A prospective study observing outcome following posterior fossa craniotomy in patients with sitting position
Journal Title: International Journal of Biomedical and Advance Research - Year 2016, Vol 7, Issue 9
Abstract
Aims and Objective: To assess the outcome following posterior fossa craniotomy in sitting position with respect to hemodynamic changes as well as intra and post operative complications. Material and Method: The present study was conducted in150 adult patients undergoing posterior fossa craniotomy in sitting position under general anaesthesia. Induction was done with thiopentone sodium 5mg/kg. Neuromuscular blockade was achieved with vecuronium bromide 0.1mg/kg to facilitate intubation. Radial arterial line was inserted preferably in left hand side for invasive blood pressure monitoring. Sitting position was given to patients slowly over 20-30 minutes. Vital of the patients were monitored during and after giving sitting position. Patients were observed in ICU for first 48 hrs for neurological status, cardiovascular status, respiratory and surgical complications. Results: We found significant hemodynamic changes during and after giving sitting position to the patients which returned back to normal after 2 hrs of position. There were no perioperative cardiac events and neurological alteration. The incidence of venous air embolism was 5.3% and it was not associated with any postoperative morbidity and mortality. Other complications observed were pneumocephalous (0.7%), tongue oedema (2%) and glossopharyngeal nerve palsy (0.7%). Conclusions: Use of sitting position for posterior fossa surgery is safe anesthetic techniques and presents unique challenges for the anesthetist; taking measures to minimize hypotension and postoperative complications.
Authors and Affiliations
Sonali Kore, Pallavi Waghalkar, Anita Shetty, Madhu Garasia
Malignant Brenner Tumour of the Ovary: A Rare Entity
Malignant Brenner tumors (MBTs) of the ovary are very rare, and their definition, biology and treatment modality have not been established. Most Brenner tumors are benign, with only 1% being malignant. In this study we p...
Role of USG and CT scan in evaluating ovarian lesions
Introduction: Ultrasound helps by detecting lesions, give idea about its internal structure and also give opportunity to evaluate other abdominal organs. However evaluation by CT scan can give additional information, whi...
Study of serum LDH and GGT levels in carcinoma breast
Background: Breast cancer is the second most common cancer in women next only to cervical cancer. Multiple factors are associated with an increased risk of developing breast cancer. For the early detection of carcinoma o...
A prospective observational study to predict difficult intubation using simple non-invasive tests
Introduction: Airway assessment is the first step in successful airway management. Several anatomical and functional maneuvers can be performed to estimate the difficulty of endotracheal intubation. We aimed to elucidate...
Porta Hepatis in Normal Liver
Background: Hepatic surgery requires comprehensive knowledge of structures passing through porta hepatis. This fact prompted us to undertake the study of porta hepatis (PH). Our aim was to find out the dimensions, shape...