Neuroanesthesiology Update

Abstract

This survey provides a synopsis of new findings, recurring themes, and data that may initiate practice changes in the perioperative care of neurosurgical patients and critically ill patients with neurological diseases.

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

“…According to this analysis of the NSQIP database, the occurrence of PRF decreased significantly from 2006 to 2013. Although the exact causes of this decrease are unknown and cannot be determined by an analysis of NSQIP alone, several factors have been proposed, including the role of non-invasive ventilation peri-operatively, improvements in neuroanesthesia, and a more robust literature discussion on PRF during the years in question [29][30][31][32][33][34][35][36][37][38][39][40].…”

Emergency Neurological Life Support: Traumatic Spine Injury

“…Therefore, medications that further diminish the catecholamine surge may result in exacerbation of hypotension and bradycardia [25,26]. Tracheal or laryngeal manipulation can also stimulate a bradycardic response in these patients, as can any degree of hypoxia [27,28].…”

Prevention and Treatment of Postoperative Pain after Lumbar Spine Procedures: A Systematic Review

“…Clinical relevance of optimal pain management in these patients is further complicated by the risk for postoperative worsening of symptoms as a consequence of chronic abuse of analgesics . Furthermore, in this setting, postoperative pain control is one of the major determinants of the quality of health care delivered, and it can contribute to improved functional recovery, facilitation of early mobilization and rehabilitation, and efficient resource utilization . As lumbar surgery procedures continue to grow, so will the number of patients suffering from failed back surgery syndrome .…”