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Frequency of Intensive Care Unit admission after elective interventional neuroradiological procedures under general anesthesia in a tertiary care hospital
| Content Provider | Scilit |
|---|---|
| Author | Shamim, Faisal Asghar, Ali Karam, Karima |
| Copyright Year | 2015 |
| Abstract | Background: The aim of this study was to determine the frequency of patients admitted to Intensive Care Unit (ICU) after elective interventional neuroradiology (INR) procedures under general anesthesia. Materials and Methods: We retrospectively evaluated 121 patients underwent INR procedures performed with general anesthesia within a 5-year period. Information including demographics, aneurysm/arteriovenous malformations pathology (ruptured or un-ruptured), preoperative neurological status, co-morbidities, complications during procedure and postoperative admission in ICU were recorded on a predesigned form. Results: Elective INR procedure for both ruptured (n = 29, 24%) and un-ruptured (n = 85, 70.25%) aneurysms was performed. Rate of postoperative admission in ICU was significantly high in patients with preoperative ruptured aneurysm (P < 0.01). High rate of neurological deficit, sub-arachnoid hemorrhage (SAH) and hypertension in patients were significant factors of postoperative admission in ICU (P < 0.05). Out of 24 patients, 12 were admitted to ICU postoperatively because of procedure-related complications and 11 were sent due to preexisting significant co-morbidities with added complication of SAH. Conclusion: The authors conclude that patients without major co-morbidities, intraoperative complications, or complex aneurysm morphology can be safely observed in a regular ward rather than being admitted to the ICU. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279344/pdf https://www.saudija.org/article.asp?issn=1658-354X;year=2015;volume=9;issue=1;spage=23;epage=26;aulast=Shamim;type=2 |
| Ending Page | 26 |
| Page Count | 4 |
| Starting Page | 23 |
| File Format | XHTML |
| ISSN | 1658354X |
| e-ISSN | 09753125 |
| DOI | 10.4103/1658-354x.146267 |
| Journal | Saudi Journal of Anaesthesia |
| Issue Number | 1 |
| Volume Number | 9 |
| Language | English |
| Publisher | Medknow |
| Publisher Date | 2015-01-01 |
| Access Restriction | Open |
| Subject Keyword | Surgery General Anesthesia Intensive Care Unit Interventional Neuroradiology Sub-arachnoid Hemorrhage Saudi Journal of Anaesthesia, Volume 9, Issue 1 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
