• CONCLUSIONS: A small craniotomy was not inferior to larger craniotomies in determining functional outcomes in the treatment of ASDH in the elderly. (minervamedica.it)
  • What tactics should be employed during temporary clipping to improve patient outcomes? (snacc.org)
  • Development of standardized pain management and enhanced recovery after surgery (ERAS) protocols are necessary and crucial to optimize outcomes and patient satisfaction and reduce health care costs. (surgicalneurologyint.com)
  • Pain after craniotomy is a common occurrence[ 96 ] and associated with poor outcomes. (surgicalneurologyint.com)
  • Most studies consider 30 days as the short-term postoperative period for evaluating outcomes and complications (Lassen et al. (biomedcentral.com)
  • Understanding and reducing postoperative complications within 30 days (PC1M) will help generate interventions focused on reducing the burden of these adverse outcomes. (biomedcentral.com)
  • Secondary outcomes included the rate of postoperative pseudomeningocele formation, CSF leak and pseudomeningocele formation, CSF diversion, revision surgery, and infection. (edu.lb)
  • Strategies to ameliorate craniotomy pain demand interventions during all phases of patient care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
  • ERAS protocols divide the key components of perioperative care according to phase of care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
  • This study aimed to identify the potential perioperative predictors of PC1M from its preoperative, intraoperative, and 24-h postoperative parameters. (biomedcentral.com)
  • Materials and methods: Sixty-eight patients, scheduled for elective craniotomy were randomized into 4 groups as: 4 mg dexametazone group, 8 mg dexametazone group, 16 mg dexametazone group and control group. (erciyes.edu.tr)
  • METHODS: We selected patients ≥70 years old admitted to 5 Italian tertiary referral neurosurgical for the treatment of a post-traumatic ASDH between January 1st 2016 and December 31st 2019. (minervamedica.it)
  • Methods: Three databases were searched for English studies comparing the primary outcome, rate of CSF leak, after adult posterior fossa craniotomies versus craniectomies. (edu.lb)
  • More rigorous patient education, recovery room assessment for non-ICU admission, earlier mobilization and post-discharge communication, layered upon a foundation of minimally invasive surgery, TIVA anesthesia and early post-operative imaging are possible contributors to these favorable trends. (plos.org)
  • Describe the considerations to achieve induction of anesthesia for craniotomy as safely as possible. (snacc.org)
  • These factors can be grouped into patient-related, surgery-related, and anesthesia-related categories (Harland et al. (biomedcentral.com)
  • 100 ] Preoperative interventions aim at optimizing the patient for surgery, including patient education, risk assessment, and medication. (surgicalneurologyint.com)
  • The preoperative assessment is the ideal time to establish a good rapport with the patient, to explain the procedure in detail, and to answer patient questions. (wfsahq.org)
  • With limited ICU beds and the concern of viral transmission between patients and caregivers, many hospitals stopped non-emergent neurosurgical procedures for several weeks or months early in the pandemic then gradually resumed as COVID-dedicated wards were established [ 7 , 8 ]. (plos.org)
  • Awake craniotomy (AC) is required for neurosurgical procedures when the patient is needed to be awake and cooperative during certain stage ofthe procedure. (wfsahq.org)
  • No inheritance pattern has been identified for nonsyndromic forms of craniosynostosis, though a familial occurrence has been observed in the vast minority of patients. (medscape.com)
  • The occurrence of postoperative complications within 30 days (PC1M) of a craniotomy for the removal of a primary malignant brain tumor has been associated with a poor prognosis. (biomedcentral.com)
  • Purpose: We aimed to search the effects of different dosages of dexametazone on blood glucose, serum electrolytes and postoperative nause and vomiting given for reducing brain edema to the patients undergoing craniotomy for intracranial tumors. (erciyes.edu.tr)
  • What is the time frame that leads to the best patient outcome for securing intracranial aneurysms? (snacc.org)
  • This work is based on pertinent literature published from 1996, the date of a pivotal pilot study on craniotomy pain,[ 11 ] until 2017, by searching Pubmed, Cochrane Central Register, and Google Scholar using a combination of medical subject headings (MeSH) terms and free-text words to identify manuscripts related to postcraniotomy pain and ERAS protocols. (surgicalneurologyint.com)
  • We audited our management of spinal cord injury patients and our compliance to national guidelines and ATLS protocols. (naccs.org.uk)
  • Pain management should begin in the perioperative period with risk assessment, patient education, and premedication. (surgicalneurologyint.com)
  • In both groups, data regarding the baseline characteristics and perioperative parameters of the patients, including a new marker-kinetic estimated glomerular filtration rate, were collected. (biomedcentral.com)
  • This tutorial discusses the rationale for using AC for brain surgery, perioperative management of the patients, theatre preparation, the different anaesthetic techniques, and the adverse events during AC. (wfsahq.org)
  • Broadly, short-term postoperative complications can be categorized into neurological, regional, and systemic events, including direct cortical and vascular injuries, surgical wound complications, and postsurgical medical complications. (biomedcentral.com)
  • BACKGROUND: Elderly patients operated for an acute subdural hematoma (ASDH) frequently have a poor outcome, with a high frequency of death, vegetative status, or severe disability (Glasgow Outcome Score, GOS, 1-3). (minervamedica.it)
