From our quality-focused colleagues at the Society for Neuroscience in Anesthesiology and Critical Care (SNACC) comes this set of guidelines for management of the most common emergencies encountered in neuroanaesthetic practice. Conceived with the purpose of addressing complex emergent issues in a concise, goal-directed and simplified manner, these cognitive aids are clear-cut and based on… Continue reading SNACC – How to Handle Neuroanaesthetic Emergencies
Systematic review, Cochrane march 2016. Li et al. Intraoperative mild hypothermia for postoperative neurological deficits in people with intracranial aneurysm. The authors did not identify any reliable evidence to support the routine use of intraoperative mild hypothermia. Read more here.
“There was no difference in the incidence of impairment between hypothermic and normothermic groups” Abstract: Effects of intraoperative hypothermia on neuropsychological outcomes after intracranial aneurysm surgery. Ann Neurol 2006. Anderson et al.
Free full-text via PubMed at: Intraoperative Hypothermia for Aneurysm Surgery Trial (IHAST) Investigators. Mild intraoperative hypothermia during surgery for intracranial aneurysm. Todd et al. NEJM 2005. “Intraoperative hypothermia did not improve the neurologic outcome after craniotomy among good-grade patients with aneurysmal subarachnoid haemorrhage”
“Adenosine cardiac arrest is a relatively novel method for decompression of intracranial aneurysms to facilitate clip application. With appropriate safety precautions, it is a reasonable alternative method when temporary clipping of proximal vessels is not desirable or not possible” Abstract from the Journal of Neurosurgical Anaesthesiology. 2011: Adenosine-induced transient asystole for intracranial aneurysm surgery: a retrospective… Continue reading Adenosine-induced transient asystole for intracranial aneurysm surgery: a retrospective review
Abstract: Bebawy JF, Gupta DK, Bendok BR, Hemmer LB, Zeeni C, Avram MJ, Batjer HH, Koht A. Adenosine-induced flow arrest to facilitate intracranial aneurysm clip ligation: dose-response data and safety profile. Anesth Analg. 2010.
Abstract: Hypotension in anaesthetized patients during aneurysm clipping: not as bad as expected? Acta Anaesthesiol Scand. Hoff et al. Acta Anaesthesiologica Scandinavica, 2008. Kindly brought to our attention courtesy of our colleague Dr. Romundstad at Oslo University Hospital.