Craniotomy, neuro-endoscopic surgery, spine surgery
Conditions
Interventions
ERAS Group:Perioperative ERAS protocol for Neurosurgery
Sponsors
Department of neurosurgery, Tangdu Hospital, Fourth Military Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: (1) Patients with brain tumors who need craniotomy or endoscopic transnasal surgery; patients need spina surgery; (2) Age between 18-65 years; (3) Patients of selective surgery; (4) Patients who are able to communicate well with the medical staff; (5) Patients who understand and sign the Informed Consent,with good compliance in the study.
Exclusion criteria
Exclusion criteria: (1) non-brain tumor patients, such as severe craniocerebral injury leading to bilateral mydriasis, vital signs were not stable; (2) children (patients less than 18 years), awake craniotomy; (3) patients with severe spinal cord injury shock; (4) other trauma caused by preoperative cardiac arrest, combined with severe limb fractures or thoracic and abdominal injury; (5) infection or inflammation in the surgical area; (6) serious complications of disease (blood system, respiratory system, digestive system, etc.) patients; (7) patients with severe heart disease (such as coronary heart disease, myocardial infarction, etc.); (8) Patients with ULN and / or renal function (Cr)> 1.5 times ULN with liver function (ALT, AST)> 2 times; (9) patients with mental illness or severe mental illness; (10) Women who have a childcare plan within 6 months of pregnancy or breastfeeding; (11) Other patients who were considered unsuitable for inclusion in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood transfusion volume;operational time;VAS score;Wound complication;Length of stay after surgery;electroneurophysiological monitoring;intraoperative fluid infusion;KPS score;Postoperative complication rate;Preventive antithrombotic therapy;skin preparation method;Preoperative fasting water treatment;intraoperational blood loss;Incision suture method;Drainage tube placement;Prevention of epilepsy treatment;Nausea, vomiting treatment;Hospitalization cost;Postoperative pain management;mucosa protection;NRS2002;ASA score;PONV prevention;Foley's catheter placement time; | — |
Countries
China
Contacts
Public ContactShiming He
Tangdu Hospital, The Fourth Military Medical University
Outcome results
None listed