Postoperative care of neurosurgical patients: general principles

Bose, Gahan; Luoma, Astri M.V.

doi:10.1016/j.mpaic.2017.03.004

Cited by 6 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Potential intraoperative complications include damage to the facial nerve, CSF leak, bleeding or vascular injury, and damage to ancillary brain structures . The facial nerve is at risk for damage because of its proximity to the internal auditory canal.…”

Section: Perioperative Carementioning

confidence: 99%

See 1 more Smart Citation

Perioperative Care of the Patient With Acoustic Neuroma

Oster¹

2018

AORN Journal

View full text Add to dashboard Cite

Acoustic neuromas, also known as vestibular schwannomas, are slow-growing, benign tumors that develop on the eighth cranial nerve. Common signs and symptoms of an acoustic neuroma include hearing loss and balance disturbances. A physical examination, a hearing evaluation, and diagnostic imaging assist in the diagnosis of an acoustic neuroma. Patients with a confirmed tumor have three treatment options: observation, stereotactic radiosurgery, and surgical removal. Complications include cerebrospinal fluid leakage, damage to ancillary brain structures, facial nerve damage, and bleeding or vascular injury. This article focuses on the surgical removal of an acoustic neuroma and the role of the perioperative nurse in the perioperative care of the patient.

show abstract

Section: Perioperative Carementioning

confidence: 99%

“…Observations should include the Glasgow Coma Scale rating, cranial nerve function, and pupillary responses. The importance of neurological observation depends on the surgical approach and the surrounding anatomy affected by the procedure …”

Section: Perioperative Carementioning

confidence: 99%

Perioperative Care of the Patient With Acoustic Neuroma

Oster¹

2018

AORN Journal

View full text Add to dashboard Cite

show abstract

“…The goal of post-operative care was to prevent or minimize complications related to anaesthesia and the surgical procedure. The focus was on smooth and timely emergence from anaesthesia while optimizing haemodynamic, respiratory and electrolyte conditions (Bose & Luoma, 2017;Liddle, 2013). This is vital to ensure adequate brain perfusion and healing because postoperatively the body undergoes significant physiological stress that may be manifested as fluctuations in homeostasis.…”

Section: Early Recovery and Rehabilitation After Decompressive Craniementioning

confidence: 99%

Malignant middle cerebral artery infarct: A clinical case report

Leung

Jala

Elliott

2018

Australasian Journal of Neuroscience

View full text Add to dashboard Cite

Background: Ischaemic stroke accounts for 87% of strokes and occurs when a clot or a thrombus blocks a blood vessel, cutting off blood flow to a part of the brain. If large areas of brain are affected, spaceoccupying oedema may result, leading to rapid neurological deterioration, coma and death. Malignant middle cerebral artery infarction (MMCAI) is a life-threating ischaemic stroke involving the whole middle cerebral artery (MCA) territory and comprises up to 10% of MCA infarctions. Methods: We report the case of a 62 year old female 'Mary' who presented with a MMCAI together with a summary of the most recent and relevant evidence for treatment options in terms of survival and quality of life for her. We also focus on the vital role of the nurse in Mary's care and treatment. Results: Intravenous thrombolysis and endovascular clot retrieval (ECR) during the hyperacute phase have been shown to improve outcomes but Mary did not meet the criteria for thrombolysis and received unsuccessful ECR. Her neurological condition deteriorated so she underwent surgical decompression, which is one of the major advances for MMCAI treatment together with expert neuro critical care nursing. Mary made a good functional recovery, returning home to live independently. Conclusion: This case highlights the need to consider all contextual and patient preferences in relation to treatment options. In addition the case emphases the vital role the neuro critical care nurse specialist plays in the complex assessment and treatment of this patient who experienced a MMCAI and underwent complex interventions.

show abstract

“… 2 , 3 In contrast, the main postoperative issues encompass averting and managing common complications such as infection, bleeding, stroke, pain, early mobilisation and rehabilitation, and monitoring neurological status and recovery. 3 , 4 , 5 The literature suggests that AI can contribute to various aspects of neurosurgery, including diagnosis, clinical decision-making, surgical procedures, prognosis, data collection, education and research. 2 , 3 AI utilisation may augment the accuracy, efficiency, safety, and quality of care provided to neurosurgical patients, leading to improved outcomes.…”

Section: Introductionmentioning

confidence: 99%

Recent Outcomes and Challenges of Artificial Intelligence, Machine Learning, and Deep Learning in Neurosurgery

Awuah,

Adebusoye,

Wellington

et al. 2024

World Neurosurgery: X

View full text Add to dashboard Cite

Postoperative care of neurosurgical patients: general principles

Cited by 6 publications

References 8 publications

Perioperative Care of the Patient With Acoustic Neuroma

Perioperative Care of the Patient With Acoustic Neuroma

Malignant middle cerebral artery infarct: A clinical case report

Recent Outcomes and Challenges of Artificial Intelligence, Machine Learning, and Deep Learning in Neurosurgery

Contact Info

Product

Resources

About