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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2022; 09(02): 084-092
DOI: 10.1055/s-0042-1749649
Original Article

Preanesthetic Evaluation and Preparation for Neurosurgical Procedures: An Indian Perspective

Ashish Bindra 
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
,
Suparna Bharadwaj
2   Department of Neuroanesthesiology and Neurocritical Care, National Institute of Mental Health and Neuro-Sciences, Bengaluru, Karnataka, India
,
Nitasha Mishra
3   Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India
,
Dheeraj Masapu
4   Department of Neuroanesthesia, Sakra World Hospital, Bangalore, Karnataka, India
,
Saurabh Bhargava
5   Department of Emergency Medicine, National Institute of Medical Sciences Medical College, Jaipur, Rajasthan, India
,
Ankur Luthra 
6   Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Manish Marda
7   Department of Neuroanaesthesia and Critical Care, Max Super-Specialty Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India
,
Ajay P. Hrishi
8   Department of Neuroanaesthesia, Sree Chitra Institute of Medical Sciences, Thiruvananthapuram, Kerala, India
,
Hemant Bhagat
6   Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Prasanna U. Bidkar 
9   Department of Anesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
,
Ponniah Vanamoorthy 
10   Department of Neurocritical Care and Neuroanaesthesiology, MGM Healthcare PVT. LTD., Chennai, Tamil Nadu, India
,
Zulfiqar Ali
11   Division of Neuroanesthesiology and Critical Care, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
,
Maroof A. Khan
12   Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
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Abstract

Background A questionnaire-based survey was conducted to determine the preanesthetic evaluation (PAE) practices among the members of the Indian Society of Neuroanesthesiology and Critical Care (ISNACC). The survey aimed to assess the current clinical practice of PAE and optimization of neurosurgical patients in India.

Methods An online questionnaire was designed by the working group of ISNACC and circulated among its active members. Response to individual questions was considered significant if 50% or more respondents concurred. The survey questions to which less than 50% of respondents concurred were identified as inconclusive results.

Results Out of 438 active ISNACC members, 218 responded. Responses were obtained from various parts of the country. The majority of participants were practicing neuroanesthesiology. Questions asked were regarding clinical assessment, preoperative optimization, prognostication, and airway management in neurosurgery. More than 50% of practitioners acceded to most of the questions; however, the percentage of responses varied across different questions (50–100%). The questions related to preoperative duplex scanning in chronically immobilized patients, preoperative cognitive testing, and risk stratification during neurosurgical procedures received an inconclusive response (< 50%).

Conclusion The survey highlights the variable PAE practices perused by ISNACC members across the country. A guideline for uniform PAE practices may help to enhance research and improve perioperative care.

Keywords

survey - preanesthetic evaluation - neuroanesthesia - practices - India

Supplementary Material



Publication History

Article published online:
21 August 2022

© 2022. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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