Perioperative Complications and Clinical Outcomes in Patients with Congenital Cyanotic Heart Disease Undergoing Surgery for Brain Abscess

Autor:	Amit Goyal, Kamath Sriganesh, Smita Vimala, Mathangi Krishnakumar, G. S. Umamaheswara Rao
Rok vydání:	2020
Předmět:	medicine.medical_specialty Heart disease complications anesthesia outcomes lcsh:RC321-571 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine In patient neurosurgery Abscess lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Brain abscess business.industry General Neuroscience Incidence (epidemiology) Retrospective cohort study congenital cyanotic heart disease Perioperative medicine.disease Surgery brain abscess Original Article Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery
Zdroj:	Journal of Neurosciences in Rural Practice Journal of Neurosciences in Rural Practice, Vol 11, Iss 03, Pp 375-380 (2020)
ISSN:	0976-3147
Popis:	Background Brain abscess is a rare neurological complication in patients with congenital cyanotic heart disease (CCHD). Perioperative complications are high in patients with CCHD. We evaluated incidence of and risk factors for perioperative complications and their impact on clinical outcomes in patients with CCHD undergoing brain abscess surgery with monitored anesthesia care (MAC) or general anesthesia (GA). Methods In this single-center retrospective cohort study, data were collected from consecutive patients with CCHD who presented with brain abscess and underwent surgery from January 2006 to December 2018. Data regarding demographics, type of CCHD, signs and symptoms of brain abscess and CCHD, type and duration of surgery, details of anesthesia, perioperative complications, and clinical outcomes were collected. Chi-square test was used to analyze nonparametric data and student t-test for parametric data. Results Of the 402 patients with brain abscess, data of 34 patients with CCHD who underwent brain abscess surgery were analyzed. The mean age at presentation of brain abscess was 15.8 ± 10.8 years and duration of symptoms was 17.3 ± 15.5 days. The incidence of perioperative complications was 82.4% (28/34 patients). Seven patients (20.6%) developed perioperative cyanotic spells which led to cardiac arrest in 5 patients (14.7%) and death in 2 patients (5.9%). Patients on cardiac medications and with high heart rate had higher incidence of cyanotic spells and mortality. Technique of anesthesia did not affect cardiac and neurological outcome. Conclusions Perioperative complications are high after brain abscess surgery in patients with CCHD. Perioperative characteristics and outcomes were similar with MAC and GA techniques.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bb5733d695276a38863837938b561fe3 https://pubmed.ncbi.nlm.nih.gov/32753800 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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