Anesthesia and Postoperative Outcome in Pediatric Cranial Surgery: A Retrospective Single Center Study

Authors : Naime Yalçın, Necmiye Ay, Barış Sandal, Abdurrahim Derbent, Ziya Salihoğlu

Pages : 61-66

Doi:10.38175/phnx.1064132

View : 233 | Download : 591

Publication Date : 2022-07-01

Article Type : Research Paper

Abstract :Background: Perioperative patient monitoring and follow-up is very important to minimize morbidity and mortality in pediatric neurosurgical interventions. In this study, it was aimed to evaluate the perioperative anesthesia management by examining the findings of the pediatric patients who underwent cranial surgery along with to examine the effects of hemorrhagic surgical procedures, which play an active role in morbidity, both intraoperatively and postoperatively, including hospitalization in intensive care unit. Methods: Follow-up files of 303 pediatric patients between the ages of 0-18, who were taken to cranial operation, between 2015-2018 years evaluated as retrospectively. Results: A total of 303 children 199 (65.7%) ≤1 year old, 104 (34.3%) >1 year old who underwent pediatric neurosurgery were included in our study. It was determined that the most frequently performed operation was shunting due to hydrocephalus and craniosynostosis. In subanalysis, in craniosynostosis operations performed frequently in infants aged ≤1, it was observed that bleeding amount was as much as subdural and epidural hematoma operations performed in children >1 year old (181ml and 196 ml, p =0.444, respectively). There was no difference between groups in intensive care unit admission. Conclusıons: We think that in pediatric neurosurgery patients\' perioperative anesthesia management, it is important to closely monitor the vital signs of patients, to record complications and blood transfusions in detail. We believe that due to the more aggressive duration of hypotensive processes, more attention should be paid to morbidity and mortality, especially in cases of craniosynostosis.
Keywords : hidrosefali, kraniyal cerrahi, kraniyosinostozis, pediatrik anestezi, perioperatif anestezi yönetimi