Document Detail


Postoperative management of adult central neurosurgical patients: systemic and neuro-monitoring.
MedLine Citation:
PMID:  18286831     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Postoperative neurosurgical patients are at risk of developing complications. Systemic and neuro-monitoring are used to identify patients who deteriorate in order to treat the underlying cause and minimize the impact on outcome. Hypotension and hypoxia are likely to be the most frequent insults and can be detected easily with blood pressure monitoring and pulse oximetry. Repeated clinical examination, however, is probably the most important monitor in the postoperative setting. Clinical scores such as the Glasgow Coma Score and the more recently introduced FOUR Score are important tools to standardize the clinical assessment. Intracranial pressure monitoring, cerebral blood flow monitoring, electroencephalography, and brain imaging are often used postoperatively. Despite the numerous publications on this topic only few studies address the impact of postoperative monitoring on outcome. Accordingly, in most patients the decision on which monitors are to be used must be based on the patient's presentation and clinical judgment.
Authors:
David Pfister; Stephan P Strebel; Luzius A Steiner
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Best practice & research. Clinical anaesthesiology     Volume:  21     ISSN:  1521-6896     ISO Abbreviation:  Best Pract Res Clin Anaesthesiol     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-02-21     Completed Date:  2008-03-21     Revised Date:  2011-04-28    
Medline Journal Info:
Nlm Unique ID:  101121446     Medline TA:  Best Pract Res Clin Anaesthesiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  449-63     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, University Hospital Basel, CH-4031 Basel, Switzerland. pfisterd@uhbs.ch
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure Determination
Brain / blood supply,  radiography,  radionuclide imaging
Cerebrovascular Circulation
Echoencephalography
Electroencephalography
Glasgow Coma Scale
Humans
Intracranial Pressure
Magnetic Resonance Imaging
Microdialysis
Monitoring, Physiologic / methods*
Neurologic Examination / methods*
Neurosurgical Procedures / adverse effects*
Oximetry
Positron-Emission Tomography
Postoperative Care*
Postoperative Complications / diagnosis,  etiology,  prevention & control*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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