Postoperative complications after craniotomy for brain tumor surgery
| Autor: | Emilie Bérard, Corine Vuillaume, Franck-Emmanuel Roux, Marc Vironneau, Thomas Geeraerts, Marine Guyonnet, Sandrine Sacrista, Veronique Ramonda, Olivier Fourcade, Anne Ferrier, Françoise Peres, Laurent Lonjaret |
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| Přispěvatelé: | Service d'Anesthésie-Réanimation, CHU Toulouse [Toulouse]-Institut Louis Bugnard-Hôpital de Rangueil, CHU Toulouse [Toulouse], Epidémiologie et analyses en santé publique : risques, maladies chroniques et handicaps (LEASP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées, Centre de recherche cerveau et cognition (CERCO), Institut des sciences du cerveau de Toulouse. (ISCT), Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-CHU Toulouse [Toulouse]-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-CHU Toulouse [Toulouse]-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS), Service de cardiologie [Toulouse], Hôpital de Rangueil, CHU Toulouse [Toulouse]-CHU Toulouse [Toulouse] |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Fossa Critical Care medicine.medical_treatment Blood Loss Surgical Critical Care and Intensive Care Medicine Patient Readmission law.invention 03 medical and health sciences 0302 clinical medicine Postoperative Complications law Predictive Value of Tests Risk Factors medicine Humans Prospective Studies Craniotomy Brain tumor surgery Aged Movement Disorders biology business.industry Brain Neoplasms Incidence (epidemiology) Incidence [SCCO.NEUR]Cognitive science/Neuroscience Postoperative complication General Medicine Middle Aged biology.organism_classification Intensive care unit 3. Good health Surgery Anesthesiology and Pain Medicine Cranial Fossa Posterior 030220 oncology & carcinogenesis Anesthesia Postoperative Nausea and Vomiting Female medicine.symptom Nervous System Diseases business Complication 030217 neurology & neurosurgery Postoperative nausea and vomiting |
| Zdroj: | Anaesthesia Critical Care & Pain Medicine Anaesthesia Critical Care & Pain Medicine, 2017, 36 (4), pp.213--218. ⟨10.1016/j.accpm.2016.06.012⟩ |
| DOI: | 10.1016/j.accpm.2016.06.012⟩ |
| Popis: | International audience; AbstractIntroductionAfter elective craniotomy for brain tumour surgery, patients are usually admitted to an intensive care unit (ICU) for monitoring. Our goal was to evaluate the incidence and timing of neurologic and non-neurologic postoperative complications after brain tumour surgery, to determine factors associated with neurologic events and to evaluate the timing and causes of ICU readmission.Patients and methodsThis prospective, observational and analytic study enrolled 188 patients admitted to the ICU after brain tumour surgery. All postoperative clinical events during the first 24 hours were noted and classified. Readmission causes and timing were also analysed.ResultsTwenty-one (11%) of the patients were kept sedated after surgery; the remaining 167 patients were studied. Thirty one percent of the patients presented at least one complication (25% with postoperative nausea and vomiting (PONV), 16% with neurologic complications). The occurrence of neurological complications was significantly associated with the absence of preoperative motor deficit and the presence of higher intraoperative bleeding. Seven patients (4%) were readmitted to the ICU after discharge; 43% (n = 3) of them had a posterior fossa surgery.ConclusionPostoperative complications, especially PONV, are frequent after brain tumour surgery. Moreover, 16% of patients presented a neurological complication, probably justifying the ICU postoperative stay for early detection. The absence of preoperative motor deficit and intraoperative bleeding seems to predict postoperative neurologic complications. Finally, patients may present complications after ICU discharge, especially patients with fossa posterior surgery, suggesting that ICU hospitalization may be longer in this type of surgery. |
| Databáze: | OpenAIRE |
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