İntrakranial kitle cerrahisinde anestezi uygulamaları: retrospektif çalışma

Abstract

The aim of this retrospective study was to present our evaluate anesthesia experience in patients who underwent intracranial tumor surgery and to discuss the current literature on the perioperative management. Material and Methods: ASA risk classification I-III 112 patients between the ages of 3-78 were evaluated retrospectively who underwent intracranial mass surgery between the years 2015-2016. Anesthesia registration forms, patient files and hospital computer system was used.for data. The demographic characteristics of patients, anesthetic management, and postoperative data were recorded. Results: The age of patients ranged from 3-78 years and 57.1% of them were men. Masses were localized in supratentorial area in 87.5% (98) of cases. Mean operation time was 184 minutes, mean length of intensive care unit was 3 days and length of hospital stay was 7 days. Common vomplications seen during intraoperative period were tachycardia (5.4%), bradycardia (3.6%), hypertension (3.6%) and hypotension (1.8%). In the following days, 13 (11.6%) patient received repeated operation. There was not mortality. Conclusion: Several anesthetic techniques may be used successfully to provide anesthesia for resection of intracranial mass surgery. To reduced morbidity and mortality, the possible complications must be recognized and treated early with invasive monitoring, strict hemodynamics and blood gas monitoring.