Management of Postoperative Neurosurgical Patients

Chauhan, Rajeev; Bloria, Summit Dev; Luthra, Ankur

doi:10.1055/s-0039-1698001

Cited by 3 publications

(7 citation statements)

References 38 publications

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“…Still, if seizures occur late in the postoperative period, they may have epilepsy and require long-term prophylaxis. 12 Postoperatively, electrolyte abnormalities may also occur, and the most common are hypernatremia and hyponatremia.…”

Section: Discussionmentioning

confidence: 99%

“…The two leading causes of hyponatremia are inappropriate antidiuretic hormone secretion syndrome and brain salt depletion syndrome, which must be differentiated, as each case has specific and different management. 12 Postoperative infection is also a common Persistently high blood pressure will lead to recurrent and uncontrollable bleeding. If hypertension cannot be adequately managed, it will increase patient morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

“…If hypertension cannot be adequately managed, it will increase patient morbidity and mortality. 12,13 Sustained elevation of systolic blood pressure will also expand the hematoma, leading to neurological deterioration. Therapeutic options to lower blood pressure in postoperative neurosurgical patients include intravenous calcium channel blockers (e.g., nicardipine) and β-blockers (e.g., labetalol).…”

Section: Discussionmentioning

confidence: 99%

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Intensive Management of Spontaneous Basal Ganglia Hemorrhage: A Case Report

Kahar,

Rico Ikhsani,

Wiwi Monika Sari

2023

Bioscmed

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Background: Simultaneous non-traumatic bilateral basal ganglia haemorrhage is an infrequent entity. ICH accounts for 10 to 20 % of all cerebrovascular events in the US, with 30-day mortality up to 40%. The predisposing factors and pathophysiological processes leading to simultaneous bilateral basal ganglia development are not well known. Case presentation: A 43-year-old female patient was diagnosed with spontaneous intracerebral haemorrhage in the left basal ganglia and intraventricular haemorrhage. The patient underwent an urgent ICH evacuation craniotomy. After the procedure, the patient was treated in the intensive care unit. The patient was intubated for 4 days. Then, on the fifth day of stay in the ICU, a tracheostomy was performed on the patient. Conclusion: Spontaneous ICH has high mortality and morbidity. ICH management is mainly on timely targeted blood pressure management, effective and rapid reversal of coagulopathy to prevent hematoma expansion, and uncompromising intracranial pressure management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intensive Management of Spontaneous Basal Ganglia Hemorrhage: A Case Report

Kahar,

Rico Ikhsani,

Wiwi Monika Sari

2023

Bioscmed

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“…Algunos ejemplos son: Fístulas de líquido cefalorraquídeo (LCR) postraumáticas o posquirúrgicas en la zona dorsal o lumbar, cuyo reposo absoluto debe hacerse con la cabecera a 0º para evitar el efecto de la gravedad en la perpetuación de la fístula (32,33) . Paciente con hipertensión intracraneal: aunque en la gran mayoría de los procedimientos quirúrgicos intracraneales se hace la recomendación de mantener la cabecera de la cama a 30 grados (34) , en algunas ocasiones la neuromonitorización que está evaluando la relación entre la presión intracraneal, el flujo sanguíneo y la oxigenación cerebral (35) requiere de una posición con la cabecera plana cuando el flujo sanguíneo cerebral se ve comprometido por la elevación de la cabecera.…”

Section: Necesidad De Mantener La Posición Supina Por Un Período Prol...unclassified

Indicaciones poco frecuentes de nutrición parenteral: una revisión de la literatura

Camacho¹,

Riscanevo

2022

Rev. Nutr. Clin. Metab.

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La evolución en la nutrición parenteral en las últimas décadas ha permitido considerarla como una estrategia terapéutica segura y eficaz ante entidades clínicas que condicionan disfunción del tracto gastrointestinal y que se han asociado con períodos prolongados de ayuno, escasa ingesta o intolerancia a la nutrición enteral que ocasiona desnutrición secundaria, esto conlleva un mayor riesgo de deterioro de la función inmunológica sistémica e intestinal, así como una disminución de la absorción y motilidad intestinal y la alteración de la barrera intestinal. El objetivo de esta revisión es brindar un enfoque práctico que permita reconocer la nutrición parenteral como una estrategia valiosa en el manejo de pacientes con o en riesgo de desnutrición asociado con un tracto gastrointestinal no funcional o en recuperación, que requiera reposo intestinal. Se describen entidades clínicas poco frecuentes que condicionan el uso de nutrición parenteral total. Palabras clave: nutrición parenteral, soporte nutricional, enterocolitis neutropénica, enfermedades esofágicas, enfermedades gastrointestinales.

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“…Postoperative complications in neurooncology patients in the intensive care unit must be identified and managed appropriately. 1,2 Postoperative management of neurosurgical patients involves prevention, early detection, and management of surgical complications. Close monitoring is required in the first 6-12 hours post-surgery as clinical deterioration is often the first sign of potential fatal complications.…”

Section: Introductionmentioning

confidence: 99%

Post-Operative Protocol for Brain Tumor Surgery in Intensive Care Unit: A Literature Review

Kusumawardani,

Adiyanto

2024

JARMHS

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Background: Brain tumors represent a diverse group of neoplasms arising from intracranial tissues, posing significant clinical challenges and impacting public health globally. With primary brain tumors having an annual incidence of around 14 per 100,000 individuals and secondary brain tumors being even more prevalent, the burden on healthcare systems is substantial. Postoperative care, particularly in the intensive care unit (ICU), plays a crucial role in monitoring patients for early detection of complications and maintaining neurological and systemic homeostasis. This study aims to serve a literature review to examine post operative management in brain surgery operation in the ICU in literatures. Result and Discussion: Protocols for ICU management post-brain tumor surgery are essential, with factors such as patient status, surgical site, and anticipated postoperative needs guiding decisions regarding ICU admission and monitoring. Neuroprotective strategies encompass physiological and pharmacological interventions aimed at mitigating adverse outcomes, with a multifaceted approach necessary for optimal neuroprotection. Conclusion: A comprehensive understanding of the surgical and postoperative management of brain tumors along with the implementation of evidence-based protocols for ICU care are essential to improve patient outcomes and minimize complications. Continued advancements in surgical techniques, neuroprotective strategies, and critical care management are crucial in addressing the complex challenges posed by brain tumors and enhancing the quality of care for affected patients.

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Management of Postoperative Neurosurgical Patients

Cited by 3 publications

References 38 publications

Intensive Management of Spontaneous Basal Ganglia Hemorrhage: A Case Report

Intensive Management of Spontaneous Basal Ganglia Hemorrhage: A Case Report

Indicaciones poco frecuentes de nutrición parenteral: una revisión de la literatura

Post-Operative Protocol for Brain Tumor Surgery in Intensive Care Unit: A Literature Review

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