Fast‑track extubation in patients after intracranial hematoma surgery

González-Cordero, Gustavo; Garduño‐Chávez, Belia Inés; Palacios-Ríos, D.; Estrada‑Solís, Yesenia Nohemí; Rodríguez‐Sánchez, Iram P.; Martínez-Ponce-de-León, Angel Raymundo

doi:10.3892/etm.2020.8507

Cited by 4 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, Cata et al demonstrated that delayed extubation of subjects that underwent craniotomies was associated with a longer hospital stay compared to those who had early extubation in the surgery room [32], [33]. Early extubation is desirable after intracranial procedures to avoid complications associated with admission to an intensive care unit (ICU) [34]. Sixty-three percent of patients in our report were extubated in the operating room or immediately after ICU admission.…”

Section: Discussionmentioning

confidence: 59%

A brain neoplasm follow-up in a tertiary public hospital of northeast of Brazil: 2014-2016 data.

Maia

Ribeiro

Fiorenza

et al. 2023

Preprint

View full text Add to dashboard Cite

Background. A brain neoplasm is a growth of abnormal cells in the brain. Brain tumors are dangerous because they can increase pressure on the brain and are associated to high mortality rates. Methods. This study evaluated 669 patients; however, 42 patients were excluded from the study since they were diagnosed with conditions different from neoplasm. Thus, 627 were enrolled in the study. The patients were investigated for histologic type, localization, topography and laterality, the influence of early extubation and the diagnosis and management of hydrocephalus. All the patients enrolled on this study had diagnostic of at least brain dysplasia. Results. Older patients (43±15.9) group significantly demonstrated the need for more urgency surgery compared to younger ones (30±14.6) (p<0.0001). Patients with previous surgery remained in the hospital, longer than patients that developed their first surgery (p=0.0171). This study demonstrated that the presence of hydrocephalus impacted in patients leading to increasing the duration of surgery (p<0.0001), length stay at intensive care unit (p=0.0023) and hospital (p<0.0001) respectively. This study found the early extubation protocol was associated to decreased duration of surgery (p<0.0001), also reduces length stay on intensive care unit (p<0.0001) and hospital stay (p<0.0001) respectively. Conclusions. Low-grade gliomas were found in majority of females in the study, also, a male predominance among patients with craniopharyngioma. Early extubation was associated with a reduced duration of surgery and a shorter length of stay in the hospital and ICU. Hydrocephalus was associated with longer surgeries, increased length of stay in ICU and hospital.

show abstract

Section: Discussionmentioning

confidence: 59%

A brain neoplasm follow-up in a tertiary public hospital of northeast of Brazil: 2014-2016 data.

Maia

Ribeiro

Fiorenza

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Therefore, as anesthesia providers, we would aggressively administer sedatives, opioids or anti-hypertensives to provide those patients a smooth and calm emergence from anesthesia [ 3 ]. If possible, we would remove the endotracheal tube as early as possible in this patient group, which is to prevent them from developing ventilator-associated complications in the later intensive care [ 4 ]. Endotracheal extubation performed on the patients under deep anesthesia and with fully recovered muscle power (deep extubation) has been applied in eye surgeries and craniotomies [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Laryngeal mask airway facilitates a safe and smooth emergence from anesthesia in patients undergoing craniotomy: a prospective randomized controlled study

