Update on anesthetic neuroprotection
“The evidence of benefit of current strategies remains sparse.” Zwerus et al, The Netherlands. Current Opinions in Anesthesiology, 2015 Aug. Read abstract from the article here.
Author: AC. Feyling
Head consultant, neuroanesthesiology Ullevaal
SSAI Diploma Pediatric Anesthesia and Intensive Care
Oslo University Hospital, Ullevaal
Update on anesthesia for craniotomy
“…update on the relationship between anesthesia and intraoperative hemodynamic complications, early postanesthesia recovery, postoperative pain and postoperative nausea and vomiting after craniotomy.” Bigotta et al, Italy. Current Opinion in Anesthesiology, 2013 Oct. Abstract available here.
Neuroanesthesiology update
Nice reading from Pasternak et al. Journal of Neurosurgical Anesthesiology, 2014 Apr. Read the abstract here.
Age-specific CPP thresholds in children with TBI
“…evidence that cerebral perfusion pressure targets should be age specific.” Age-specific cerebral perfusion pressure thresholds and survival in children and adolescents with severe traumatic brain injury. Allen et al, USA. Pediatric Critical Care Medicine, 2014 Jan. Read the findings from this observational cohort study i full here.
Lungs, peep and TBI
“…PEEP has no significant effect on cerebral and systemic hemodynamics…” Interesting reading about the effects of peep ! Effects of PEEP on the intracranial system of patients with head injury and subarachnoid hemorrhage: the role of respiratory system compliance. Caricato et al, Italy. The Journal of Trauma, 2005 Mar. Abstract available here.
Ketamine and ICP.
We can use ketamine in patients with traumatic brain injury… The ketamine effect on ICP in traumatic brain injury. Zeiler et al, Canada. Neurocritical Care, 2014 Aug. Access the abstract here.
Cricoid pressure?
“Cricoid pressure is contraindicated in patients with suspected cricotracheal injury, active vomiting, or unstable cervical spine injuries.” Cricoid pressure: indications and complications. Landsman, USA. Paediatic Anaesthesia, 2004 Jan. Abstract available here.
RSI and pediatric patients !
“The author recommends a controlled anesthesia induction by trained pediatric anesthesiologist with suitable equipment for the children considered at risk of pulmonary aspiration.” Rapid sequence induction has no use in pediatric anesthesia. Engelhard, UK. Paediatric Anaesthesia, 2015 Jan. Read the abstract from the review article here.
Perioperative management of the pediatric patient with TBI
“This manuscript reviews the current evidence-based medicine regarding the care of pediatric patients with TBI as it relates to the perioperative care of such patients.” Perioperative management of the pediatric patient with traumatic brain injury. Bhalla et al, USA. Paediatric Anaesthesia, 2012 Jul. Read the abstract here.
Update on the 2012 TBI pediatric guidelines…
Update on the 2012 guidelines for the management of pediatric traumatic brain injury – information for the anesthesiologist. Hardcastle et al, USA. Pediatric Anastasia, 2014 Jul. Read more here.
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