Emergency neurosurgical care solutions: acute care surgery, regionalization, and the neurosurgeon: results of the 2008 CNS consensus session.

Abstract:

OBJECTIVE:Organized general surgery has recently proposed creation of a new acute care surgery subspecialty to include emergency care of basic neurosurgical and orthopedic surgical problems. Little is known about neurosurgical attitudes toward this proposal and alternative methods of improving access to emergency neurosurgical care. METHODS:During a consensus session at the 2008 Annual Meeting of the Congress of Neurological Surgeons (CNS), electronic data were collected regarding neurosurgeons' attitudes toward acute care surgery, emergency neurosurgical care regionalization, and other regulatory options. RESULTS:Ninety-nine attendees participated in polling, broadly representing private (45%) and academic (34%) practices from all regions of the United States. Eighty-nine percent reported taking emergency calls (75% at least twice per week), with the majority (57%) not receiving a stipend. Only 9% responded that routine emergency cases are frequently transferred from their hospital. The majority (60%) either agreed or strongly agreed that there are problems with neurosurgery emergency coverage in their region. Before the session, 89% were opposed to the acute care surgery initiative as a solution for neurosurgery emergency coverage and 85% favored regionalization of emergency care. Opinions did not change significantly following expert presentations and discussion. CONCLUSION:Neurosurgeons polled during a 2008 CNS consensus session opposed creation of an acute care surgery specialty within general surgery that covers neurosurgical emergencies, but they favored neurosurgical emergency care regionalization. The CNS consensus sessions provide a forum for discussing socioeconomic and professional issues important to neurological surgery and for formulating preliminary information and strategies of use to regulatory stakeholders in addressing these issues.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Byrne RW,Bagan BT,Bingaman W,Anderson VC,Selden NR

doi

10.1227/NEU.0b013e318209cde0

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

1063-7; discussion 1067-8

issue

4

eissn

0148-396X

issn

1524-4040

journal_volume

68

pub_type

共识发展会议,杂志文章
  • Aneurysmal Subarachnoid Hemorrhage: Trends, Outcomes, and Predictions From a 15-Year Perspective of a Single Neurocritical Care Unit.

    abstract:BACKGROUND:Aneurysmal subarachnoid hemorrhage (aSAH) is associated with disproportionally high mortality and long-term neurological sequelae. Management of patients with aSAH has changed markedly over the years, leading to improvements in outcome. OBJECTIVE:To describe trends in aSAH care and outcome in a high-volume ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa465

    authors: Samuels OB,Sadan O,Feng C,Martin K,Medani K,Mei Y,Barrow DL

    更新日期:2020-12-11 00:00:00

  • No justification for cervical disk prostheses in clinical practice: a meta-analysis of randomized controlled trials.

    abstract:OBJECTIVE:A meta-analysis was performed to evaluate whether a beneficial clinical effect of cervical disk prostheses over conventional cervical diskectomy with fusion exists. METHODS:A literature search was completed ending February 4, 2009, that included the abstract books of recent major spine congresses. All studie...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1227/01.NEU.0000369189.09182.5F

    authors: Bartels RH,Donk R,Verbeek AL

    更新日期:2010-06-01 00:00:00

  • Preferential susceptibility of brain tumors to the antiangiogenic effects of an alpha(v) integrin antagonist.

    abstract:OBJECTIVE:Brain tumors are highly angiogenic, and their growth and spread depend on the generation of new blood vessels. We examined the effect of the cyclic peptide antagonist pentapeptide EMD 121974, an antiangiogenic agent, on orthotopic and heterotopic brain tumor growth. METHODS:The human brain tumor cell lines D...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200101000-00026

    authors: MacDonald TJ,Taga T,Shimada H,Tabrizi P,Zlokovic BV,Cheresh DA,Laug WE

    更新日期:2001-01-01 00:00:00

  • Oculomotor nerve repair using interposed nerve graft.

    abstract::A case of interposed nerve graft repair of an oculomotor nerve damaged during surgery for a laterally growing retrosellar pituitary adenoma is reported. The patient showed partial but functionally useful recovery of nerve function and was able to resume professional work. Only a few reports of end-to-end repair have b...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199204000-00020

    authors: Krajewski R

    更新日期:1992-04-01 00:00:00

  • Intraventricular cavernous hemangioma: report of three cases and review of the literature.

    abstract::The clinical and radiographic presentations of 3 patients with intraventricular cavernous hemangioma are described. The accumulated total of 19 cases from the literature are compared to determine whether there is a common clinical and radiographic presentation for this benign intraventricular lesion. The differential ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198502000-00011

    authors: Chadduck WM,Binet EF,Farrell FW Jr,Araoz CA,Reding DL

    更新日期:1985-02-01 00:00:00

  • Effects of cytokines on cultured microvascular endothelial cells derived from gerbil brain.

