Evaluation of anesthesia in endoscopic strip craniectomy: A review of 121 patients

Arts, Sebastian; Delye, Hans; Lindert, Erik J. van; Blok, Laura; Borstlap, W.A.; Driessen, J. J.

doi:10.1111/pan.13414

Cited by 8 publications

(9 citation statements)

References 24 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Dural tearing is one of the most common surgical complications in terms of non-syndromal single-suture synostosis according to the current literature [ 4 ]. Such, as well as further perioperative complications, probably might be underrepresented in our sample considering the apparently low complication rate shown.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic treatment of sagittal suture synostosis — a critical analysis of current management strategies

et al. 2022

View full text Add to dashboard Cite

While many centers nowadays offer minimally invasive techniques for the treatment of single suture synostosis, surgical techniques and patient management vary significantly. We provide an overview of how scaphocephaly treated with endoscopic techniques is managed in the reported series and analyze the crucial steps that need to be dealt with during the management process. We performed a review of the published literature including all articles that examined sagittal-suture synostosis treated with endoscopic techniques as part of single- or multicenter studies. Fourteen studies reporting results of 885 patients were included. We identified 5 key steps in the management of patients. A total of 188 patients were female and 537 male (sex was only specified in 10 articles, for 725 included patients, respectively). Median age at surgery was between 2.6 and 3.9 months with a total range from 1.5 to 7.0 months. Preoperative diagnostics included clinical and ophthalmologic examinations as well as neuropsychological and genetic consultations if needed. In 5 publications, a CT scan was routinely performed. Several groups used anthropometric measurements, mostly the cephalic index. All groups analyzed equally recommended to perform endoscopically assisted craniosynostosis surgery with postoperative helmet therapy in children < 3 months of age, at least for non-syndromic cases. There exist significant variations in surgical techniques and patient management for children treated endoscopically for single suture sagittal synostosis. This heterogeneity constitutes a major problem in terms of comparability between different strategies.

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic treatment of sagittal suture synostosis — a critical analysis of current management strategies

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Based on the previously defined exclusion criteria, only 16 articles published between 2000 and 2022 were included (Fig. 1 ) [ 2 , 10 , 14 , 27 – 39 ]. A total of 18 articles were excluded for the following reasons: improper methods (meta-analysis/systematic review, case reports) n = 4, reported no outcomes of interest ( n = 4), no full text was found ( n = 2), non-craniosynostosis patients ( n = 2), and incomplete description of perioperative pain management protocol ( n = 6).…”

Section: Resultsmentioning

confidence: 99%

“…In total, nine articles describing the complete postoperative analgesic protocol were identified [ 2 , 10 , 27 – 29 , 31 , 33 , 35 , 37 ], including 407 (47.9%) patients. In a prospective randomized controlled trial of 40 craniosynostosis patients, Van der Marel et al compared oral acetaminophen versus rectal acetaminophen.…”

Section: Resultsmentioning

confidence: 99%

“…De jong et al compared the effects of the “M” technique massage with or without mandarin oil compared to standard postoperative care on infants [ 27 ]. A study by Xu et al reported the use of dexmedetomidine as an adjunct to IV acetaminophen and as a substitute for morphine in craniosynostosis repair [ 2 ]. One study reported the use of continuous morphine infusion [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Craniosynostosis must be managed early to avoid damaging adverse outcomes, including blindness, abnormalities in skull shape, and developmental impairments of the brain that may significantly affect the child’s quality of life. Craniosynostosis can be corrected through craniotomies and cranioplasties, which are invasive and painful procedures due to the extensive handling of the scalp and periosteum [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The management of perioperative pain in craniosynostosis repair: a systematic literature review of the current practices and guidelines for the future

Mortada

AlKhashan

Alhindi

et al. 2022

Maxillofac Plast Reconstr Surg

View full text Add to dashboard Cite

Background Craniosynostosis is a condition characterized by a premature fusion of one or more cranial sutures. The surgical repair of craniosynostosis causes significant pain for the child. A key focus of craniosynostosis repair is developing effective strategies to manage perioperative pain. This study aimed to review perioperative pain control strategies for craniosynostosis repair systematically. Methods Guidelines for reporting systematic reviews and meta-analyses were used in the design of this review. In May 2022, the following databases were used to conduct the literature search: MEDLINE, Cochrane, EMBASE, and Google Scholar. A search was performed using MeSH terms “craniosynostosis,” “pain management,” and “cranioplasty.” Results The literature review yielded 718 publications. After applying our inclusion criteria, 17 articles were included, accounting for a total of 893 patients. During the postoperative period, most studies used multimodal analgesia, primarily opioids, and acetaminophen. In the postoperative period, oral ibuprofen was the most commonly used NSAID, rectal codeine, and acetaminophen were the most commonly used weak opioids, and continuous remifentanil infusion was the most commonly used potent opioid. Conclusion The authors determined the best pain management options for pediatric patients undergoing cranioplasty by analyzing the most commonly used analgesics. A high-quality clinical trial comparing different types of analgesic combinations would be a valuable addition to the present literature.

show abstract

Pediatric Neuroanesthesia — a Review of the Recent Literature

Szántó

Gál

Tankó

et al. 2022

Curr Anesthesiol Rep

View full text Add to dashboard Cite

Purpose of Review Pediatric neuroanesthesia is a growing and still challenging subspecialty. The purpose of this review is to summarize the available knowledge and highlight the most recent findings of the literature on non-traumatic pediatric neuroanesthesia care. Recent Findings Several human studies have confirmed the negative effects of early life anesthetic exposure. According to non-human studies, volatile anesthetics and opioids contribute to tumor progression. Tranexamic acid effectively reduces perioperative blood loss; it is used in several different doses without standard guidelines on optimal dosing. The widespread use of neuromonitoring has necessitated the development of anesthetic methods that do not affect neuromuscular transmission. Summary Pediatric anesthetic neurotoxicity, management of intraoperative bleeding, and the effect of anesthesia on tumor growth are among the most debated and researched topics in pediatric neuroanesthesia. The lack of evidence and clinical guidelines underlines the need for further large prospective studies in this subspecialty.

show abstract

Evaluation of anesthesia in endoscopic strip craniectomy: A review of 121 patients

Cited by 8 publications

References 24 publications

Endoscopic treatment of sagittal suture synostosis — a critical analysis of current management strategies

Endoscopic treatment of sagittal suture synostosis — a critical analysis of current management strategies

The management of perioperative pain in craniosynostosis repair: a systematic literature review of the current practices and guidelines for the future

Pediatric Neuroanesthesia — a Review of the Recent Literature

Contact Info

Product

Resources

About