Brain Tumor Clinical Trial
Official title:
Predictive Factors of Re-craniotomy and Major Non-neurological Complications in Elective Neurosurgery: A Prospective Cohort Study
This study is a prospective cohort study to find the incidence of re-craniotomy and predictive factors. The secondary outcomes are to find the incidence of major non-neurological complications and predictive factors.
Demographic data include age, gender, preoperative neurological assessment, diagnosis,
operation, surgical position, ASA physical status, dexamethasone requirement, anticonvulsant
therapy, airway assessment, and blood component reservation.
Intraoperative information contain anesthetic technique, total dosage of propofol, fentanyl,
and other anesthetic agents, total blood loss, types and amount of fluid replacement, volume
of blood transfusion, latest body temperature, and the ability of safe extubation.
Postoperative complications will be categorized in to general conditions, neurological
complications, and systemic problems. General conditions such as on endotracheal tube
overnight and postoperative blood transfusion. Neurological complications include worsen
increased ICP, intracranial hematoma, seizures, newly-developed motor deficit, cranial nerve
palsy, CSF rhinorrhea, and emergency re-craniotomy. Systemic problems are hypothermia,
electrolyte imbalance, anemia, hypertension, and hyperglycemia. Postoperative nausea and
vomiting and the rescued anti-emetic drugs will be recorded. Postoperative anti-epileptic
drug (AED) and pain medication will be collected.
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