    abstract::Microvascular endothelial cells were isolated from gerbil brain and cultured. These cells retained an endothelial-specific marker, FVIII-related antigen. Alkaline phosphatase activity was also present in early passage. Two weeks after plating, these cells were attached to the culture dishes and had become like cobbles...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-198909000-00009

    authors: Yoshida S,Minakawa T,Takai N,Tanaka R

    更新日期:1989-09-01 00:00:00

  • Electrophysiological aid in high thoracic sympathectomy for palmar hyperhidrosis.

    abstract::High upper thoracic sympathectomy using microsurgical techniques aided by electrical stimulation of the sympathetic chain is described. Use of the microscope facilitates identification and dissection of the sympathetic chain and minimizes the risk of pleural damage. Electrical stimulation of the sympathetic chain esta...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198903000-00026

    authors: Lindquist C,Fedorcsak I,Steig PE

    更新日期:1989-03-01 00:00:00

  • Ranging accuracy test of the sonic microstereometric system.

    abstract::We have recently introduced a new type of ultrasonic-based, three-dimensional ranging system for the localization of small handheld surgical tools to be used during operation in open stereotactic brain surgery. This targeting system has now been extensively laboratory tested during thousands of measuring cycles with a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199404000-00030

    authors: Horstmann GA,Reinhardt HF

    更新日期:1994-04-01 00:00:00

  • The incidence of adjacent segment disease requiring surgery after anterior cervical diskectomy and fusion: estimation using an 11-year comprehensive nationwide database in Taiwan.

    abstract:BACKGROUND:The incidence of symptomatic adjacent segment disease (ASD) after anterior cervical diskectomy and fusion (ACDF) was reported as 2.9%/y in a previous cohort of 374 patients. Few other data corroborate the incidence and natural history of ASD. OBJECTIVE:To calculate the incidence of ASD after ACDF that requi...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318232d4f2

    authors: Wu JC,Liu L,Wen-Cheng H,Chen YC,Ko CC,Wu CL,Chen TJ,Cheng H,Su TP

    更新日期:2012-03-01 00:00:00

  • Comparison of the mini-open versus laparoscopic approach for anterior lumbar interbody fusion: a retrospective review.

    abstract:OBJECTIVE:The anterior lumbar interbody fusion (ALIF) procedure has become an accepted fusion technique for treating patients with degenerative disorders of the lumbar spine. Many consider laparoscopic ALIF to be the least invasive approach. A modification of the open laparotomy--the "mini-open" approach--is an attract...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200207000-00015

    authors: Kaiser MG,Haid RW Jr,Subach BR,Miller JS,Smith CD,Rodts GE Jr

    更新日期:2002-07-01 00:00:00

  • Percutaneous balloon angioplasty for acute occlusion of intracranial arteries.

    abstract:BACKGROUND:The benefits of intravenous thrombolysis for acute ischemic stroke are still limited. OBJECTIVE:To evaluate the safety and efficacy of double-lumen balloon catheter-based reperfusion therapy with or without intra-arterial thrombolysis for acute occlusion of intracranial arteries. METHODS:Fifty-nine patient...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000380954.29925.CE

    authors: Tokunaga K,Sugiu K,Yoshino K,Terai Y,Imaoka T,Handa A,Hirotsune N,Kusaka N,Date I

    更新日期:2010-09-01 00:00:00

  • Higher cortical disorders: an unusual presentation of an arteriovenous malformation.

    abstract::The authors present a patient with a large arteriovenous malformation in the temperoparietooccipital region of the dominant hemisphere that caused seizures, a homonymous hemianopia, and broad neuropsychological disturbances probably caused by a cerebral steal syndrome. There was no history of hemorrhage. Surgical rese...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198712000-00009

    authors: von Overbeeke JJ,Bosma NJ,Verdonck AF,von Huffelen AC

    更新日期:1987-12-01 00:00:00

  • Ethylene oxide sterilization of bone, dura mater, and fascia lata for human transplantation.

    abstract::The use of allogeneic human bone, dura, and fascia has achieved an enduring and accelerating role in the augmentation of spinal fusions and the repair of skeletal and dural defects. Primary sterilization of these nonviable cadaveric tissues magnifies the potential sources and ensures the microbiological sterility of t...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198005000-00006

    authors: Prolo DJ,Pedrotti PW,White DH

    更新日期:1980-05-01 00:00:00

  • Operation of arteriovenous malformations assisted by stereoscopic navigation-controlled display of preoperative magnetic resonance angiography and intraoperative ultrasound angiography.

