CEACCP – Posterior Fossa Surgery
Anaesthetic considerations for posterior fossa surgery. A very useful synopsis on the subject. By Sathyanarayanan for Continuing Education in Anaesthesia, Critical Care & Pain. 2013.
From the IHAST Investigators: Effects of intraoperative hypothermia on neuropsychological outcomes after intracranial aneurysm surgery
“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.
Intraoperative Hypothermia for Aneurysm Surgery Trial (IHAST) Investigators. Mild intraoperative hypothermia during surgery for intracranial aneurysm
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-induced transient asystole for intracranial aneurysm surgery: a retrospective review
“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
Adenosine-induced flow arrest to facilitate intracranial aneurysm clip ligation
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.
Hypotension in anaesthetized patients during aneurysm clipping: not as bad as expected?
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.
Pressure-derived versus pressure wave amplitude-derived indices of cerebrovascular pressure reactivity in relation to early clinical state and 12-month outcome following aneurysmal subarachnoid hemorrhage
Pressure-derived versus pressure wave amplitude-derived indices of cerebrovascular pressure reactivity in relation to early clinical state and 12-month outcome following aneurysmal subarachnoid haemorrhage. Abstract of original article by Eide et al. Published in the Journal of Neurosurgery 2012.
Cochrane review of routine ICP measurement in acute coma (2015)
Routine intracranial pressure monitoring in acute coma (Cochrane 2015) A recent review of the available literature, pointing to the lack of sufficient evidence concerning the use of ICP monitoring in acute coma. Only one RCT has been conducted (see here) but this trial was questioned on the grounds of a disproportionally high mortality in both… Continue reading Cochrane review of routine ICP measurement in acute coma (2015)
SJTREM – Review Article on Airway Patency in Supine, Unconscious Patients
Published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine in 2015. “In this systematic review, we did not identify any studies that investigated the supine position and loss of airway patency in trauma patients. However, we found that the supine position was associated with worse airway patency in patients with reduced levels of consciousness in… Continue reading SJTREM – Review Article on Airway Patency in Supine, Unconscious Patients
Cambridge Univ.- Lecture Series on Brain Physiology
A very useful series of lecture slides on brain physics (and physiology) that covers many relevant topics. Published online by Cambridge University, Division of Neurosurgery, Department of Clinical Neurosciences.
neuroscand.com 