Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Oct 2012
Multiple cervical levels: increased risk of dysphagia and dysphonia during anterior cervical discectomy.
Anterior cervical discectomy (ACD) is widely used for symptomatic cervical spine pathologies. The most common complications associated with this type of surgery are dysphagia and dysphonia; however, the risk factors associated with them have not been adequately elucidated. The purpose of this study is to assess the incidence of self-reported dysphagia and dysphonia and the associated risk factors after ACD. ⋯ This study confirms previous findings that the risk of developing dysphagia and/or dysphonia increases with the number of surgical levels, with multiple cervical levels representing a significantly higher postoperative risk, as compared with surgery at 1 level.
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J Neurosurg Anesthesiol · Oct 2012
Historical ArticleCelebrating Ruby: 40 years of NAS→SNANSC→SNACC→SNACC.
The 40-year history of the Society of Neurosurgical Anesthesia and Critical Care (SNACC) is reviewed. Annual meetings have been a focus for reporting scientific advances and providing education to those attending. ⋯ SNACC has been a strong advocate for educational advances, most recently addressing issues in neuroanesthesia fellowship accreditation and possibly certification. SNACC's initial North American focus has grown such that SNACC is now an international society dedicated to the advancement of neuroanesthesia, neurocritical care, neuromonitoring, and neuroscience.
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J Neurosurg Anesthesiol · Oct 2012
Sevoflurane and isoflurane preconditioning provides neuroprotection by inhibition of apoptosis-related mRNA expression in a rat model of focal cerebral ischemia.
This study aimed to examine the effects of sevoflurane or isoflurane preconditioning on cerebral ischemia/reperfusion-induced inflammation, oxidative stress, and lipid peroxidation and test the hypothesis that the underlining mechanism of the protective effect of preconditioning involves changes in the apoptotic gene expression profiles in an experimental model of middle cerebral artery occlusion in rats. ⋯ Sevoflurane and isoflurane preconditioning ameliorates inflammation, cerebral lipid peroxidation, and histologic injury. Downregulation of proapoptotic molecules and upregulation of antiapoptotic molecules may be associated with this effect.