    abstract:OBJECTIVE:To study the application of navigated stereoscopic display of preoperative three-dimensional (3-D) magnetic resonance angiography and intraoperative 3-D ultrasound angiography in a clinical setting. METHODS:Preoperative magnetic resonance angiography and intraoperative ultrasound angiography are presented as...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000279232.43202.82

    authors: Unsgaard G,Ommedal S,Rygh OM,Lindseth F

    更新日期:2007-07-01 00:00:00

  • Extended endoscopic endonasal transsphenoidal approach to the suprasellar area: anatomic considerations--part 1.

    abstract:INTRODUCTION:Interest in using the extended endonasal transsphenoidal approach for management of suprasellar lesions, with either a microscopic or endoscopic technique, has increased in recent years. The most relevant benefit is that this median approach permits the exposure and removal of suprasellar lesions without t...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000289708.49684.47

    authors: Cavallo LM,de Divitiis O,Aydin S,Messina A,Esposito F,Iaconetta G,Talat K,Cappabianca P,Tschabitscher M

    更新日期:2007-09-01 00:00:00

  • Changes in the cerebrospinal fluid pulse wave spectrum associated with raised intracranial pressure.

    abstract::The frequency spectrum of the cerebrospinal fluid (CSF) pulse and the amplitude transfer function between arterial and CSF pressures were measured from the cisterna magna of anesthetized, artificially ventilated cats when the intracranial pressure (ICP) was raised by saline infusion. The spectrum of CSF pulsation was ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198703000-00001

    authors: Takizawa H,Gabra-Sanders T,Miller JD

    更新日期:1987-03-01 00:00:00

  • Rupture of intracranial aneurysms during endovascular coiling: management and outcomes.

    abstract:OBJECTIVE:In this study, the incidence, etiologies, and management with respect to clinical outcome of patients with iatrogenic aneurysmal rupture during attempted coil embolization of intracranial aneurysms are reviewed. METHODS:A retrospective analysis was conducted of 274 patients with intracranial aneurysms treate...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200110000-00005

    authors: Levy E,Koebbe CJ,Horowitz MB,Jungreis CA,Pride GL,Dutton K,Kassam A,Purdy PD

    更新日期:2001-10-01 00:00:00

  • Contemporary Analysis of Minimal Clinically Important Difference in the Neurosurgical Literature.

    abstract:BACKGROUND:Minimal clinically important difference (MCID) is determined when a patient or physician defines the minimal change that outweighs the costs and untoward effects of a treatment. These measurements are "anchored" to validated quality-of-life instruments or physician-rated, disease-activity indices. To capture...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa490

    authors: Zervos TM,Asmaro K,Air EL

    更新日期:2020-12-28 00:00:00

  • New head-positioning system for use with computed tomographic scanning.

    abstract::A new head-positioning system has been developed to hold the head firmly during the performance of a computed tomograhic scan and to position the head reproducibly during repeat scans. This can be used to maintain the head in position during long scanning sessions, to relate a lesion to landmarks on scout views, to fo...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198008000-00006

    authors: Kaufman HH,Gildenberg PL

    更新日期:1980-08-01 00:00:00

  • Lumboatrial shunt: case report.

    abstract::Hydrocephalus without ventriculomegaly and pseudotumor cerebri may present special problems in its treatment. Lumboperitoneal shunting, although frequently effective, is not successful in all cases. A lumbar subarachnoid to venous shunt is described as an alternative to lumboperitoneal shunting. A case illustrating it...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198307000-00015

    authors: Friedman P,Gass HH

    更新日期:1983-07-01 00:00:00

  • FLOW 800 allows visualization of hemodynamic changes after extracranial-to-intracranial bypass surgery but not assessment of quantitative perfusion or flow.

    abstract:BACKGROUND:FLOW 800 delivers a color-coded map for snapshot visualization of the temporal distribution dynamics after indocyanine green angiography with post hoc calculation of FLOW 800-specific hemodynamic parameters. However, the value of these parameters regarding quantitative flow assessment remains unclear. OBJEC...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000277

    authors: Prinz V,Hecht N,Kato N,Vajkoczy P

    更新日期:2014-06-01 00:00:00

  • Angiogenesis and gliomas: current issues and development of surrogate markers.

