Neurosurgical Guidelines

• Photogrammetry Foundations and Guidelines for Acquisition of High-Definition 3-Dimensional Models Using Photographic Cameras and Smartphones: An Optimized Tool to Improve Neuroanatomy Research and Education
• Rolipram and Electrical Stimulation Synergistically Promote Neuronal Differentiation of Adipose-derived Stromal Cells: an in Vitro Study
• Anesthetic and perioperative management of pregnant patients undergoing neurosurgery: a case series from a single center in Morocco (2017-2024)
• Fasting and nutrition in neuroanesthesia and neurocritical care patients
• Surgical site infections with multi-drug resistant organisms in patients undergoing neurosurgery: a retrospective comparative cohort study from Turkey
• Reliability and validity of the Finnish version of the AO spine PROST (patient reported outcome spine trauma)
• Lipid peroxidation metabolites as biomarkers in patients with aneurysmal subarachnoid hemorrhage and cerebral vasospasm or delayed cerebral ischemia: a systematic review
• Prospective insights into pediatric neurosurgery: transforming care through adverse event analysis

Tewarie et al. aim to offer a critical approach to the ethical and legal status of guidelines in neurosurgery. To this aim, the authors discuss: 1) the current state of neurosurgical guidelines and the evidence they are based on; 2) the degree of implementation of these guidelines; 3) the legal status of guidelines in medical disciplinary cases; and 4) the ethical balance between confident and critical use of guidelines. Ultimately, guidelines are neither laws that should always be followed nor purely academic efforts with little practical use. Every patient is unique, and tailored treatment defined by the surgeon will ensure optimal care; guidelines play an important role in creating a solid base that can be adhered to or deviated from, depending on the situation. From a research perspective, it is inevitable to rely on weaker evidence initially in order to generate more robust evidence later, and clinician-researchers have an ethical duty to contribute to generating and improving neurosurgical guidelines ¹⁾

Anaesthetic and peri-operative management for thrombectomy procedures in stroke patients

Anterior cervical discectomy and fusion versus posterior decompression in patients with degenerative cervical myelopathy: a systematic review and meta-analysis

Comparison of Clinical Efficacy of Transforaminal and Interlaminar Epidural Steroid Injection in Radicular Pain due to Cervical Diseases: A Systematic Review and Meta-analysis

Decompression alone versus decompression with instrumented fusion in the treatment of lumbar degenerative spondylolisthesis: a systematic review and meta-analysis of randomised trials

Deep Brain Stimulation for Obsessive-Compulsive Disorder Guideline.

Evidence-based guideline for the prevention and management of perioperative infection

Gastric cancer intracranial metastases guidelines

Iatrogenic Pseudomeningocele Guidelines

Occipital Neuralgia Guideline

Parent perceptions and decision making about treatments for epilepsy: a qualitative evidence synthesis

Severe traumatic brain injury guidelines

Spontaneous Intracerebral Hemorrhage Guideline

Surgical and clinical efficacy of minimally invasive sacroiliac joint fusion surgery: a meta-analysis protocol

Systematic Review and Meta-Analysis of Randomized Controlled Trials for Scalp Block in Craniotomy

Unruptured Cerebral Aneurysm Guidline

Brain Trauma Foundation Guidelines.

ERAS Society Guidelines

European Stroke Organisation (ESO) guidelines on management of unruptured intracranial aneurysms

2013 European Thyroid Association Guidelines for the Diagnosis and Treatment of Thyrotropin-Secreting Pituitary Tumors.

Congress of Neurological Surgeons Guidelines.

NCCN Guidelines

Preferred Reporting Items for Systematic Reviews and MetaAnalyses.

STROBE statement

Neurosurgery Guidelines Development.

Neurosurgical Practice Guidelines Quality.

https://www.ahrq.gov/gam/index.html

In 2017, the Infectious Diseases Society of America (IDSA) published guidelines for healthcare-associated ventriculitis treatment and meningitis treatment ²⁾.

The analysis of surgical processes should be a standard of health systems.

Valero et al., describe the circuit of care and postoperative treatment for neurosurgical interventions in the centres of Spain.

From June to October 2014, a survey dealing with perioperative treatments and postoperative circuits after neurosurgical procedures was sent to the chiefs of Anaesthesiology of 73 Spanish hospitals with neurosurgery and members of the Neuroscience Section of SEDAR.

They obtained 45 responses from 30 centres (41.09%). Sixty percent of anaesthesiologists perform preventive locoregional analgesic treatment. Pain intensity is systematically assessed by 78%. Paracetamol, non-steroidal anti-inflammatory and morphine combinations are the most commonly used. A percentage of 51.1 are aware of the incidence of postoperative nausea after craniotomy and 86.7% consider multimodal prophylaxis to be necessary. Dexamethasone is given as antiemetic (88.9%) and/or anti-oedema treatment (68.9%). A percentage of 44.4 of anaesthesiologists routinely administer anticonvulsive prophylaxis in patients with supratentorial tumours (levetiracetam, 88.9%), and 73.3% of anaesthesiologists have postoperative surveillance protocols. The anaesthesiologist (73.3%) decides the patient's destination, which is usually ICU (83.3%) or PACU (50%). Postoperative neurological monitoring varied according to the type of intervention, although strength and sensitivity were explored in between 70-80%.

There is great variability in the responses, probably attributable to the absence of guidelines, different structures and hospital equipment, type of surgery and qualified personnel. We need consensual protocols to standardize the treatment and the degree of monitoring needed during the postoperative period ³⁾.

Major pharmaceutical companies selling antihypertensive drug products in the Japanese market had a significant financial connection with the JSH2019 authors. Financial relationships between pharmaceutical companies and authors or Japanese medical societies are raising significant concerns about the credibility of clinical guidelines and the potentially biases and undue influences that they may cause, especially with respect to adverse prescription patterns ⁴⁾.