Neuroanesthesiology Update

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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Update in Neuroanesthesia—An Anesthesiology Clinics Issue Affiliated with SNACC

Kofke

Armstead

Gupta

et al. 2016

Anesthesiology Clinics

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Neuroanesthesiology Update

Pasternak

Lanier

2017

Journal of Neurosurgical Anesthesiology

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Perioperative Care for Pediatric Patients With Penetrating Brain Injury: A Review

Mikhael

Frost

Cristancho

2018

Journal of Neurosurgical Anesthesiology

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Traumatic brain injury (TBI) continues to be the leading cause of death and acquired disability in young children and adolescents, due to blunt or penetrating trauma, the latter being less common but more lethal. Penetrating brain injury (PBI) has not been studied extensively, mainly reported as case reports or case series, due to the assumption that both types of brain injury have common pathophysiology and consequently common management. However, recommendations and guidelines for the management of PBI differ from those of blunt TBI in regards to neuroimaging, intracranial pressure (ICP) monitoring, and surgical management including those pertaining to vascular injury. PBI was one of the exclusion criteria in the second edition of guidelines for the acute medical management of severe TBI in infants, children, and adolescents that was published in 2012 (it is referred to as "pediatric guidelines" in this review). Many reviews of TBI do not differentiate between the mechanisms of injury. We present an overview of PBI, its presenting features, epidemiology, and causes as well as an analysis of case series and the conclusions that may be drawn from those and other studies. More clinical trials specific to penetrating head injuries in children, focusing mainly on pathophysiology and management, are needed. The term PBI is specific to penetrating injury only, whereas TBI, a more inclusive term, describes mainly, but not only, blunt injury.

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Neuroanesthesiology Update

Cited by 5 publications

References 229 publications

Update in Neuroanesthesia—An Anesthesiology Clinics Issue Affiliated with SNACC

Update in Neuroanesthesia—An Anesthesiology Clinics Issue Affiliated with SNACC

Neuroanesthesiology Update

Perioperative Care for Pediatric Patients With Penetrating Brain Injury: A Review

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