Publications by authors named "Jodi Walsh"
Background: In this initial series, we evaluated the use of microvascular decompression (MVD) under an awake anesthesia protocol ("awake" MVD) to assess whether intraoperative pain evaluation can identify and mitigate insufficient decompression of the trigeminal nerve, improving surgical outcomes, and possibly expand the indications of MVD in patients with comorbidities that would preclude the use of general endotracheal anesthesia (GEA).
Methods: An Institutional Review Board-approved prospective study of 10 consecutive adults who underwent MVD for trigeminal neuralgia (TN) was conducted. The primary outcome measure was postoperative TN pain quantified on the Barrow Neurological Institute (BNI) Pain Severity Scale.
Article Synopsis
- The study aimed to evaluate the benefits of awake neurological testing during a specific type of brain surgery (HFEC-IC bypass) compared to traditional testing with general anesthesia.
- It involved 30 adult patients and monitored outcomes like stroke incidence, hospital stay length, and discharge conditions, finding that 16.6% experienced noticeable neurological changes during the procedure.
- Results showed a lower risk of strokes and better outcomes in the awake testing group, indicating its effectiveness in detecting neurological issues that conventional monitoring might miss.
OBJECTIVE Risk of ischemia during aneurysm surgery is significantly related to temporary clipping time and final clipping that might incorporate a perforator. In this study, the authors attempted to assess the potential added benefit to patient outcomes of "awake" neurological testing when compared with standard neurophysiological testing performed under general anesthesia. The procedure is performed after the induction of conscious sedation, and for the neurological testing, the patient is fully awake.
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