Journal of neurosurgical anesthesiology
-
J Neurosurg Anesthesiol · Jul 2020
Practice GuidelinePerioperative Care of Patients at High Risk for Stroke During or After Non-Cardiac, Non-Neurological Surgery: 2020 Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care.
Perioperative stroke is associated with considerable morbidity and mortality. Stroke recognition and diagnosis are challenging perioperatively, and surgical patients receive therapeutic interventions less frequently compared with stroke patients in the outpatient setting. These updated guidelines from the Society for Neuroscience in Anesthesiology and Critical Care provide evidence-based recommendations regarding perioperative care of patients at high risk for stroke. Recommended areas for future investigation are also proposed.
-
J Neurosurg Anesthesiol · Jul 2020
Randomized Controlled TrialCervical Spine Movement During Awake Orotracheal Intubation With Fiberoptic Scope and McGrath Videolaryngoscope in Patients Undergoing Surgery for Cervical Spine Instability: A Randomized Control Trial.
Cervical spine movement during intubation with direct laryngoscopy can predispose to new-onset neurological deficits in patients with cervical spine instability. While fiberoptic-guided intubation (FGI) is mostly preferred in such patients, this is not always possible. Videolaryngoscopy results in less cervical spine movement than direct laryngoscopy and may be an alternative to FGI in patients with cervical spine instability. The objective of this study was to compare cervical spine movement during awake FGI with those during awake McGrath videolaryngoscope-guided intubation (VGI) in patients undergoing surgery for cervical spine instability. ⋯ Compared with FGI, VGI results in a greater degree of cervical spine movement at C1/C2 but not at C3.