Neurosurgery
Special Issue: Peri‐operative and critical care management of the brain ‐ current evidence.
11 Jan, 2022 | 02:36h | UTCEditorials:
In search of the perfect outcome in neuroanaesthesia and neurocritical care
Anaesthesia and the older brain: what should we do?
Review Articles:
Implications of nocebo in anaesthesia care
Acute peri-operative neurocognitive disorders: a narrative review
Pragmatic sedation strategies to prevent secondary brain injury in low-resource settings
Delirium and COVID-19: a narrative review of emerging evidence
Anaesthesia for mechanical thrombectomy: a narrative review
Clinical applications of point-of-care ultrasound in brain injury: a narrative review
Management of status epilepticus: a narrative review
Evidence-based strategies to reduce the incidence of postoperative delirium: a narrative review
Management of traumatic brain injury: a narrative review of current evidence
Peri-operative management of patients with Parkinson’s disease
The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.
7 Dec, 2021 | 10:23h | UTCRelated:
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.
Position statement: Perioperative management of post-COVID-19 surgical patients.
Systematic Review: What are the benefits and risks of electrical spinal cord and dorsal root ganglion stimulation for the treatment of chronic pain in adults?
7 Dec, 2021 | 08:31h | UTCOriginal study: Implanted spinal neuromodulation interventions for chronic pain in adults – Cochrane Library
Consensus practice guidelines on interventions for cervical spine (facet) joint pain.
14 Nov, 2021 | 19:34h | UTCNews release: Only certain patients with chronic neck pain need invasive procedures to treat it – BMJ
Guideline: Nonpharmacological treatment of persistent postconcussion symptoms in adults.
10 Nov, 2021 | 07:07h | UTCInvited commentary: Advances in Clinical Management of Persistent Postconcussion Symptoms—The Danish National Clinical Guideline – JAMA Network Open
Commentary on Twitter
Based on low certainty of evidence or based on consensus, new guideline provides recommendations for commonly applied non-pharmacological interventions to treat persistent post-concussion symptoms in adults. https://t.co/CM1pbMqRXN
— JAMA Network Open (@JAMANetworkOpen) November 9, 2021
M-A: Among patients with acute intracerebral hemorrhage, interventions to lower blood pressure within 7 days of the onset had no overall benefit on functional recovery, despite reducing bleeding.
10 Nov, 2021 | 06:55h | UTC
Management of patients with cervical spine trauma in the emergency department: a systematic critical appraisal of guidelines with a view to developing standardized strategies for clinical practice.
26 Oct, 2021 | 01:17h | UTC
Serious injury risk higher for horse riding than for football, motor racing, or skiing – “Chest most common site of injury, but head and neck injuries most lethal”.
17 Oct, 2021 | 21:08h | UTCNews release: Serious injury risk higher for horse riding than for football, motor racing, or skiing – BMJ
Commentary: Horse Riding More Dangerous Than Skiis And Motorcycles, Injury Data Reveal – Science Alert
Intracerebral hemorrhage: diagnosis, emergency management, and prognosis.
15 Oct, 2021 | 02:12h | UTCIntracerebral Hemorrhage: Diagnosis, Emergency Management, and Prognosis – emDocs
RCT: Early treatment with mild aerobic exercise safely speeds recovery from sport-related concussion in adolescents.
11 Oct, 2021 | 23:58h | UTCNews release: Aerobic exercise after a sport-related concussion speeds recovery in adolescent athletes – University at Buffalo
Related:
Randomized Trial: Early Aerobic Exercise for Sport-Related Concussion
RCT: Limiting screen time for young adults after concussion results in shorter duration of symptoms.
Commentaries on Twitter
RCT study in @TheLancet shows adolescents who sub-threshold aerobic exercise 20 mins/ day for 4 weeks starting within 10 days of a concussion are 48% less likely to get prolonged symptoms. https://t.co/1tafsQHrXt
— Dr Ademola Adejuwon (@SmileySportyDoc) October 2, 2021
Sport-related #concussion is a major public health issue in US adolescents
This new RCT of aerobic exercise vs stretching found exercise sped up recovery and reduced risk for persistent post-concussive symptomshttps://t.co/jP30N1eJEQ pic.twitter.com/ux42VSMfSr
— The Lancet Child & Adolescent Health (@LancetChildAdol) October 1, 2021
M-A: Treatment options for progression or recurrence of glioblastoma.
26 Sep, 2021 | 21:34h | UTCSummary: Treatment options for people with recurrent and progressive glioblastoma – Cochrane Library
Review: Focused management of patients with severe acute brain injury and ARDS.
24 Sep, 2021 | 08:52h | UTCFocused Management of Patients with Severe Acute Brain Injury and ARDS – CHEST
RCT: Limiting screen time for young adults after concussion results in shorter duration of symptoms.
