Editor’s Picks: Highlights from the April 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.

Call for next Editor-in-Chief of the Journal of Neurosurgical Anesthesiology

Dr Smith will be stepping down as Editor-in-Chief of JNA at the end of 2024 after completing seven years in post. The call for his replacement, including a summary job description, can be accessed via the JNA website: https://journals.lww.com/jnsa/pages/default.aspx.

Interested candidates should send a CV and cover letter to David Myers, Senior Lead Publisher, Wolters Kluwer Health at david.myers@wolterskluwer.com. The deadline for submissions is March 18, 2024.

Journal of Neurosurgical Anesthesiology April 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 includes an Editorial by the Editor-in-Chief, Professor Smith, highlighting the diverse authorship of articles published in JNA, and the geographic author trends in recent years. This diversity highlights the global nature and impact of both perioperative neuroscience and the JNA.

JNA Editor’s Choice

There will be five Editor’s Picks showcasing perioperative neuroscience research from around the world. These articles are free to access online:

Clinical Investigation

Effect of Repeated Exposure to Sevoflurane on Electroencephalographic Alpha Oscillation in Pediatric Patients Undergoing Radiation Therapy: A Prospective Observational Study

Madariaga, Samuel; Devia, Christ; Penna, Antonello; Egaña, José I.; Lucero, Vanessa; Ramírez, Soledad; Maldonado, Felipe; Ganga, Macarena; Valls, Nicolás; Villablanca, Nicolás; Stamm, Tomás; Purdon, Patrick L.; Gutiérrez, Rodrigo


This observational study conducted in Chile investigates the development of sevoflurane tolerance with repeated exposure in children under the age of six undergoing multiple radiotherapy sessions. The investigators analysed changes in electroencephalographic spectral power at induction and across radiotherapy sessions. They found that repeated sevoflurane anesthesia exposure did not result in tolerance.

Focused Review

Frailty: Implications for Neuroanesthesia

Mitchell, Amy; Flexman, Alana M.


This Focused Review by authors from Canada provides an overview of the frailty tools available for the measurement of frailty in neurosurgical patient populations, the impact on perioperative care and neurosurgical outcome as well as highlighting areas for future research.

Randomised Controlled Trial

Modified-thoracolumbar interfascial plane (mTLIP) block vs erector spinae plane (ESP) block in patients undergoing spine surgeries: a randomised controlled trial.

Kumar, Amarjeet; Sinha, Chandni; Kumar, Ajeet; Kumari, Poonam; Kumar, Abhyuday; Agrawal, Prabhat; Vamshi, Chethan


This Randomised Controlled Trial conducted by clinical neuroscientists in India compared modified thoracolumbar interfascial plane (mTLIP) with erector spinae (ESB) blocks after simple lumbar surgery under general anesthesia. ESB blocks were associated with lower post-operative pain scores and fentanyl consumption. The authors concluded that both regional techniques are appropriate for multi-modal analgesia after spine surgery.

Narrative Review

Regional Anesthesia Techniques in Modern Neuroanesthesia Practice: A Narrative Review of the Clinical Evidence

Ma, Kan; Uejima, Jamie L.; Bebawy, John F.


This article from Canada and USA provides an overview of the use of regional anesthesia in contemporary neuroanesthetic practice including a summary of the available techniques and their potential risks, novel applications, and the unanswered questions for their use in neuroanesthesia.

Scoping Review

Safety, Efficacy, and Clinical Outcomes of Dexmedetomidine for Sedation in Traumatic Brain Injury: A Scoping Review

Hatfield, Jordan; Soto, Alexandria L.; Kelly-Hedrick, Margot; Kaplan, Samantha; Komisarow, Jordan M.; Ohnuma, Tetsu; Krishnamoorthy, Vijay


This article from the USA reviews and appraises the current literature on the effects of the use of dexmedetomidine in patients with moderate to severe traumatic brain injury. The authors examined the safety profile, efficacy, and impact of dexmedetomidine on patient physiology, and concluded that the available evidence suggests that it appears to be safe and efficacious for sedation in this patient cohort.

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 4th March 2024.

Val Luoma

Valpuri Luoma MBChB FRCA

JNA Editorial Board Member