Editor’s Picks: Highlights from the July and October 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.
Journal of Neurosurgical Anesthesiology July and October 2024
We are excited to share a preview of the upcoming October issue of the Journal of Neurosurgical Anesthesiology (JNA) as well as highlights from the July 2024 issue with the SNACC membership.
Highlights from JNA October 2024 issue
The October 2024 issue will feature Editor’s Picks authored by perioperative neuroscientists from around the world as well as an Editorial on the Global External Ventricular Safety Campaign. Featured articles include:
Editorial: The External Ventricular Drain Safety Campaign: A Global Patient Safety Initiative of the Society for Neuroscience in Anesthesiology and Critical Care
Abhijit V. Lele, John F. Bebawy, Riikka Takala
The External Ventricular Drain (EVD) Safety campaign is a global patient safety initiative to improve the care of patients who require an EVD, led by SNACC. This Editorial, published by authors from the USA and Finland, summarizes the background and need for this initiative, and the resources that are available from SNACC to improve patient care. The EVD Safety Campaign is also featured on the SNACC website: https://snacc.org/external-ventricular-drain-campaign/
Focused Review: To the Brain and Beyond: Neurological Implications of Glucagon-Like Peptide-1 Receptor Agonists
Lindsay R. Hunter Guevara; W. Brian B. Beam; Jeffrey J. Pasternak
This Focused Review conducted by authors from the USA, provides and overview of the pharmacology of Glucagon-Like Peptide-1 Receptor Agonists (GLP-1 RA), their importance in perioperative patient care and impact in neurological pathology in particular stroke, idiopathic intracranial hypertension, and neurodegenerative diseases (Multiple Sclerosis, Alzheimer’s Disease, Parkinson’s Disease). This article highlights the importance of further research relevant to perioperative neuroscience as an increasing number of patients are likely to be treated with GLP-1RA.
Review Article: Incidence of Myocardial Injury and Cardiac Dysfunction After Adult Traumatic Brain Injury: A Systematic Review and Meta-analysis
Chaikittisilpa, Nophanan; Kiatchai, Taniga; Liu, Sunny Yang; Kelly-Hedrick, Margot; Vavilala, Monica S.; Lele, Abhijit V; Komisarow, Jordan; Ohnuma, Tetsu; Colton, Katharine; Krishnamoorthy, Vijay
DOI: 10.1097/ANA.0000000000000945
This aim of this systematic review and meta-analysis by authors from the USA, was to establish the incidence of myocardial injury and cardiac dysfunction in adults after traumatic brain injury (TBI). The estimated incidence of myocardial injury was 33% (95% CI: 27%-39%), and of cardiac dysfunction was 16% (95% CI: 9%-25%) after TBI.
Clinical Investigation: Association of Admission Glucose and Outcomes After Endovascular Treatment for Acute Stroke: Data From the ANGEL-ACT Registry
Wang, Xinyan; Liang, Fa; Wu, Youxuan; Jia, Baixue; Zhang, Yijun; Jian, Minyu; Liu, Haiyang; Wang, Anxin; Han, Ruquan; Miao, Zhongrong
DOI: 10.1097/ANA.0000000000000937
The ANGEL-ACT registry includes adults who experience an acute ischemic stroke and underwent endovascular thrombectomy in China between 2017 and 2019. This study investigates the impact of admission glucose level on neurological outcome and 90-day mortality. Higher admission glucose was associated with worse neurological outcome, increased risk of mortality and spontaneous intracranial hemorrhage.
Highlight from the July 2024 JNA issue:
Understanding Postoperative Delirium: Review of the Risk Factors and Challenges Related to Delirium
Dr Benish Fatima MBBS
Mayo Clinic Scholar and Neuroanesthesiology Fellow
Assistant Professor of Anesthesiology
Mayo Clinic Rochester, MN
The July 2024 issue of the JNA includes a Focused Review (Editor’s Choice article) and a Review article on surgery-related delirium (open access):
Focused Review: Postoperative Delirium and the Older Adult: Untangling the Confusion
Thedim M, Vacas S.
Journal of Neurosurgical Anesthesiology 36(3):184-189 DOI: 10.1097/ANA.0000000000000971
Systematic Review: Risk Factors for Postanesthetic Emergence Delirium in Adults: A Systematic Review and Meta-analysis
He, M; Zhu, Z; Jiang, M; Liu, X; Wu, R; Zhou, J; Chen, X; Liu, C
Journal of Neurosurgical Anesthesiology 36(3): 190-200 DOI: 10.1097/ANA.0000000000000942
“Postoperative Delirium and the Older Adult: Untangling the Confusion” is an article that highlights the significance of delirium following surgery among older adults. It emphasizes the impact of postoperative delirium and the associated increase in healthcare costs, morbidity, and mortality. It addresses the importance of early recognition of risk factors and taking preventive measures to reduce postoperative delirium. This article discusses the evidence-based practice for maintaining brain health and advocates tailoring perioperative care to address the vulnerabilities of surgical patients to delirium. It also highlights future advancements that will recognize the clinical risk factor of delirium and collaborate with tools like artificial intelligence, digital platforms, biomarkers, genetic susceptibility, etc. Overall, this article provides a detailed overview of postoperative delirium, encourages evidence-based preventative strategies, and highlights future advancements to reduce postoperative delirium.
The second article, “Risk Factors for Postanesthetic Emergence Delirium,” is a systematic review that identifies risk factors contributing to hyperactive delirium in the postoperative setting. It discusses various predisposing risk factors, including age, male sex, ASA physical status, history of smoking, substance abuse, preoperative cognitive impairment, and preoperative anxiety. Intraoperative factors, including type of surgery, length of surgery, and anesthetic used, are discussed in detail in this article. Postoperative presence of catheters, tubes, and pain are recognized as risk factors of emergence delirium. Overall, this article summarizes valuable information regarding risk factors of emergence delirium and provides tools to incorporate preventative strategies to decrease emergence delirium.
JNA Podcast and joint JNA-ICPNT Webinar
A JNA Podcast and joint JNA-ICPNT webinar accompanies each journal issue. Podcasts are available to download from Apple, Google and Spotify Podcasts as well the SNACC website. The joint JNA-ICPNT webinar recording can be viewed through the SNACC Learning Management System. Registration information for the webinars is shared through SNACC eblasts and on the SNACC social media channels. We hope that you can join us!
The next issue of the JNA will be published online on 9th September 2024.
