Health Condition 1: G978- Other intraoperative and postprocedural complications and disorders of nervous system
Conditions
Interventions
Control Intervention1: Nil: NIL
Sponsors
NIMHANS
Eligibility
Inclusion criteria
Inclusion criteria: All patients age >18 y undergoing craniotomy for lective neurosurgical procedures
Exclusion criteria
Exclusion criteria: Patients undergoing Redo/Reexploration Surgeries (within 2 weeks of the first surgery) Patients undergoing Stereotactic Biopsy/ Emergency Surgery Patients undergoing Deep Brain Stimulation and Ablation procedures Patients undergoing Endoscopic procedures. Patients undergoing burr hole evacuation of blood clots and ventriculoperitoneal shunt procedures.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the incidence of intraoperative brain swelling in adult patients undergoing elective craniotomy.Timepoint: at opening of duramater, during surgery, at closure 1: Brain below the duramater 2: Brain at the level of the duramater 3: Brain above the level of the duramater, pulsating. Surgeon proceeds with the surgery not asking for any intervention. 4: Brain above the level of the dura and firm. Surgeon hesitant to proceed with the surgery without any intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To study the risk factors for development of intraoperative brain swelling. 2. To compare the postoperative neurological complications in patients with and without intraoperative brain bulge. 3. To compareâ??the effect of intraoperative brain bulge on the patientsâ?? outcome at hospital discharge.Timepoint: Outcome at the time ofICU discharge (GOS-E): Outcome at the time of hospital discharge (GOS-E): | — |
Countries
India
Contacts
Public ContactShiva Keshava Murthy A
Department of Neuroanesthesia and Neurocritical care, NIMHANS
Outcome results
None listed