التفاصيل البيبلوغرافية
| العنوان: |
Postoperative care of neurosurgical patients: general principles. |
| المؤلفون: |
Wan A, Wan Zakaria, Luoma, Astri M.V. |
| المصدر: |
Anaesthesia & Intensive Care Medicine; Jul2020, Vol. 21 Issue 7, p349-355, 7p |
| مستخلص: |
The primary aim immediately after neurosurgery is to provide continuity of patient care to detect and prevent neurological deterioration while supporting systemic and neurological homeostasis. Surgical-, anaesthetic-, or disease-related factors may contribute to a slow return or failure to regain a patient's preoperative status. The postoperative management of neurosurgical patients requires thorough planning which begins in the preoperative period, incorporating a multi-disciplinary team approach involving the neurosurgical and neurocritical care teams. In many neurosurgical centres, the period of postoperative observation may be relatively short. However, if complicating factors such as cerebral oedema, intracranial haemorrhage, seizures, or significant comorbid conditions are present, a period of higher dependency care over several days may be anticipated. The mainstays of care in the postoperative neurosurgical patient include safe management of the airway and weaning of ventilatory support, optimum control of systemic circulation, stable fluid and electrolyte homeostasis, maintenance of blood glucose and commencement of early feeding, effective analgesia, and control of nausea and vomiting. Meticulous attention to each of these is essential as poor management can profoundly affect neurological outcome. The early postoperative neurosurgical patient therefore continues to require a high degree of clinical vigilance. Neurosurgery encompasses several sub-specialties and this article will focus on the postoperative care of patients undergoing intracranial and neuroradiological procedures under local anaesthesia (awake), monitored sedation, and general anaesthesia. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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