    abstract::Despite significant improvements, current therapies have yet to cure infiltrative gliomas. Glioma progression is strongly dependent on the development of a new vascular network that occurs primarily by angiogenesis. Hypoxia and genetic anomalies within a glioma trigger the angiogenic switch, thus upregulating angiogen...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000311060.65002.4E

    authors: Jouanneau E

    更新日期:2008-01-01 00:00:00

  • Pediatric pituitary tumors.

    abstract::This retrospective review of pediatric patients with pituitary tumors causing onset of symptoms by 17 years of age was done to define their pathological distribution, clinical presentation, treatment, and prognosis. Eighteen patients were evaluated and treated from 1979 to 1989. Five had Cushing's disease and 13 had p...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199110000-00004

    authors: Haddad SF,VanGilder JC,Menezes AH

    更新日期:1991-10-01 00:00:00

  • Successful separation of craniopagus parasiticus.

    abstract:OBJECTIVE:Craniopagus parasiticus is an extremely rare condition. The first attempt to separate such twins was performed in the Dominican Republic in 2004. The infant died 7 hours after surgery. The aim of this report is to present a case in which surgical separation was successfully performed on February 18, 2005. In ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000245587.23710.A6

    authors: Lotfy M,Sakr SA,Ayoub BM

    更新日期:2006-11-01 00:00:00

  • Neuroprotection with intraventricular brain-derived neurotrophic factor in rat venous occlusion model.

    abstract:BACKGROUND:The increasing number of neurosurgical procedures for elderly patients and the development of skull base neurosurgery have increased interest in cerebral venous injury that might occur in a neurosurgical setting. Brain-derived neurotrophic factor (BDNF) may have neuroprotective effects against cerebral venou...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31820c048e

    authors: Takeshima Y,Nakamura M,Miyake H,Tamaki R,Inui T,Horiuchi K,Wajima D,Nakase H

    更新日期:2011-05-01 00:00:00

  • Stereotactic radiosurgery in the treatment of metastatic disease to the brain.

    abstract:OBJECTIVE:In recent years, stereotactic radiosurgery has been growing in popularity as a treatment modality for metastatic disease to the brain. The technique has advantages of reduced cost and low morbidity compared with open surgical treatment. Furthermore, it avoids the potential cognitive side effects of fractionat...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200008000-00003

    authors: Chen JC,Petrovich Z,O'Day S,Morton D,Essner R,Giannotta SL,Yu C,Apuzzo ML

    更新日期:2000-08-01 00:00:00

  • Abducens nerve palsy after radiofrequency rhizolysis for trigeminal neuralgia: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Abducens nerve palsy is a rare and reversible complication associated with percutaneous radiofrequency trigeminal rhizolysis. CLINICAL PRESENTATION:An 86-year-old man developed an abducens nerve palsy immediately after undergoing percutaneous radiofrequency trigeminal rhizolysis for severe tri...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199809000-00134

    authors: Harrigan MR,Chandler WF

    更新日期:1998-09-01 00:00:00

  • Microtrauma in the lumbar spine: a cause of low back pain.

    abstract::Excessive mechanical stress on the intervertebral disc may be one of the causes of low back pain. Most studies testing this thesis, however, have been based on quantification of the mechanical response of functional units at failure. Typically, radiography is used to demonstrate trauma to the vertebral body at the fai...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198808000-00006

    authors: Yoganandan N,Maiman DJ,Pintar F,Ray G,Myklebust JB,Sances A Jr,Larson SJ

    更新日期:1988-08-01 00:00:00

  • Functional magnetic resonance imaging and diffusion tensor tractography incorporated into an intraoperative 3-dimensional ultrasound-based neuronavigation system: impact on therapeutic strategies, extent of resection, and clinical outcome.

    abstract:BACKGROUND:Functional neuronavigation with intraoperative 3-dimensional (3D) ultrasound may facilitate safer brain lesion resections than conventional neuronavigation. OBJECTIVE:In this study, functional magnetic resonance imaging (fMRI) and diffusion tensor tractography (DTT) were used to map eloquent areas. We asses...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000371731.20246.AC

    authors: Berntsen EM,Gulati S,Solheim O,Kvistad KA,Torp SH,Selbekk T,Unsgård G,Håberg AK

    更新日期:2010-08-01 00:00:00

  • Familial cerebral aneurysms: a study of 13 families.

    abstract::Despite the recent interest in familial cerebral aneurysms, the epidemiology, natural history, pattern of inheritance, screening of asymptomatic relatives, and the search for a biochemical marker remain problematic. To assess these issues, we report the results of our prospective study of 30 patients with 38 aneurysms...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199510000-00005

    authors: Leblanc R,Melanson D,Tampieri D,Guttmann RD

    更新日期:1995-10-01 00:00:00