Wei

Chung

2023

BMC Anesthesiol

View full text Add to dashboard Cite

Background Endotracheal extubation under deep anesthesia (deep extubation) has been proved to present stable hemodynamics and steady intracranial pressure during emergence from anesthesia in patients undergoing craniotomy. This study aims to examine, in comparison with deep extubation, if a laryngeal mask airway (LMA) could provide a safer and smoother emergence from anesthesia in patients undergoing craniotomy. Methods This prospective randomized controlled study was conducted on patients undergoing elective craniotomy for brain tumors. After the complement of the surgical procedure, the patients had anesthesia maintained with end-tidal sevoflurane concentration 2.5% and also fully regained muscle power (Time Zero), they were randomly assigned to ETT Group (n = 29) for deep extubation or to LMA Group (n = 29), where the endotracheal tube was replaced by a laryngeal mask airway. The primary outcomes were respiratory complications, airway interventions and hemodynamic changes through emergence from anesthesia till 30 min following Time Zero. The secondary outcomes were re-operation incidence in 24 h, stay time in the intensive care unit and postoperative hospital days. Results At 5 min before Time Zero either oxygen partial pressures (PaO2) or carbon dioxide partial pressures (PaCO2) between the two groups were comparable. No significant PaCO2 change was noted in both groups in 5 min after Time Zero, yet there was a remarkably lower PaO2 in ETT Group at that time point, 188.9 (± 71.1) in ETT Group vs 264.4 (± 85.4) in LMA Group. In ETT Group, coughs and snores were considerably more frequent, and thus more interventions were needed to maintain adequate respiration. From Time Zero on, blood pressures (systolic, diastolic and mean) and heart rates in ETT Group were generally higher than those in LMA Group, but the differences were insignificant at all time points except heart rate at 10 min after Time Zero. The secondary outcomes between the two groups were similar. Conclusions Compared with deep extubation, a LMA, as a temporary airway replacement, facilitates a safer and smoother emergence from anesthesia for patients undergoing craniotomy, in terms of better oxygen saturation, fewer respiratory complications and fewer airway interventions. Trial registration The study was conducted after receiving approval from Institutional Review Board of Chang Gung Memorial Hospital, Linkou Branch, Taiwan (registration number 202102115A3; January 27, 2022), and the clinicaltrials.gov (NCT05253404) on 23 February 2022.

show abstract

“…It mainly uses the perioperative optimization measures confirmed by evidence-based medicine to help patients reduce stress and prevent postoperative dysfunction [ 10 ]. However, clinical practice found that the nursing effect of using FTS alone for surgical patients was limited [ 11 , 12 ]. Studies have pointed out that FTS care for patients undergoing spinal surgery combined with other optimized care modes may have a positive impact on improving the patients' postoperative recovery.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Fast-Track Surgery with Pain Care on Postoperative Pain Improvement and Complication Prevention in Perioperative Spine Surgery Patients

Xie

Liu

et al. 2022

Emergency Medicine International

View full text Add to dashboard Cite

Objective. The study aimed to analyze the effect of fast-track surgery with pain care on the improvement of postoperative pain and the prevention of postoperative complications in perioperative spinal surgery patients. Methods. A total of 126 patients undergoing spinal surgery from January 2021 to September 2021 were chosen as the study population, and the patients were classified into the regular group, the FTS group, and the combined group by random grouping, with 42 cases in each group. Patients in the regular group used routine perioperative care in spine surgery, patients in the FTS group used the FTS care model, and patients in the combined group combined special pain care on the basis of the FTS group. We compared the numeric rating scale (NRS) and pain severity of patients in the three groups post-op, 30 min, 1 h, 3 h, 6 h, and 24 h after surgery; we compared the time to get out of bed, length of stay, and occurrence of postoperative adverse effects in the three groups, compared the incidence of complications in the three groups, and compared the satisfaction of care in the three groups. Results. The NRS scores at 12 h, 24 h, 48 h, and 72 h post-op in the combined group and FTS group were lower than those in the regular group, and the NRS scores at 12 h and 24 h post-op in the combined group were lower than those in the FTS group (all P < 0.05 ); the post-op bed activity time, post-op hospitalization time, post-op adverse reaction rate, and post-op complication rate in the combined group and FTS group were shorter or lower than those of the regular group. Nursing satisfaction was higher than that of the regular group, the post-op time to bed activity in the combined group was shorter than that of the FTS group, and nursing satisfaction was higher than that of the FTS group (all P < 0.05 ). Conclusion. The use of FTS with pain care interventions helps relieve postoperative pain in perioperative patients in spine surgery, reduce the incidence of post-op adverse effects and complications in patients, accelerate their postoperative recovery, and improve nursing satisfaction.

show abstract

Fast‑track extubation in patients after intracranial hematoma surgery

Cited by 4 publications

References 10 publications

A brain neoplasm follow-up in a tertiary public hospital of northeast of Brazil: 2014-2016 data.

A brain neoplasm follow-up in a tertiary public hospital of northeast of Brazil: 2014-2016 data.

Laryngeal mask airway facilitates a safe and smooth emergence from anesthesia in patients undergoing craniotomy: a prospective randomized controlled study

Analysis of Fast-Track Surgery with Pain Care on Postoperative Pain Improvement and Complication Prevention in Perioperative Spine Surgery Patients

Contact Info

Product

Resources

About