727 results
Showing 1–20 · 0.23 seconds · RSS
Journal of Neuroanaesthesiology and Critical Care
Scopus
ISSN 2348-0548 · Thieme Medical and Scientific Publishers Pvt. Ltd. · 727 articles in the index
-
Journal Article
Optimizing the Endotracheal Tube Cuff Position in Adult Patients with Tracheal Diverticulum Undergoing General Anesthesia: A Case Report
Tracheal diverticulum (TD) is a paratracheal air cyst communicating with the trachea through an ostium. Administering general anesthesia with positive pressure ventilation in TD carries the risk of diverticulum rupture, leading to complications. To mitigate these risks, it is crucial to seal/bypass…
-
Journal Article
An Unusual Cause of Intraoperative Somatosensory-Evoked Potential Signal Loss during Intracranial Aneurysm Clipping
Multimodal neuromonitoring plays a pivotal role in the prevention of perioperative stroke during microsurgical occlusion of an aneurysm. Several modalities are available for the same, and by appropriately combining them, depending on the vascular territory of interest, their diagnostic precision…
-
Journal Article
Anesthetic Management for EC-IC Bypass Procedure in a Patient with Fontan Physiology: Navigating a Vascular Multimorbidity
The Fontan procedure is a palliative procedure that reduces mortality associated with complex congenital cardiac anomalies. With advanced surgical techniques and improved perioperative care, an increase in the survival rate of palliated complex heart disease patients is rightfully expected. These…
-
Journal Article
Direct Optic Tract Stimulation in Deep Brain Stimulation for Dystonia: A Case Report
Deep brain stimulation (DBS) of the globus pallidus internus (GPi) is an effective therapeutic option for patients with medically refractory dystonia. However, accurate electrode placement is critical, particularly when the trajectory lies close to eloquent structures such as the optic radiations…
-
Journal Article
Intraoperative EMG-Based Prediction of Pyramidal Tract Side Effects During Deep Brain Stimulation for Essential Tremor Under General Anesthesia
Deep brain stimulation (DBS) for essential tremor (ET) poses challenges for both neurosurgeons and neuroanesthetists. ET with prominent postural and action tremors may respond better to DBS targeting the caudal zona incerta (cZI) than the traditional ventral intermediate nucleus. A key…
-
Journal Article
Perioperative Management of Type-3c Gaucher's Disease for Kyphoscoliosis Correction and Spinal Cord Detethering
Gaucher's disease (GD) is an inherited lysosomal storage disorder caused by mutations in the acid β-glucosidase (GBA) gene, leading to abnormal function of the enzyme glucocerebrosidase, which results in the accumulation of glucocerebrosides in various organs, causing multiorgan dysfunction. GD has…
-
Journal Article
Influence of Ketamine on Motor Evoked Potentials During Brain and Spine Surgery: A Scoping Review of Clinical Evidence
Ketamine is an evolving anesthetic adjunct in neurosurgery for its potential to improve motor evoked potential (MEP) monitoring; however, the evidence regarding its efficacy remains contradictory due to variability in the dosing regimens used in clinical practice, concurrent anesthetics used along…
-
Journal Article
Closed-Loop Deep Brain Stimulation: A Primer for the Perioperative Physician
Deep brain stimulation (DBS) is an established neuromodulation therapy for a range of neurological and psychiatric disorders, including Parkinson disease, dystonia, essential tremor, epilepsy, and obsessive-compulsive disorder. Conventional DBS systems operate in an open-loop manner, delivering…
-
Journal Article
Intracranial Hemorrhage in a Patient of Hemophilia A with Factor VIII Inhibitors Positive: A Case Report
Management of intracranial hemorrhage in a patient with hemophilia A and high-titer inhibitors presents a significant challenge to the neurointensivist. The decision between conservative and surgical approaches involves a delicate risk–benefit balance. While conservative management is costly and…
-
Journal Article
Pulmonary Embolism and Posterior Circulation Infarcts Following Position Change from Prone to Supine during Cervical Spine Surgery: A Case Report
Acute massive pulmonary embolism (PE) is a lethal condition unless promptly detected and managed. Diagnosing and managing massive PE during the perioperative period can be challenging due to overlapping clinical signs with other complications. This case report highlights the challenges of…
-
Journal Article
Neurogenic Stunned Myocardium Progressing to Takotsubo Cardiomyopathy with Milrinone
A 67-year-old female came with acute-onset headache and altered sensorium secondary to a ruptured right giant supraclinoid internal carotid artery aneurysm. Echocardiography revealed global wall motion abnormalities. She underwent aneurysm clipping on day 4 following ictus and her postoperative…