Anesthesiology and Pain Medicine; Critical Care and Intensive Care Medicine
Abstract :
[en] Damage to the brain can have disastrous and long-lasting consequences. The European Society of Anaesthesiology and Intensive Care (ESAIC) is aware of the importance of taking good care of the brain, both of patients and of anaesthesia and intensive care unit (ICU) caregivers, and has organised a complete learning track on brain health to bring this concern to the attention of practitioners. This learning track included an online Focus Meeting on Brain Health (November 25, 2023). We here provide readers with a digest of the information that was delivered during that meeting in an opinion paper driven by the authors' own reading of the literature. It is divided according to the meeting's sessions, including how to improve the health of an injured brain, how to keep a young or old brain healthy, how to keep a healthy adult brain unimpaired, how monitoring can impact brain health in the operating room and in the intensive care unit, and how to keep the anaesthesia and ICU caregivers' brain healthy. Each part is a brief and focused summary. The main delivered messages are that the management of injured brain patients involves an adequate choice of sedation, adequate brain monitoring, and focused attention to specific points depending on the underlying pathology; that several measures can be undertaken to protect the brain of the very young needing anaesthesia; that it is possible to detect older patients at risk of postoperative neurocognitive disorders, and that dedicated perioperative management by a multidisciplinary expert team may improve their outcomes; that apparently healthy adult brains may suffer during anaesthesia; that the electroencephalogram may track peri-operative brain dysfunction, and that female patients should be given special care in this respect; that multimodal brain monitoring helps to detect pathological processes and to maintain brain homeostasis; and that burnout in anaesthesiologists can be effectively fought using personal, organisational, managerial and legal approaches.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Bonhomme, Vincent ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation
Putensen, Christian; University of Bonn > Dpt of Anesthesiology and Intensive Care Medicine
Böttiger, Bernd W; University Hospital Cologne > Department of Anesthesiology and Intensive Care Medicine
Stevens, Markus F; UvA - University of Amsterdam > Department of Anesthesiology
Marczin, Nandor; Imperial College London, Royal Brompton & Harefield Hospitals, Guy's & St. Thomas' NHS, London > Division of Anaesthesia, Pain Medicine and Intensive Care
Arnal, Daniel; Semmelweis University, Budapest, Hungary > Department of Anaesthesia and Intensive Care
Brotfain, Evgeni; Soroka University Medical Center, Ben Gurion University of the Negev, Beer- Sheva, Israel > General Intensive Care Unit, Division of Anesthesiology and Intensive Care
Raz, Aeyal; Rambam Healthcare Campus, The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel > Department of Anesthesiology
DEFRESNE, Aline ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'anesthésie - réanimation
Bogossian, Elisa; Hôpital Erasme > Department of Intensive Care Medicine
Sviri, Sigal; Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Israel > Department of Medical Intensive Care
Mair, Alexander; University Hospital Zurich, Zurich, Switzerland > Institute of Anesthesiology
Robba, Chiara; University of Genoa, IRCCS Policlinico San Martino, Genoa, Italy > Dipartimento di Scienze Chirurgiche Diagnostiche e Integrate
Dilmen, Ozlem Korkmaz; Cerrahpasa Faculty of Medicine, Istanbul University- Cerrahpasa, Istanbul, Turkey > Department of Anaesthesiology and Intensive Care
Ly, Julien ; Université de Liège - ULiège > Département des sciences cliniques
Crisan, Maria I; University Hospital Zurich, Zurich, Switzerland > Emergency Department
De Graaff, Jurgen C; Adrz-Erasmus MC, Goes, the Netherlands and Weill Cornell Medicine, New York, USA > Department of Anesthesia
Najafi, Nadia; University Hospital of Brussels, Brussels, Belgium > Department of Anesthesiology and Perioperative Medicine
Vutskits, Laszlo; University Hospitals of Geneva, Geneva, Switzerland
Absalom, Anthony; University Medical Center Groningen, University of Groningen, Groningen, The Netherlands > Department of Anesthesiology
Abramovich, Igor; CCM | CVK, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany > Department of Anesthesiology and Intensive Care Medicine
Souberbielle, Quentin; Cliniques universitaires Saint Luc, Institut de Recherche Expérimentale et Clinique, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium > Department of Anesthesiology
Momeni, Mona; Cliniques universitaires Saint Luc, Institut de Recherche Expérimentale et Clinique, Institute of Neuroscience, Université catholique de Louvain, Brussels, Belgium > Department of Anesthesiology
Campbell, Douglas; Auckland City Hospital, Auckland, New Zealand > Department of Anaesthesiology
Evered, Lisbeth; School of Medicine, University of Melbourne and Department of Anaesthesia and Acute Pain Medicine, St. Vincent's Hospital Melbourne, Melbourne, Australia > Department of Critical Care
Vacas, Susana; Massachusetts General Hospital, Boston, USA > Department of Anesthesia, Critical Care and Pain Medicine
Saxena, Sarah; AZ Sint-Jan, Bruges, Belgium > Department of Anaesthesiology-Critical Care
Bruder, Nicolas; Hospital La Conception and Aix-Marseille University, Marseille, France
Oksuz, Dilara A; Tip Fakültesi, Cerrahi Tip Bilimleri, Gazi University, Ankara, Turkey > Anesteziyoloji ve Reanimasyon
Lobo, Francisco A; Anesthesiology Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates
van Putten, Michel; University of Twente and Medisch Spectrum Twente, Enschede > Department of Clinical Neurophysiology
Sahinovic, Marko
Hawryluk, Gregory W J; Neurological Institute, Cleveland Clinic Akron General Hospital, Fairlawn, Ohio, USA
Kustura, Antonia; Sestre milosrdnice University Hospital Center, Zagreb, Croatia > Division of Anesthesiology, Intensive Care and Pain Medicine
Yürek, Fatima
Baron Shahaf, Dana; Rambam Healthcare Campus, Haifa, Israel > Department of Anesthesia
Shahaf, Goded; The Applied Neurophysiology Lab, Rambam Healthcare Campus, Haifa, Israel
Radke, Finn; Nykoebing Hospital, University of Southern Denmark, Denmark > Department of Anaesthesia and Intensive Care
Khalifa, Celine; Cliniques universitaires Saint-Luc, Université catholique de Louvain, Brussels, Belgium > Department of Anesthesiology
we would like to warmly thank the ESAIC staff for tremendous support during the whole learning track on brain health, including Valentina Cocchi, Raffaella Donadio, Emilie Nootens, Sarah Herbineaux and Georgios Karaiskos. The authors would also like to warmly thank Idit Matot and Michel Struys, successively chairs of the ESAIC Scientific Committee, for their guidance and support in achieving the project on brain health. Of note, Francisco Lima helped in designing the figures. Financial support and sponsorship: the Focus Meeting 2023 was made possible by an unrestricted educational grant from Masimo. The unrestricted grant went to ESAIC, and no payments were made to either the meeting faculty or the authors of this article. The sponsor was not involved in the selection of the speakers/chairs and had no influence on the content of the meeting and this article. Susana Vacas was supported by the National Institutes of Health, National Institute of General Medical Sciences under Award Number K23GM132795.Financial support and sponsorship: the Focus Meeting 2023 was made possible by an unrestricted educational grant from Masimo. The unrestricted grant went to ESAIC, and no payments were made to either the meeting faculty or the authors of this article. The sponsor was not involved in the selection of the speakers/chairs and had no influence on the content of the meeting and this article. Susana Vacas was supported by the National Institutes of Health, National Institute of General Medical Sciences under Award Number K23GM132795.
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