Neuroanesthesiology Update

Pasternak, Jeffrey J.; Lanier, William L.

doi:10.1097/ana.0b013e31824a8152

Cited by 5 publications

(3 citation statements)

References 259 publications

(150 reference statements)

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“…Moreover, the real impact on the final and the long-term outcome of neurological patients remains unclear, even if the preliminary but incomplete results seem to be interesting and convincing regarding a potential recommendation of the systematic use of neuro-monitoring [30] [31]. Monitoring of the central temperature, arterial and cerebral perfusion pressure, end tidal CO2, sequential arterial blood gas sampling, glycaemia follow-up, and, of course, monitoring of intracranial pressure (ICP) are currently recommended and always form part of CNS management, to maintain homeostasis, which indirectly preserves either the metabolism or function [33]. Therefore, multimodal neuro-monitoring must be a complement and not a replacement of what exists to achieve innovative solutions [33].…”

Section: Multimodal Neuro-monitoring In Addition To the Usual Measurementioning

confidence: 99%

“…Monitoring of the central temperature, arterial and cerebral perfusion pressure, end tidal CO2, sequential arterial blood gas sampling, glycaemia follow-up, and, of course, monitoring of intracranial pressure (ICP) are currently recommended and always form part of CNS management, to maintain homeostasis, which indirectly preserves either the metabolism or function [33]. Therefore, multimodal neuro-monitoring must be a complement and not a replacement of what exists to achieve innovative solutions [33]. Until relatively recently, ICP remains a cornerstone in our practice when the brain is damaged [33]- [36].…”

Section: Multimodal Neuro-monitoring In Addition To the Usual Measurementioning

confidence: 99%

“…Therefore, multimodal neuro-monitoring must be a complement and not a replacement of what exists to achieve innovative solutions [33]. Until relatively recently, ICP remains a cornerstone in our practice when the brain is damaged [33]- [36]. Following the Monro-Kellie principle, the increase of intracranial volumes may result in brain herniation, reduction of cerebral blood flow (CBF), and of course, the rise of ICP is related to increased disability and mortality [37].…”

Section: Multimodal Neuro-monitoring In Addition To the Usual Measurementioning

confidence: 99%

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Monitoring Brain and Spinal Cord Metabolism and Function

Pandin¹,

Renard²,

Bianchini³

et al. 2014

OJAnes

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Monitoring the metabolism and function of the central nervous system not only is an old idea but also is a topic that is of increasing interest to the technological evolution. Beside the optimization of cerebral and spinal cord perfusion and the preservation of vasoreactivity to ensure the viability of cerebral tissues and structures, we want to know more and more about the real intimate situation of these organs in real time at the patient's bedside. To this end, several tracks have been explored during the two last decades, leading to the development of numerous concepts and the conception of various monitoring systems. One of the main problems is to characterize the respective strong points and weaknesses of those ones and to conclude regarding their individual relevance and value in current clinical practice. It is more and more clear that the combination of different categories of monitoring is a way to try to find the most valuable technological compromise, to increase the chance of prediction or of early detection of intercurrent deleterious events corresponding to the concept of multimodality. The intraoperative period and the intensive care goals and targets are appreciably different. This is the reason for the attempt to define different and distinct sets of goals and targets for the intraoperative anesthetic setting and for the intensive care unit.

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Section: Multimodal Neuro-monitoring In Addition To the Usual Measurementioning

confidence: 99%

Section: Multimodal Neuro-monitoring In Addition To the Usual Measurementioning

confidence: 99%

Section: Multimodal Neuro-monitoring In Addition To the Usual Measurementioning

confidence: 99%

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Monitoring Brain and Spinal Cord Metabolism and Function

Pandin¹,

Renard²,

Bianchini³

et al. 2014

OJAnes

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Risk factors for post-operative respiratory failure among 94,621 neurosurgical patients from 2006 to 2013: a NSQIP analysis

et al. 2016

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Update in Neuroanesthesia—An Anesthesiology Clinics Issue Affiliated with SNACC

Kofke

Armstead

Gupta

et al. 2016

Anesthesiology Clinics

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Neuroanesthesiology has a long history as the essence of the practice of anesthesiology, altering the brain to allow surgery and supporting systemic physiology to support the brain. As such, the field has evolved significantly from the era of finger on the pulse and giving urea for intraoperative brain edema. We have dealt with many historic issues, which have included induced hypotension, venous air embolism, circulatory arrest, neuroprotection, measurement and maintenance of cerebral and spinal cord blood flow, neural mechanisms of anesthesia, pain management, and neurotoxicity. Many of these transitions have been well reviewed in two historical pieces on the history of Society for Neuroscience in Anesthesiology and Critical Care (SNACC), one by Albin at 25 years 1 and one by Kofke at 40 years of SNACC. 2 This history indicates that the field is serially changing as well, demonstrated by a series of annual reviews by Pasternak and Lanier, [3][4][5][6][7][8][9][10][11][12][13] such that periodic reviews such as this issue of Anesthesiology Clinics are needed and welcomed.This issue of Anesthesiology Clinics provides a timely update of several topics relevant to Neuroanesthesiology. Notably, all of the authors are members of the SNACC, and all of the editors are present or past members of the SNACC board of directors. Although the issue has not undergone review for formal endorsement by SNACC, it is nonetheless justifiably considered to be SNACC affiliated with approval of the SNACC board of directors for this designation.This work is published in collaboration with the Society for Neuroscience in Anesthesiology and Critical Care.

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Neuroanesthesiology Update

Cited by 5 publications

References 259 publications

Monitoring Brain and Spinal Cord Metabolism and Function

Monitoring Brain and Spinal Cord Metabolism and Function

Risk factors for post-operative respiratory failure among 94,621 neurosurgical patients from 2006 to 2013: a NSQIP analysis

Update in Neuroanesthesia—An Anesthesiology Clinics Issue Affiliated with SNACC

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