Is postoperative haematoma an avoidable complication of intracranial surgery?

Autor:	S. Anagnostaras, E. Dourdounas, J. Vassilouthis, A. Papandreou
Rok vydání:	1999
Předmět:	medicine.medical_specialty medicine.medical_treatment Hypotension Controlled Central nervous system disease Hematoma medicine Humans Prospective Studies Prospective cohort study Craniotomy Cerebral Hemorrhage business.industry Mortality rate General Medicine medicine.disease Surgery Blood pressure Anesthesia Anesthesia Recovery Period Intracranial surgery Neurology (clinical) Analgesia business Complication
Zdroj:	British Journal of Neurosurgery. 13:154-157
ISSN:	1360-046X 0268-8697
DOI:	10.1080/02688699943916
Popis:	Postoperative intracranial haematoma is a serious complication of intracranial surgery with a mortality rate of around 30%. There have been reports implicating abrupt rises of blood pressure during the last stages or immediately after the procedure, in the production of the clot. This prospective study examined this hypothesis. Over the last 7 years, 526 consecutive patients underwent craniotomy under a strict anaesthesiological protocol based on deep opioid analgesia which virtually eliminated any acute elevations of the arterial pressure during and immediately after craniotomy. Emergence from anaesthesia was delayed for an average of 1 1/2-2 h following the procedure. Postoperative CT was obtained in every patient. There have been no cases of postoperative clot formation in this series of patients. The results of the study suggest that postoperative haematoma is probably an avoidable complication of intracranial surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8aff2912f486815394b100e5eba97a20 https://doi.org/10.1080/02688699943916 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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