Editor’s Picks: Highlights from the April 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. Prof. Martin Smith is the Editor-in-Chief. Subscribe to the JNA e-Table of Contents here and follow JNA on Twitter  (@JNeurosurgAnes). Online access to the JNA is a benefit of SNACC membership.

Valpuri Luoma, MBChB, FRCA
JNA Editorial Board Member

Joint JNA-ICPNT Webinar Series

We are excited to announce that the JNA is collaborating with ICPNT to launch a quarterly webinar series. The second successful joint webinar was held on 9th February, with author Dr Deepak Sharma MD discussing his Focused Review: Peri-procedure Management of Blood Pressure after Acute Ischaemic Stroke (Journal of Neurosurgical Anesthesiology 2023 35(1):4-9).

Each webinar discusses an article from the current issue of the JNA. All SNACC members are invited to join, and the chosen article will be freely available online for attendees. For those unable to join, a recording will be available for viewing on the ICPNT website (

 JNA April 2023 issue

We are pleased to share a preview of the next issue of the Journal of Neurosurgical Anesthesiology (JNA) with the SNACC membership.  This issue will feature articles from neuroscientists around the world, including on management of external ventricular drains, quality in perioperative neuroscience and neuroprotection. A JNA Podcast accompanies each journal issue; these are available to download from Apple, Google and Spotify Podcasts as well as well as the SNACC website.

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

  • Inhalational Versus Propofol-based Intravenous Maintenance of Anesthesia for Emergence Delirium in Adults: A Meta-analysis and Trial Sequential Analysis

Yang, Yong BD; Feng, Lin MD; Ji, Chengcheng BD; Lu, Kaizhi PhD; Chen, Yang BD; Chen, Bing PhD Journal of Neurosurgical Anesthesiology 2023: 35(2) DOI: 10.1097/ANA.0000000000000830

This meta-analysis and trial sequential analysis compared the incidence of emergence delirium (ED) between adult patients undergoing inhalational and propofol-based intravenous anesthesia. Twelve randomised controlled trials were included. The authors found that inhalational anaesthesia increased the incidence of ED in adults. In addition, they noted that inhalational anesthesia with sevoflurane was not a risk factor for ED in patients undergoing intracranial surgery.

  • Quality: A Dynamic and Essential Component of Health Care Services

Vacas, Susana MD, PhD Journal of Neurosurgical Anesthesiology 2023: 35(2)

This Invited Editorial provides an overview of the concepts of quality improvement and quality assurance in healthcare including history, application to the delivery of success and relevance to perioperative neuroscience. 

  • Incremental Cost-effectiveness Analysis on Length of Stay of an Enhanced Recovery After Spine Surgery Program: A Single-center, Retrospective Cohort Study

Naik, Bhiken I. MBBCh; Dunn, Lauren K. MD, PhD; Wanchek, Tanya N. JD, PhD Journal of Neurosurgical Anesthesiology 2023: 35(2) DOI: 10.1097/ANA.0000000000000827

This author presents the results of an incremental cost-effectiveness calculation for a spine surgery Enhanced Recovery (ERAS) program. The study included 409 patients, both before and after implementation of an ERAS program for spine surgery. Length of stay was used as the outcome utility of interest. In this study, standard care was the dominant cost-effective strategy. This study is the first to include the cost of developing and implementing an ERAS program for spine surgery.

  • Multimodal Analgesia and Intraoperative Neuromonitoring

Ma, Kan M.D. Bebawy, John F M.D., Hemmer, Laura B. M.D., Journal of Neurosurgical Anesthesiology 2023: 35(2)

This Focused Review provides an overview of the current evidence, challenges and future research on the impact of commonly used adjuvant anesthetic and analgesic agents, such as ketamine and dexmedetomidine, on routine intra-operative neuromonitoring.

  • How can international consistency in determination of brain death/death by neurologic criteria be improved? The World Brain Death Project

Lewis, Ariane MD Journal of Neurosurgical Anesthesiology 2023: 35(2)

This Invited Editorial provides a summary of the World Brain Death Project (WBDP) which is a collaboration of 45 multidisciplinary international Brain Death (BD) / Death by Neurologic Criteria (DNC) experts. The aim of the project is to address all aspects of BD / DNC and to formulate recommendations to improve consistency in practice worldwide. WBDP is endorsed by a number of medical federations and societies globally.

 The next issue of the JNA will be published on 6th April 2023








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