A SIAARTI Neuroanesthesia and Neurointensive Care Section survey on elective neurosurgery and interventional neuroradiology
Rattachement africain : it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: The data available at the national level in Italy regarding elective neurosurgical and neuroradiological procedures are limited. This survey aimed to explore clinical practices across Italian centers, focusing on anesthetic strategies, monitoring, and postoperative management. METHODS: A nationwide survey was conducted, collecting data from centers performing elective craniotomies and interventional neuroradiology. Questions addressed procedural volumes, anesthesia type, monitoring tools, and intraoperative and postoperative management. RESULTS: Among 49 responding centers, 21 were high-volume (>150 craniotomies/year). Intravenous anesthesia was the preferred anesthesia method, though not uniformly applied across volume groups. Awake craniotomy was rarely performed, even in high-volume centers. Bispectral Index™ monitoring was reported in 71.7% of centers, but without correlation to center volume. Anti-epileptic prophylaxis was routinely used in 73.9% of high-volume centers. Practices regarding intraoperative awakening and postoperative computer tomography scans varied widely: 53.5% performed them routinely in the postoperative period. In addition, 42.5% of physicians still adopted delayed awakening for neuroprotection purposes. Intensive care unit admission was not universally applied, reflecting a growing trend toward selective monitoring and enhanced recovery protocols. DISCUSSION: Large-volume centers do not always align with the best evidence available, albeit the limitation in the literature. In many centers, there is still indiscriminate use of anti-epileptic prophylaxis, admission to the critical care unit after craniotomy, and computed tomography in conscious patients in the immediate postoperative period: habits and preferences, however, for which there are no clear and consistent answers in the literature. CONCLUSIONS: This survey reveals significant heterogeneity in the anesthetic and perioperative practices across Italian centers, independent of surgical volume. The absence of a dedicated national database limits broader analysis. Establishing such a registry could guide protocol standardization, training, and resource optimization in elective neurosurgical and neuroradiological care.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A SIAARTI Neuroanesthesia and Neurointensive Care Section survey on elective neurosurgery and interventional neuroradiology
- Date Crossref
- 16/12/2025
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Padua pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedale - Università Padova pays non établi dans la noticeÉtablissement de santé
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University of Bologna Anesthesia and Intensive Care School pays non établi dans la noticeUniversité ou école supérieure
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Università Cattolica del Sacro Cuore pays non établi dans la noticeUniversité ou école supérieure
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Agostino Gemelli University Polyclinic pays non établi dans la noticeÉtablissement de santé
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Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia pays non établi dans la noticeÉtablissement de santé
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University of Sassari Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Istituto delle Scienze Neurologiche di Bologna pays non établi dans la noticeStructure de recherche
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Anesthesia and Intensive Care Unit pays non établi dans la noticeInstitution
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University of Padova Department of Medicine-DIMED pays non établi dans la noticeUniversité ou école supérieure
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Fondazione Policlinico Universitario A.Gemelli IRCCS Terapia Intensiva Neurochirurgica pays non établi dans la noticeÉtablissement de santé
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Neuroanesthesia pays non établi dans la noticeInstitution
University of Padua, Azienda Ospedale - Università Padova et Anesthesia and Intensive Care School — University of Bologna, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.