Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Jul 2011
Letter Case ReportsPulmonary hypertension in a patient with subarachnoid hemorrhage.
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J Neurosurg Anesthesiol · Jul 2011
Case ReportsFeasibility of intraoperative MRI guidance for craniotomy and tumor resection in the semisitting position.
Intraoperative magnetic resonance imaging (iMRI) has emerged as a reliable and useful tool in intracranial brain tumor surgery. Patient placement in a semisitting position may be advantageous in certain cases, but has so far seemed incompatible with conductance of iMRI-guided procedures. ⋯ The iMRI-guided brain tumor resection is feasible in combination with semisitting patient positioning. However, special safety precautions must be followed.
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J Neurosurg Anesthesiol · Jul 2011
ReviewPRO: the "Lund concept" for treatment of patients with severe traumatic brain injury.
Two different main concepts for the treatment of severe traumatic brain injury have been established during the last 15 years, namely the more conventional concept recommended in well-established guidelines (eg, the US Guideline, European Guideline, Addelbrook's Guideline from Cambridge) on the one hand, and the Lund concept from the University Hospital of Lund, Sweden on the other. Owing to the lack of well-controlled randomized outcome studies comparing these 2 main therapeutic approaches, we cannot conclude that one is better than the other. This study is the PRO part in a PRO-CON debate on the Lund concept in the present journal. ⋯ Although conventional guidelines are restricted to clinical data from meta-analytic surveys, the physiological approach of the Lund therapy finds support in both experimental and clinical studies. It offers a wider base and can also give recommendations regarding fluid therapy, lung protection, optimal hemoglobin concentration, temperature control, the use of decompressive craniotomy, and ventricular drainage. This study puts forward arguments in support of the Lund therapy.
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J Neurosurg Anesthesiol · Jul 2011
Randomized Controlled TrialPostoperative analgesic efficacy of intravenous dexketoprofen in lumbar disc surgery.
We investigated the postoperative analgesic efficacy and effect on total tramadol consumption of intravenous dexketoprofen trometamol, a new nonsteroidal anti-inflammatory drug, in patients that had undergone lumbar disc surgery. ⋯ We found that dexketoprofen was an effective analgesic for postdiscectomy pain when used alone or in addition to opioids. It is easy to administer and decreases tramadol consumption and opioid-related side effects.