EDUCATION CORNER

Highlights from the January 2023 issue of the Journal of Neurosurgical Anesthesiology

 

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. Dr. Martin Smith is the Editor-in-Chief. Subscribe to the JNA e-Table of Contents here and follow JNA on Twitter (@JNeurosurgAnes).

By Valpuri Luoma MBChB FRCA
JNA Editorial Board Member

We are pleased to share an exciting update from the Journal of Neurosurgical Anesthesiology (JNA) with the SNACC membership. The next edition of the JNA (January 2023 issue) will launch a new cover design and ‘tag line’ to reflect the broad scope of the journal which includes all aspects of perioperative neuroscience. The evolution of the JNA is closely intertwined with that of SNACC to reflect contemporary multi-professional practice in perioperative practice for both neurological and non-neurological surgery.

The January 2023 issue of the Journal will feature five Editor’s Picks that are free to access:

  • Anesthesia, Blood Pressure, and Socioeconomic Status in Endovascular Thrombectomy for Acute Stroke A Single Center Retrospective Case Cohort Hoefnagel, Amie L. MD; Yao, Joyce MD, PhD; Rao, Dinesh MD; Kovacs, Peter MD; Brzezicki, Grzegorz MD, PhD; Mongan, Paul D. MD Journal of Neurosurgical Anesthesiology 2023: 35(1) doi: 10.1097/ANA.0000000000000790 This single centre retrospective case cohort study investigates the impact of type of anaesthesia and socioeconomic status (using the area of deprivation index) on patient outcome after mechanical thrombectomy (MT). The Authors found that 90-day patient outcomes were similar in patients undergoing MT under GA or with MAC, and in this study MAP was not associated with worse outcome. They noted that although area of deprivation index was not associated with worse outcome, there is a need for further study.
  • Opioid-Free Anaesthesia for Craniotomy McCullough, Ian L. MD; Shteamer, Jack W. MD; Erwood, Andrew M. MD; Spektor, Boris MD; Boorman, David W. MS; Sharifpour, Milad MD; Olson, Jeffery J. MD; Papangelou, Alexander MD Journal of Neurosurgical Anesthesiology 2023: 35(1) doi: 10.1097/ANA.0000000000000797 
    This short report presents the results of a pilot study to compare opioid-free anaesthesia (OFA) with conventional opioid-based anaesthetic techniques for patients undergoing supratentorial craniotomy. The author found that OFA was feasible and non-inferior with regards to opioid consumption and pain scores during the first 24 hours after surgery as well as length of post-anaesthesia care unit stay. They concluded that further studies on multimodal analgesia for supratentorial craniotomy are indicated.
  • Frailty Assessment and Prehabilitation Before Complex Spine Surgery in Patients With Degenerative Spine Disease, A Narrative Review Mohamed, Basma MBChB; Ramachandran, Ramani MBBS, MD; Rabai, Ferenc MD; Price, Catherine C. PhD; Polifka, Adam MD; Hoh, Daniel MD; Seubert, Christoph N. MD, PhD, DABMN Journal of Neurosurgical Anesthesiology 2023: 35(1) doi: 10.1097/ANA.0000000000000787
    The incidence of degenerative spine disease and the risk associated with complex spine surgery increases with age. This narrative review presents current evidence on frailty in and prehabilitation for patients undergoing complex spine surgery. The authors highlight that frailty is associated with increased morbidity, 30-day mortality and cost, and assessment should be incorporated into shared-decision making. Interventions for frailty may support a prehabilitation program but further study is required. 
     
  • Peri-procedure Management of Blood Pressure after Acute Ischaemic Stroke Sharma, Deepak MBBS, MD, DM Journal of Neurosurgical Anesthesiology 2023: 35(1) doi: 
    Acute ischaemic stroke is a leading cause of mortality and disability worldwide; mechanical thrombectomy offers the most effective treatment. This Focused Review provides an update on current evidence for optimal periprocedural haemodynamic management and identifies gaps in the current knowledge base, along with future research goals such as individualised blood pressure goals.
     
  • Current Recommendations for Perioperative Brain Health: A Scoping Review Wooding, Denise J. MD, MSc; Field, Thalia S. MD, MSc, FRCPC; Schwarz, Stephan K.W. MD, PhD, FRCPC; MacDonell, Su-Yin MD, MSc, FRCPC; Farmer, Jaycee BSc; Rajan, Shobana MD, FASA; Flexman, Alana M. MD, MBA, FRCPC  Journal of Neurosurgical Anesthesiology 2023: 35(1) doi: 10.1097/ANA.0000000000000861 
    Perioperative neurological complications such as delirium or stroke are both common and associated with increased morbidity and mortality. The authors of this scoping review present contemporary guidelines on perioperative brain health in non-cardiac, non-neurologic surgery developed from a structured search. They also highlighted areas of clinical practice where further high-quality evidence on best practice is required.

The next issue of the JNA will be published on 6th December 2022.

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