Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury
Abstract Purpose Coagulation disorder and intraoperative hypotension are representative complications of traumatic brain injury which cause worse perioperative outcome. The aim of this study was to survey the relation of coagulation disorder and intraoperative hypotension (IH) during decompressive c...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-01-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40981-018-0146-5 |
| _version_ | 1819116669379805184 |
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| author | Kei Kamiutsuri Naoki Tominaga Shunji Kobayashi |
| author_facet | Kei Kamiutsuri Naoki Tominaga Shunji Kobayashi |
| author_sort | Kei Kamiutsuri |
| collection | DOAJ |
| description | Abstract Purpose Coagulation disorder and intraoperative hypotension are representative complications of traumatic brain injury which cause worse perioperative outcome. The aim of this study was to survey the relation of coagulation disorder and intraoperative hypotension (IH) during decompressive craniectomy. Method Patients who underwent emergency decompressive craniectomy due to traumatic brain injury were retrospectively surveyed. The relation between preoperative coagulation date and intraoperative hypotension (systolic blood pressure < 60 mmHg after dural opening) was analyzed. Results Of 41 patients screened, 12 patients (27.9%) developed IH. Fibrinogen degradation products (314 vs 64.4 μg/mL; p = 0.01) were significantly higher in the IH group. In contrast, fibrinogen (181 vs 239 mg/dL; p = 0.01) was significantly lower in the IH group. Reduction rate of sBRP before and after dural opening (%) was higher in IH group than in non-IH group (49.1 vs 27.6%: p = 0.001). Conclusions Preoperative elevated FDP may predict IH after dural opening during traumatic decompressive craniectomy. |
| first_indexed | 2024-12-22T05:20:46Z |
| format | Article |
| id | doaj.art-a444c6fa6b2d49cbb474281ffdbe3d8d |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-22T05:20:46Z |
| publishDate | 2018-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-a444c6fa6b2d49cbb474281ffdbe3d8d2022-12-21T18:37:44ZengSpringerOpenJA Clinical Reports2363-90242018-01-01411610.1186/s40981-018-0146-5Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injuryKei Kamiutsuri0Naoki Tominaga1Shunji Kobayashi2Department of Anesthesiology, Rinku General Medical CenterDepartment of Cardiovascular Internal Medicine, Shin Komonji HospitalDepartment of Anesthesiology, Rinku General Medical CenterAbstract Purpose Coagulation disorder and intraoperative hypotension are representative complications of traumatic brain injury which cause worse perioperative outcome. The aim of this study was to survey the relation of coagulation disorder and intraoperative hypotension (IH) during decompressive craniectomy. Method Patients who underwent emergency decompressive craniectomy due to traumatic brain injury were retrospectively surveyed. The relation between preoperative coagulation date and intraoperative hypotension (systolic blood pressure < 60 mmHg after dural opening) was analyzed. Results Of 41 patients screened, 12 patients (27.9%) developed IH. Fibrinogen degradation products (314 vs 64.4 μg/mL; p = 0.01) were significantly higher in the IH group. In contrast, fibrinogen (181 vs 239 mg/dL; p = 0.01) was significantly lower in the IH group. Reduction rate of sBRP before and after dural opening (%) was higher in IH group than in non-IH group (49.1 vs 27.6%: p = 0.001). Conclusions Preoperative elevated FDP may predict IH after dural opening during traumatic decompressive craniectomy.http://link.springer.com/article/10.1186/s40981-018-0146-5Decompressive craniectomyCoagulation disorderFibrinogen degradation product (FDP)Intraoperative hypotensionDural opening |
| spellingShingle | Kei Kamiutsuri Naoki Tominaga Shunji Kobayashi Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury JA Clinical Reports Decompressive craniectomy Coagulation disorder Fibrinogen degradation product (FDP) Intraoperative hypotension Dural opening |
| title | Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury |
| title_full | Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury |
| title_fullStr | Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury |
| title_full_unstemmed | Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury |
| title_short | Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury |
| title_sort | preoperative elevated fdp may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury |
| topic | Decompressive craniectomy Coagulation disorder Fibrinogen degradation product (FDP) Intraoperative hypotension Dural opening |
| url | http://link.springer.com/article/10.1186/s40981-018-0146-5 |
| work_keys_str_mv | AT keikamiutsuri preoperativeelevatedfdpmaypredictsevereintraoperativehypotensionafterduralopeningduringdecompressivecraniectomyoftraumaticbraininjury AT naokitominaga preoperativeelevatedfdpmaypredictsevereintraoperativehypotensionafterduralopeningduringdecompressivecraniectomyoftraumaticbraininjury AT shunjikobayashi preoperativeelevatedfdpmaypredictsevereintraoperativehypotensionafterduralopeningduringdecompressivecraniectomyoftraumaticbraininjury |