EDUCATION CORNER

Editor’s Picks: Highlights from the January 2024 issue of the Journal of Neurosurgical Anesthesiology

Incorporating Perioperative Neuroscience

As the official journal of SNACC, the Journal of Neurosurgical Anesthesiology has a long history of publishing original and review articles relevant to the SNACC membership. Prof. Martin Smith is the Editor-in-Chief. Subscribe to the JNA e-Table of Contents here and follow JNA on X (@JNeurosurgAnes). Online access to the JNA is a benefit of SNACC membership.

By: Valpuri Luoma MBChB FRCA
JNA Editorial Board Member

2023 – review of the year

2023 has been an exciting year for the JNA with the launch of a new cover design and ‘tag line’ in the January 2023 issue, publication of articles covering all areas of perioperative neuroscience and introduction of quarterly joint JNA-ICPNT webinars, reflecting the broad scope of the journal. It is also the second year that the Journal has feature infographics associated with key articles.

The current Impact Factor for the journal is 3.7. The journal Editorial Board has also welcomed 4 new members. Thank you to the retiring members of the Editorial Board.

Journal of Neurosurgical Anesthesiology January 2024 issue

We are pleased to share a preview of the upcoming issue of the Journal of Neurosurgical Anesthesiology (JNA) with the SNACC membership.  This issue will feature articles from neuroscientists around the world. A JNA Podcast accompanies each journal issue; these are available to download from Apple, Google and Spotify Podcasts as well the SNACC website.

There will be five Editor’s Picks that are free to access:

  • Simulation in Anesthesia for Perioperative Neuroscience: Present and Future

Nakatani, Rodrigo MD; Patel, Krisha BMSc; Chowdhury, Tumul MD, DM, FRCPC

This Focused Review, by a group of authors from Canada, provides an overview of the role of medical simulation in perioperative neuroscience education and training. It provides insight into the current use along with strengths and limitations of simulation training.

  • The Effect of Anesthetic Agent and Mean Arterial Pressure on Functional Outcome After General Anesthesia for Endovascular Thrombectomy

Crimmins Danielle BSc, MBBS, FANZCA; Ryan, Elizabeth PhD; Shah, Darshan MBBS, FRACP; Lwin Thar-Nyan MBBS, MMed, FANZCA; Ayotte, Steven MD; Redmond, Kendal MBBS, FRANZCR, CCINR; Highton, David MBChB, FRCA, FANZCA, FFICM, PhD. DOI:10.1097/ANA0000000000000897

This Australian study investigates the optimal anesthetic technique for patients after embolic stroke. The authors found that there was no difference in favourable outcome between volatile and propofol anesthesia during endovascular thrombectomy although use of propofol was associated with lower 90-day mortality (odds ratio 0.32; 95% confidence interval 0.11-0.94, p=0.03).

  • Factors Associated with Unplanned Post-Craniotomy Reintubation in Children: a NSQIP-PediatricÒ Analysis

Drapeau, Annie I. MD MSc, FRCSC; Mpody, Christian MD, PhD, MPH, MBA; Gross, Michael A. BS; Lemus, Rafael DO; Tobias, Joseph D. MD; Nafiu, Olubukola MD, MS, FRCA DOI: 10.1097/ANA0000000000000871

This retrospective study from the United States, uses the National Surgical Quality Improvement Program for Pediatrics to determine the incidence of unplanned re-intubation, and the associated factors, after craniotomy in pediatric neurosurgery. The incidence of unplanned re-intubation was 0.94% and was independently associated with age, ASA classification, emergency surgery, neuromuscular disease, and steroid use within 30 days of surgery.

  • Early Extubation After Elective Infratentorial Craniotomy: Results of the International PRICE Survey

Gaudet, John G. MD; Levy, Camille S. MD; Jakus, Lien MD; Goettel, Nicolai MD; Meling, Torstein R. MD, DPhil; Quintard, Herve MD, PhD DOI:10.1097/ANA0000000000000894

This article from Switzerland presents the findings of an international survey with the aim of Predicting Infratentorial Craniotomy Extubation (PRICE). The authors found that the reported rate of early extubation after elective infratentorial craniotomy varies widely between institutions with decisions made based on course of surgery, evidence of bulbar dysfunction and altered levels of consciousness.

  • The Role of Remimazolam in Neurosurgery and in Patients with Neurological Diseases: A Narrative Review

Teixeira, Miguel T. MD; Brinkman, Nathan J. PharmD, RPh; Pasternak, Jeffrey J. MD, MS; Abcejo, Arnoley S. MD DOI:10.1097/ANA0000000000000917

This narrative review discusses the role of remimazolam, a novel ultra-short acting benzodiazepine, in patient undergoing neurosurgery. Importantly there is a focus on awake craniotomy, neuromonitoring, patients with neurological disease and cognitive impact. This article has an associated infographic.

JNA-ICPNT Webinar Series – A Fellow’s Perspective

Dr K. Mittermaier MD FRCPC

Neuroanesthesiology Fellow, National Hospital for Neurology and Neurosurgery, London, UK

The ICPNT Webinar podcasts are a great resource for Fellows to learn from leading experts in the field of perioperative neuroscience. As a Canadian trained anesthesiologist completing a fellowship in the UK, I appreciate the international contributions to the webinars. It creates a sense of a global neuroanesthesia community learning from one another. The breadth of topics covered are a valuable reference for the future for myself and others. I look forward to joining upcoming webinars and am thankful to those who contribute.

To date, the joint JNA-ICPNT webinars have included:

  • Value-based Care and Quality Improvement in Perioperative Neuroscience (PMID 35917131)
  • Evaluating Cost Effectiveness of ERAS Spine Programs (PMID 34907145)
  • Periprocedure Management of Blood Pressure After Acute Ischemic Stroke (PMID 36441847)

Video recordings of the webinars can be viewed at your convenience through the SNACC Virtual Learning Platform (Learning Management System). Access is through the SNACC website or ICPNT website, and requires member log-in.

JNA Podcasts

A podcast accompanies each journal issue; these are available to download from Apple, Google and Spotify Podcasts as well the SNACC website. The most recent podcasts are:

Dexamethasone Use in Perioperative Neuroscience – Boon or Bane or Both

Journal of Neurosurgical Anesthesiology 35(4):351-353, October 2023

Dr. Arun George interviews Dr. Judith Dinsmore

Association of Brain Injury Biomarkers and Circulatory Shock Following Moderate to Severe Traumatic Brain Injury, a tracked TBI study

Journal of Neurosurgical Anesthesiology 35(3):284-291, July 2023

Dr. Matt Whalin interviews Dr. Vijay Krishnmoorthy

The next issue of the JNA will be published on 4th December 2023.

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@JNeurosurgAnes

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