JNA: Journal of Neurosurgical Anesthesiology

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What is the value of monitoring for carotid endarterectomy?
Al-Salahat et al found worse outcomes and higher costs associated with IONM use, which was typically used in high risk patients.
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Acommpanying editorial by Dr. Alan Tung: journals.lww.com/jnsa/citatio...

Abstracts from the NACCS 2024 Annual Meeting are now published in JNA!
Congratulations to all the authors
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October's Focused Review
The four principal techniques commonly used to achieve flow reduction for neurovascular procedures: Intravenous adenosine, rapid ventricular pacing, endovascular balloon-assisted occlusion
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Editor's Choice Articles for October 2025: Free to access!

Thank you to our brilliant and hardworking JNA Editorial Board: Your commitment to maintaining high standards and ensuring quality content is truly appreciated. Great to see many of our members in person at the SNACC Annual Meeting in Atlanta GA!

July 2025 Editor's Choice Article: The 2-step prediction model could be useful for predicting the functional independence in patients with acute ischemic stroke 90-days after endovascular thrombectomy
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July 2025 Editor's Choice Article: This review highlights the global landscape of enhanced recovery after surgery (ERAS) implementation in spine surgery, demonstrating its effectiveness in reducing length of stay across diverse settings

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July 2025 Editor's Choice Article: A dose-escalation study to assess whether remimazolam is associated with lower MEP amplitude. Results suggests that increasing remimazolam from 1 to 2 mg/kg/h might have an insignificant effect on transcranial electric MEPs.

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What is the optimal transfusion threshold for patients with neurologic injury?
Drs. Rathmell and Vacas provide an update from the recent literature in the July issue
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Editor's choice articles for the July 2025 issue are free to access for the next 3 months!
Check them out here:
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Dynamic Cortical Connectivity During Propofol Sedation in Glioma Patients:
Wang et al found dynamic differences in EEG functional connectivity between the glioma and nonglioma groups during sedation with propofol

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What is the optimal hemoglobin for patients with Moyamoya disease?
Ran et al found a significant association between hemoglobin drop and early postoperative stroke following revascularization surgery in adult patients with Moyamoya disease

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Dynamic Cortical Connectivity During Propofol Sedation in Glioma Patients:
Wang et al found dynamic differences in EEG functional connectivity between the glioma and nonglioma groups during sedation with propofol @snaccneuro

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Enhanced recovery after craniotomy: What is the evidence?
Kim et al summarized 5 articles and found ERAS protocols reduced the length of hospital stay (−1.52 days; 95%CI: −2.55 to −0.49) with high heterogeneity. ERAS protocols also reduced PONV and pain scores.

New in the April Issue by Shin et al: Preoperative white blood cell-to-hemoglobin ratio was an independent predictor of postoperative symptomatic cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage

The Role of the Glymphatic System in Perioperative... : Journal of Neurosurgical Anesthesiology nts have worse outcomes after surgery. The status of the glymphatic system during the perioperative period is unclear and can be examined with magnetic resonance imaging (MRI)-based diffusion tensor imaging...

This month in JNA: Role of perioperative glymphatic system changes in OSA patients and possible relationships with perioperative neurocognitive disorders @svacas
--> The ALPS index decreased after surgery and correlated with decrease in cognition & memory

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New JNA Podcast: Anesthesia on Clinical Outcomes in an Extended Time Window During Endovascular Stroke Therapy
--> Dr. Rashid Hussain interviews Dr. Alice (Xinyan) Wang

Download the SNACC Podcast wherever you get your podcasts
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New Focused Review: Anesthesia for the Pregnant Patient Undergoing Intracranial Procedures Keep up to date on the current literature on anesthetic care of pregnant patients requiring intracranial interventions by Drs. Kotadia & Kisilevksy.

SNACC Neuroanesthesia Update: Virtual Clinical Symposium
Saturday, April 26, 2025, 11 am-4:25 pm ET
Join top experts to discuss valuable updates and current clinical best practices in neuroanesthesia and neurocritical care

Register now: snacc.org/2025-virtual...

The Impact of Neuroanesthesia Fellowship Training and... : Journal of Neurosurgical Anesthesiology s on in-hospital morbidity after spine surgery. Methods: Adult patients who underwent spine surgery at the London Health Science Centre, Ontario, Canada between January 1, 2010 and June 30, 2023 were...

Does fellowship training matter? @jasonswchui et al found neuroanesthesia fellowship training @ICPNT was associated with a 42% reduction in complications after spine surgery; surgeon-anesthesiologist familiarity was also associated with better outcomes.

The Journal of Neurosurgical Anesthesiology has officially broadened our social media presence to Blusky. Follow us to stay informed on the latest in perioperative neuroscience, neurocritical care, and neuroanesthesia research and news!