12 Sep, 2021 | 21:38h | UTCOriginal study: Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial – JAMA Pediatrics (link to abstract – $ for full-text)
Commentary on Twitter
The use of electronic screen time in the first 48 hours after sustaining a concussion is associated with a longer time to recovery, a single-center randomized-clinical trial reports https://t.co/PFAj5OoqNc
— JAMA Pediatrics (@JAMAPediatrics) September 7, 2021
Review: Management of severe traumatic brain injury in regions with limited resources.
9 Sep, 2021 | 08:56h | UTCManagement of severe traumatic brain injury in regions with limited resources – Brain Injury
Brain and other central nervous system tumor statistics, 2021 – There were few improvements in the care of Glioblastoma in the past 4 decades. Specifically, the 5-year survival only increased from 4% to 7%.
1 Sep, 2021 | 08:58h | UTCBrain and other central nervous system tumor statistics, 2021 – CA: A Cancer Journal for Clinicians
Systematic review: Pain management after complex spine surgery.
24 Aug, 2021 | 08:50h | UTCPain management after complex spine surgery – European Journal of Anaesthesiology
Guideline: Non-surgical interventions for lumbar spinal stenosis leading to neurogenic claudication.
13 Aug, 2021 | 09:03h | UTC
Randomized phase III trial of prophylactic cranial irradiation with or without hippocampal avoidance for small-cell lung cancer – “This trial provides the first clinical evidence that sparing the hippocampus during PCI in patients with SCLC better preserves cognitive function”.
13 Aug, 2021 | 08:54h | UTC
EANO–ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up of patients with brain metastasis from solid tumors.
11 Aug, 2021 | 08:29h | UTCCommentary: New guidelines for the diagnosis and treatment of brain metastases – University of Vienna
Commentary on Twitter
Just out📣 @EANOassociation-ESMO Guidelines for the management of patients with #brain metastasis from solid #tumours: find out the latest recommendations, immunohistochemical markers for #carcinoma of unknown primary and treatment algorithms 🔎 https://t.co/CriaZKxFJr #btsm pic.twitter.com/0yQqmJMzT1
— ESMO – Eur. Oncology (@myESMO) August 5, 2021
RCT: Decompression alone is non-inferior to decompression with fusion in patients with degenerative lumbar spondylolisthesis.
6 Aug, 2021 | 09:54h | UTCCommentary: Decompression Noninferior for Degenerative Spondylolisthesis – HealthDay
Observational study: Positive Fluid balance linked to worse outcomes in critically ill patients with traumatic brain injury.
1 Aug, 2021 | 23:57h | UTCFluid balance and outcome in critically ill patients with traumatic brain injury (CENTER-TBI and OzENTER-TBI): a prospective, multicentre, comparative effectiveness study – The Lancet Neurology (link to abstract – $ for full-text)
Commentary: Traumatic Brain Injury: Fluid Overload Tied to Higher Mortality in ICU Patients – Physician’s Weekly
Commentary on Twitter
Happy with our paper in @TheLancetNeuro on comparative effectiveness of fluid management strategies in TBI patients in the ICU. Successful example of treatment effect estimation in observational data. @CenterTBI @Menon_Cambridge @Dr_Cit @ESteyerberghttps://t.co/TMzhkd1SZz
— Hester Lingsma (@hesterlingsma) July 23, 2021
Selected issues in sport-related concussion for the team physician: a consensus statement – “Current evidence suggests strict rest after SRC slows recovery and increases the probability of prolonged symptoms”.
25 Jun, 2021 | 10:15h | UTCNews release: Strict Rest Slows Recovery after Sports-Related Concussions – American College of Sports Medicine
RCT: Continuous infusion of 20% hypertonic saline does not improve neurological outcomes in patients with traumatic brain injury
26 May, 2021 | 08:22h | UTCEffect of Continuous Infusion of Hypertonic Saline vs Standard Care on 6-Month Neurological Outcomes in Patients With Traumatic Brain Injury: The COBI Randomized Clinical Trial – JAMA (free for a limited period)
Commentary on Twitter
Among patients with moderate to severe traumatic brain injury, treatment with continuous infusion of 20% hypertonic saline compared with standard care did not result in a significantly better neurological status at 6 months https://t.co/zyPhO0Y2Yy
— JAMA (@JAMA_current) May 25, 2021
Systematic review: Treatments for unruptured intracranial aneurysms – There is currently insufficient good-quality evidence to support either conservative treatment or interventional treatments (microsurgical clipping or endovascular coiling)
13 May, 2021 | 05:51h | UTCTreatments for unruptured intracranial aneurysms – Cochrane Library
Summary: Treatments for unruptured intracranial aneurysms – Cochrane Library
Review: Diagnosis and treatment of unruptured intracranial aneurysms and aneurysmal subarachnoid hemorrhage
13 May, 2021 | 05:53h | UTC