Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing country
Background and Aims: Understanding of perioperative care practices and early postoperative outcomes helps minimize potentially preventable perioperative complications while supporting systemic and neurological well-being. The objective of this prospective study was to evaluate the perioperative care...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=622;epage=627;aulast=Bharadwaj |
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| author | Suparna Bharadwaj Kadarapura Nanjundaiah Gopalakrishna V S Akash Subhas Konar Bharath Srinivasaiah Sriganesh Kamath |
| author_facet | Suparna Bharadwaj Kadarapura Nanjundaiah Gopalakrishna V S Akash Subhas Konar Bharath Srinivasaiah Sriganesh Kamath |
| author_sort | Suparna Bharadwaj |
| collection | DOAJ |
| description | Background and Aims: Understanding of perioperative care practices and early postoperative outcomes helps minimize potentially preventable perioperative complications while supporting systemic and neurological well-being. The objective of this prospective study was to evaluate the perioperative care practices and early postoperative outcomes of cranial neurosurgery at a high-volume tertiary care neurosciences hospital in India. We also aimed to see if the care elements differed depending on the surgical approach. We hypothesized that care elements and outcomes are likely to be different between major surgical approaches.
Material and Methods: This was a prospective observational study of consecutive adult neurosurgical patients who underwent elective surgeries for intracranial pathologies over a period of six months from October 2020 to March 2021 at a tertiary care neurosciences center in India. Perioperative data about intraoperative care elements and early postoperative outcomes till the third day after surgery were collected.
Results: Incidence of blood loss >1 L was significantly (P = 0.07) higher after infratentorial surgery (26%, N = 17). Incidence of intraoperative and postoperative desaturation was more after transnasal surgery (6%, N = 2, P = 0.002, and 9%, N = 3, P = 0.01, respectively).
Conclusion: This study informs the early perioperative care practices of neurosurgical patients from a dedicated neurosciences hospital in a developing world. We observed that transnasal surgery was associated with more perioperative adverse events and slower convalescence compared to supra- and infratentorial surgeries despite being a considerably less invasive surgery. |
| first_indexed | 2024-04-24T19:23:45Z |
| format | Article |
| id | doaj.art-10ae20f9044e404d80cfe6ccb638d817 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-04-24T19:23:45Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-10ae20f9044e404d80cfe6ccb638d8172024-03-25T15:51:53ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852023-01-0139462262710.4103/joacp.joacp_305_22Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing countrySuparna BharadwajKadarapura Nanjundaiah GopalakrishnaV S AkashSubhas KonarBharath SrinivasaiahSriganesh KamathBackground and Aims: Understanding of perioperative care practices and early postoperative outcomes helps minimize potentially preventable perioperative complications while supporting systemic and neurological well-being. The objective of this prospective study was to evaluate the perioperative care practices and early postoperative outcomes of cranial neurosurgery at a high-volume tertiary care neurosciences hospital in India. We also aimed to see if the care elements differed depending on the surgical approach. We hypothesized that care elements and outcomes are likely to be different between major surgical approaches. Material and Methods: This was a prospective observational study of consecutive adult neurosurgical patients who underwent elective surgeries for intracranial pathologies over a period of six months from October 2020 to March 2021 at a tertiary care neurosciences center in India. Perioperative data about intraoperative care elements and early postoperative outcomes till the third day after surgery were collected. Results: Incidence of blood loss >1 L was significantly (P = 0.07) higher after infratentorial surgery (26%, N = 17). Incidence of intraoperative and postoperative desaturation was more after transnasal surgery (6%, N = 2, P = 0.002, and 9%, N = 3, P = 0.01, respectively). Conclusion: This study informs the early perioperative care practices of neurosurgical patients from a dedicated neurosciences hospital in a developing world. We observed that transnasal surgery was associated with more perioperative adverse events and slower convalescence compared to supra- and infratentorial surgeries despite being a considerably less invasive surgery.http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=622;epage=627;aulast=Bharadwajpostoperativeintracranial surgeryperioperative care practices |
| spellingShingle | Suparna Bharadwaj Kadarapura Nanjundaiah Gopalakrishna V S Akash Subhas Konar Bharath Srinivasaiah Sriganesh Kamath Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing country Journal of Anaesthesiology Clinical Pharmacology postoperative intracranial surgery perioperative care practices |
| title | Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing country |
| title_full | Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing country |
| title_fullStr | Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing country |
| title_full_unstemmed | Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing country |
| title_short | Perioperative care practices and outcomes of intracranial neurosurgery: Experience at a dedicated neurosciences hospital in a developing country |
| title_sort | perioperative care practices and outcomes of intracranial neurosurgery experience at a dedicated neurosciences hospital in a developing country |
| topic | postoperative intracranial surgery perioperative care practices |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2023;volume=39;issue=4;spage=622;epage=627;aulast=Bharadwaj |
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