Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Oct 2012
Report of the third PANDA symposium on "Anesthesia and Neurodevelopment in Children".
The Pediatric Anesthesia and NeuroDevelopment Assessment (PANDA) Project team organized its third biennial scientific symposium on "Anesthesia and Neurodevelopment in Children" at the Children's Hospital of New York on April 21, 2012. The event was co-sponsored by the New York-Presbyterian/Morgan Stanley Children's Hospital (MS-CHONY) and the Department of Anesthesiology of Columbia University. The day-long program included updates of recent research in anesthetic neurotoxicity in the developing brain from preclinical studies to clinical and patient-oriented outcome research. It also provided a forum for discussion among many different stakeholders in this important public health issue.
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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
The postoperative C-reactive protein level can be a useful prognostic factor for poor outcome and symptomatic vasospasm in patients with aneurysmal subarachnoid hemorrhage.
Ninety-three patients undergoing surgical or endovascular operation secondary to aneurysmal subarachnoid hemorrhage (SAH) were retrospectively analyzed to determine the influence of the different time points of C-reactive protein (CRP) measurement on the prediction of vasospasm and clinical outcome. ⋯ Postoperative CRP, especially CRP POD1-2, can be a useful prognostic factor for both poor outcome and symptomatic vasospasm in patients with aneurysmal SAH.
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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
Epidemiology of pediatric surgical admissions in US children: data from the HCUP kids inpatient database.
In vivo animal studies indicate that the developing brain is vulnerable to the neurotoxic effects of anesthetic agents. There is corresponding concern about the long-term neurological effects of early-in-life exposure in children at both the individual and population levels. Accurate national estimates of the number of children undergoing surgical procedures are required to understand the scope of this potential problem. ⋯ In the United States, approximately 450,000 children under 18 years of age are admitted for surgery as inpatients annually. One quarter of these children are under 3 years of age and the majority for gastrointestinal, orthopedic, or urological surgery. When examined together with data on ambulatory surgery, these results are useful in considering the scope of anesthesia exposure in young children.