  • The present study aimed to compare the influence of the size of the craniotomy on the functional outcome in patients undergoing surgical treatment for ASDH. (minervamedica.it)
  • The three groups did not differ for functional outcome and postoperative midline shift, but the length of surgery and the rate of >50% of ASDH evacuation were lower in the small craniotomy group. (minervamedica.it)
  • When evaluating a patient with subarachnoid hemorrhage, what are the clinical findings associated with a poor outcome? (snacc.org)
  • On the other hand, comparing the rates of pseudomeningocele formation and CSF leak, as a combined outcome, or pseudomeningocele formation only showed a significant difference favoring craniotomies. (edu.lb)
  • Opioids remain the mainstay for pain relief, but patient-controlled analgesia, NSAIDs, standardization of pain management, bio/behavioral interventions, modification of head dressings as well as patient-centric management are useful opportunities that potentially improve patient care. (surgicalneurologyint.com)
  • Awake craniotomy is commonly indicated for resection of tumours near or within the eloquent areas of the brain to maximize tumour resection while preserving the vital neurological functions. (wfsahq.org)
  • What are the risks to the patient in the immediate post-operative period? (snacc.org)
  • The patient is in the neurointesive care unit (NICU) on post-operative day 4 extubated and seemingly stable. (snacc.org)
  • Delayed cerebral ischemia can manifest after a successful operation for securing the aneurysm and patients at risk require monitoring for this complication in the post-operative period. (snacc.org)
  • This study evaluates whether ketamine, given as part of an anesthetic, improves depression symptoms in depressed patients undergoing non-cardiac surgery. (stanford.edu)
  • Background: Postoperative cerebrospinal fluid (CSF) leak is a major concern after posterior fossa surgery with significant clinical implications. (edu.lb)
  • There are interactions between other organ systems (for example the heart and lungs) that may complicate the care of a ruptured cerebral aneurysm patient and need consideration. (snacc.org)
  • Herein we assess the impact of implementing a protocol of more rigorous patient education, recovery room assessment for non-ICU admission, earlier mobilization and post-discharge communication for patients undergoing brain tumor surgery. (plos.org)
  • How does one decide between open craniotomy for aneurysm surgery and endovascular therapy? (snacc.org)
  • Information leaflets and videos help relieve patient anxiety surrounding the procedure and give them an idea about what to expect on the day of surgery. (wfsahq.org)
  • The neurophysiologist and speech/language therapist usually meet the patient before the surgery to provide training on the tasks they have to perform intraoperatively. (wfsahq.org)
  • RESULTS: We included 136 patients (76 males) with a mean age of 78±6 years. (minervamedica.it)
  • Results: A total of 1250 patients (635 craniotomies and 615 craniectomies), from nine studies, were included in the final analysis. (edu.lb)
  • Data were available for 9 patients (69% completion rate). (naccs.org.uk)
  • patients undergoing large craniotomies showed greater midline shift and a higher rate of anisocoria. (minervamedica.it)
  • This systematic review and meta-analysis compared the rate of CSF leak after posterior fossa craniotomies versus craniectomies. (edu.lb)
  • All patients undergoing craniotomy or endoscopic endonasal removal of a brain, skull base or pituitary tumor were included during two non-overlapping periods: March 2019-January 2020 (pre-pandemic epoch) versus March 2020-January 2021 (pandemic epoch with streamlined care protocol implemented). (plos.org)
  • Patients who had undergone craniotomy for primary malignant brain tumor (World Health Organization grades III and IV) from January 2011 to December 2020 were enrolled from a databank of Kaohsiung Veterans General Hospital, Taiwan. (biomedcentral.com)
  • Four parameters were demonstrated to significantly influence the risk of PC1M in patients undergoing primary malignant brain tumor removal. (biomedcentral.com)
  • Numerous factors may predict the development of PC1M following a craniotomy for primary malignant brain tumors (PMBT). (biomedcentral.com)
  • The COVID-19 pandemic forced a reconsideration of surgical patient management in the setting of scarce resources and risk of viral transmission. (plos.org)
  • Conclusion: Based on evidence with high risk of bias, rates of postoperative CSF leak and pseudomeningocele formation favored posterior fossa craniotomies over craniectomies. (edu.lb)
  • As the COVID-19 pandemic spread into the U.S. and global healthcare system in February and March of 2020, hospitals rapidly adjusted to care for the influx of infected patients [ 1 - 3 ]. (plos.org)
  • The Integrated Care Pathway has clearly improved the continuity of care delivered to these patients, the goal directed documentation has ensured communication between the members of the team. (naccs.org.uk)
  • This can reduce postoperative morbidity and improve the prognosis, which is directly related to the extent of tumour resection. (wfsahq.org)
  • Efficient scalp anaesthesia is the cornerstone for a successful awake craniotomy procedure. (wfsahq.org)
  • In addition to treating patients, Dr. Heifets also directs both clinical research and basic neuroscience. (stanford.edu)
  • All patients were evaluated in terms of postoperative nause and vomiting for 24 hours. (erciyes.edu.tr)
  • It can be associated with less postoperative nausea and vomiting, shorter hospital stays, and reduced hospital costs. (wfsahq.org)
  • Of 295 patients, 163 patients were treated pre-pandemic (58% women, mean age 53.2±16 years) and 132 were treated during the pandemic (52% women, mean age 52.3±17 years). (plos.org)