Journal of neurosurgical anesthesiology
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J Neurosurg Anesthesiol · Apr 2022
Early Lymphopenia and Infections in Nontraumatic Subarachnoid Hemorrhage Patients.
Subarachnoid hemorrhage (SAH) is associated with high morbidity and mortality. A certain degree of immunodepression has been reported during critical illness, and lymphopenia identified as an independent predictor of poor outcome; no data are available for critically ill SAH patients. We aimed to evaluate the prevalence of lymphopenia among SAH patients and its association with hospital-acquired infection. ⋯ Early lymphopenia is common after SAH, but is not significantly associated with the development of infections or with poor outcome.
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J Neurosurg Anesthesiol · Apr 2022
Randomized Controlled TrialEffect of Electroencephalography Spectral Edge Frequency (SEF) and Patient State Index (PSI)-Guided Propofol-Remifentanil Anesthesia on Delirium After Laparoscopic Surgery: The eMODIPOD Randomized Controlled Trial.
The effect of SedLine electroencephalography (EEG)-guided anesthetic care on postoperative delirium (POD) has not been studied. ⋯ Compared with usual care, SedLine spectral edge frequency-guided and patient state index-guided propofol-remifentanil anesthetic care neither alters anesthetic delivery nor decreases the unexpected low incidence of POD in relatively young Chinese patients undergoing laparoscopic surgery.
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J Neurosurg Anesthesiol · Apr 2022
Perceptions Regarding the SARS-CoV-2 Pandemic's Impact on Neurocritical Care Delivery: Results From a Global Survey.
The SARS-CoV-2 (COVID-19) pandemic has impacted many facets of critical care delivery. ⋯ This study reports the perceived impact of the COVID-19 pandemic on global neurocritical care delivery, and highlights shortcomings of health care infrastructures and the importance of pandemic preparedness.