Intraoperative Anesthesiology Management and Patient Outcomes for Surgical Revascularization for Moyamoya Disease: A Review and Clinical Experience.

التفاصيل البيبلوغرافية
العنوان:	Intraoperative Anesthesiology Management and Patient Outcomes for Surgical Revascularization for Moyamoya Disease: A Review and Clinical Experience.
المؤلفون:	Williams GW 2nd; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Jones WS; University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Chaudhry R; Deparment of Anesthesiology, University of Toronto, Toronto, Ontario, Canada., Cai C; Department of Clinical and Translational Sciences, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Pednekar GS; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Long AC; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Chouhan S; Department of Anesthesiology, Drexel University College of Medicine, Philadelphia, Pennsylvania, United States., Artime C; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Wegner RC; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Grewal NK; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Patterson VM; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Contreras DA; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States., Ferrario L; Department of Anesthesiology, University of Texas John P. and Katherine G. McGovern Medical School, Houston, Texas, United States.
المصدر:	Journal of neurological surgery. Part A, Central European neurosurgery [J Neurol Surg A Cent Eur Neurosurg] 2019 May; Vol. 80 (3), pp. 143-148. Date of Electronic Publication: 2019 Feb 28.
نوع المنشور:	Journal Article; Review
اللغة:	English
بيانات الدورية:	Publisher: Thieme Country of Publication: Germany NLM ID: 101580767 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2193-6323 (Electronic) Linking ISSN: 21936315 NLM ISO Abbreviation: J Neurol Surg A Cent Eur Neurosurg Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Stuttgart : Thieme
مواضيع طبية MeSH:	Anesthesia/methods , Cerebral Revascularization/methods , Craniotomy/methods , Moyamoya Disease/surgery, Hemodynamics ; Humans ; Retrospective Studies ; Treatment Outcome
مستخلص:	Background: Moyamoya disease (MMD) is a rare cerebrovascular condition, often presenting as a headache or stroke in adults. Anesthetic management of this illness may challenge providers because it can affect the long-term neurologic outcome and hospital length of stay (LOS) in patients with MMD. Materials and Methods: A literature search was conducted to assess etiology and epidemiology, as well as existing reports of intraoperative management of MMD. Due to sparse findings, the search was expanded to include studies of the use of intraoperative anesthetic agents during other neurosurgical procedures. We also retrospectively reviewed all MMD cases from January 1, 2009, to December 31, 2015, at Memorial Hermann Hospital-Texas Medical Center, where intraoperative management involved craniotomy and surgical revascularization. Data were collected primarily on the use of several anesthetic agents. The LOS and any adverse events were also recorded for each case. The data were divided into two equivalent case cohorts: (1) January 1, 2009, to February 18, 2013, and (2) February 19, 2013, to December 31, 2015. Results: Remifentanil use notably increased between the first and second time periods while fentanyl use decreased. Desflurane usage also demonstrated an observed increase when our two cohorts were compared. Additionally, there was a decrease in the mean LOS between the first and second periods of 3.9 and 3.3 days, respectively. Conclusion: Increasing use of remifentanil in MMD cases could be attributed to its ability to provide more stable hemodynamics during induction, maintenance, and emergence of anesthesia when compared with fentanyl. Lower systolic pressures, diastolic pressures, and heart rates were reported in patients receiving remifentanil over fentanyl. Competing Interests: None declared. (Georg Thieme Verlag KG Stuttgart · New York.)
تواريخ الأحداث:	Date Created: 20190301 Date Completed: 20190624 Latest Revision: 20190624
رمز التحديث:	20221213
DOI:	10.1055/s-0039-1677823
PMID:	30818408
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	2193-6323
DOI:	10.1055/s-0039-1677823