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 Alana Flexman is the Editor-in-Chief. Subscribe to the JNA e-Table of Contents here and follow JNA on:
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Online access to the JNA is a benefit of SNACC membership.
JNA Editorial Board Fellows
It is a pleasure to welcome the first cohort of JNA Editorial Board Fellows. The Fellows were selected through a competitive application process and represent the field of perioperative neuroscience worldwide. The fellowship program offers the opportunity to develop expertise in manuscript review as well as research knowledge. Fellows will also contribute to other JNA initiatives to engage with readers and promote perioperative neuroscience. Many congratulations to the Fellows! We look forward to you joining the team.
Highlights of April 2026 issue from JNA
We are excited to share highlights of the April 2026 issue of the Journal of Neurosurgical Anesthesiology (JNA). Each issue of the JNA is accompanied by a podcast and a free-to-attend webinar in collaboration with ICPNT. Recordings of the joint webinars can be viewed on the SNACC Learning Management System.
Each JNA issue is accompanied by an infographic to demonstrate the key outcomes of an Editor’s Choice study. Thank you to Dr Arnoley Abjeco and his team!
Short Report: Role of Electroencephalography in the Management of Aneurysmal Subarachnoid Hemorrhage: National Inpatient Sample, 2012-2017
Asaithambi, Ganesh MD, MBA; Martins, Summer L. PhD, MPH
DOI: 10.1097/ANA.0000000000001079
This short report presents the findings of a study to investigate the association between EEG and outcomes and resource utilization after aneurysmal subarachnoid hemorrhage (aSAH) using the National Inpatient Sample from 2012 to 2017 (n=41896). 3.8% received EEG monitoring which was associated with higher cost and longer length of stay. These patients had a higher severity aSAH and EEG use significantly lowered risk of in-hospital death.
Review: Interpreting Intraoperative EEG; Beyond Indices to the Essential Role of Raw EEG and Density Spectral Array
Rajan, Shobana MD; Nuti, Anna M. MD; Manohara, Nitin MD, DM, DESAIC; Sleigh, Jamie MD
DOI: 10.1097/ANA.0000000000001056
This review article discusses common sources of discordance between the numerical index generated by processed EEG and raw EEG or density spectral array (DSA). The authors illustrate this through clinical examples to demonstrate the importance of raw EEG and DSA in routine clinical practice.
Review: Effects of volatile versus intravenous anesthesia on cerebral vasospasm in open surgical and endovascular procedures for aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis
Wang, Shuo MD; Hao, Quanshui MD; Sun, Rao MD, PhD; Wang, Haiting MD; Zhang, Ping MD, PhD; Mei, Wei MD, PhD
DOI: 10.1097/ANA.0000000000001049
This systematic review and meta-analysis investigates the effect of volatile anesthesia compared with total intravenous anesthesia on perioperative outcome in patients undergoing surgery for subarachnoid hemorrhage. Nine studies comprising 1459 participants were included. The authors were not able to demonstrate a difference in outcome when both cohort and randomized controlled trials (RCT) were included in the analysis and highlight the need for further RCTs.
Focused Review: Timing of Surgery After Ischemic Stroke
Whalin, Matthew K.
DOI: 10.1097/ANA.0000000000001097
This focused review examines the current evidence for timing of surgery after ischemic stroke including impact on perioperative outcomes, risk of recurrent stroke and areas where further evidence is required.
Clinical Investigation: Emergency Conversion to General Anesthesia During Endovascular Therapy and Stroke Outcomes: A Retrospective Matched Study
Zhang, Kangda MD; Liang, Fa MD; Wu, Youxuan MD; Wang, Xinyan MD; Hou, Xuan MD; Zhang, Zihui MD; Yu, Yun MD; Wang, Yunzhen MD; Han, Ruquan MD, PhD
DOI: 10.1097/ANA.0000000000001042
The aim of this retrospective cohort study was to investigate the impact of emergency conversion to general anesthesia in patients undergoing endovascular thrombectomy. The primary outcome was the modified Rankin score (MRS) at 90 days. The authors found that GA-conversion may adversely affect neurological outcome. Independent predictors of GA conversion were absence of atrial fibrillation and high National Institutes of Health Stroke Scale scores.
JNA Podcast: Podcasts are available to listen through the SNACC website or Apple, Google and Spotify. In the most recent podcast, Dr. Matthew Whalin interviews Dr. Adele Budianski on her focused review, Temporary Intraoperative Cerebral Blood Flow Reduction to Facilitate Neurovascular Procedures. The article was published in the October 2025 issue of the JNA (Journal of Neurosurgical Anesthesiology. 37(4):335-340, DOI: 10.1097/ANA.0000000000001046).
JNA – ICPNT Journal Club: Each issue of the JNA is accompanied by a journal club. Authors of Editor’s Choice articles are invited to present their work. Webinars are free to attend, and recordings are available to view on the SNACC Learning Management System.
The next issue of the Journal of Neurosurgical Anesthesiology will be published online in March 2026 with the paper issue available in April 2026.
