and without a muscle relaxant on spinal surgery patients. METHODS:Eighty-six adults wh...

journal_title：Journal of neurosurgical anesthesiology

authors： Li YL,Liu YL,Xu CM,Lv XH,Wan ZH

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Hyperosmolar solutions have been used in neurosurgery to modify brain bulk and prevent neurological deterioration. The purpose of the study was to compare the effects of equivolume, equiosmolar solutions of mannitol and hypertonic saline (HTS) on brain relaxation and postoperative complications in patients u...

journal_title：Journal of neurosurgical anesthesiology

authors： Dostal P,Dostalova V,Schreiberova J,Tyll T,Habalova J,Cerny V,Rehak S,Cesak T

更新日期：2015-01-01 00:00:00