Disseminated intravascular coagulation after craniotomy.

Abstract:

:Disseminated intravascular coagulation (DIC) is reported in neurosurgical patients; however, the incidence of DIC after craniotomy procedures is unknown. Using a surgical database, we identified 3164 patients who underwent primary craniotomy at Mayo Clinic Rochester between January 1, 2000 and December 31, 2004. Potential cases of DIC in this population were identified using 3 search triggers, patients: (1) in whom the diagnosis of DIC was noted on their hospital discharge summary, (2) who received red blood cell-free blood products, or (3) in whom a blood fibrinogen or d-dimer concentration was assessed. Using criteria based on laboratory values, we estimated the incidence of DIC developing within 72 hours of primary craniotomy to be between 13 and 44 per 10,000 patients. Despite a low incidence of DIC, the associated mortality rate was 43% to 75%. Traumatic head injury was a significant risk factor for the development of DIC [odds ratio of trauma was in the range of 16 (95% confidence interval (CI)=5.3-49) to 29 (CI=4.0-204)]. Autologous salvaged blood was administered intraoperatively to 44 patients, and 1 of these developed DIC. Although this small sample of patients receiving salvaged blood requires caution in interpreting the results, the risk of DIC seemed to be greater with salvaged blood than without [odds ratio 24 (CI=2.5-237)]. In children, 2 of 3 patients who developed DIC had congenital malformations of the brain. Findings from this study suggest that DIC is rare after craniotomy, but is often associated with mortality.

authors

Pasternak JJ,Hertzfeldt DN,Stanger SR,Walter KR,Werts TD,Marienau ME,Lanier WL

doi

10.1097/ANA.0b013e318155b1c4

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

15-20

issue

1

eissn

0898-4921

issn

1537-1921

pii

00008506-200801000-00003

journal_volume

20

pub_type

杂志文章
  • Rapacuronium administration to patients receiving phenytoin or carbamazepine.

    abstract::Patients receiving anticonvulsants such as phenytoin or carbamazepine may be resistant to neuromuscular blocking agents. The authors report the response to rapacuronium bromide (1.5 mg/kg) in two adult patients; one receiving phenytoin and the other receiving carbamazepine. In both patients, there was a delay in achie...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200107000-00011

    authors: Tobias JD,Johnson JO

    更新日期:2001-07-01 00:00:00

  • Anesthetic Management of Brain-dead Adult and Pediatric Organ Donors: The Harborview Medical Center Experience.

    abstract:INTRODUCTION:The exposure of anesthesiologists to organ recovery procedures and the anesthetic technique used during organ recovery has not been systematically studied in the United States. METHODS:A retrospective cohort study was conducted on all adult and pediatric patients who were declared brain dead between Janua...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000683

    authors: Lele AV,Nair BG,Fong C,Walters AM,Souter MJ

    更新日期:2020-03-06 00:00:00

  • Perioperative Management of Direct Oral Anticoagulants in Intracranial Surgery.

    abstract::The use of direct oral anticoagulants is increasing rapidly, because of perceived benefits over older agents, such as predictable pharmacokinetics and a reduced risk of bleeding. Elderly patients, who are more likely to be prescribed these drugs, are also presenting for neurosurgical procedures more often. The combina...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000629

    authors: Porter J,Dinsmore J

    更新日期:2020-10-01 00:00:00

  • Plaque Characteristics on CT Angiography Do Not Improve the Ability to Predict Hemodynamic Instability During and After Carotid Angioplasty and Stenting.

    abstract:BACKGROUND:Hemodynamic instability is commonly seen during carotid angioplasty and stenting. Although prophylactic treatment with anticholinergics is beneficial, selected use in high-risk patients is desirable. This study examines whether plaque characteristics on computed tomography angiography in addition to demograp...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000689

    authors: Jensen SK,Eesa M,Walker A,Archer DP,Davis MJ

    更新日期:2020-05-05 00:00:00

  • Succinylcholine-induced increases in CSF pressure are not affected by PaCO2 or mean arterial pressure in dogs.

    abstract::The effects of PaCO2 and mean arterial pressure (MAP) on succinylcholine-induced changes in cerebrospinal fluid (CSF) pressure were examined in 31 dogs anesthetized with halothane (0.7% end-expired) and nitrous oxide (66% inspired) in oxygen. Group 1 (n = 9) received succinylcholine (1.5 mg/kg i.v.) without control of...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199003000-00002

    authors: Artru AA

    更新日期:1990-03-01 00:00:00

  • Pseudoobstruction of the colon: early recognition and therapy.

    abstract::A case of pseudoobstruction of the colon in a patient receiving oral nimodipine therapy is presented. Early recognition of this entity, diagnostic aids, and therapy are discussed. Successful colonoscopic decompression and close observation allowed completion of nimodipine course of therapy. ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199604000-00006

    authors: Fahy BG

    更新日期:1996-04-01 00:00:00

  • A comparison of auditory evoked potentials derived from a monitor integrated module versus standard technique.

    abstract:PURPOSE:Measurement of brain stem auditory evoked potentials (BAEP) and midlatency auditory evoked potentials (MLAEP) using a new monitor integrated module was compared with an established device. The aim of this study was to evaluate if the new system could replace the more inconvenient established technique. MATERIA...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3181990d00

    authors: Fudickar A,Kluzik A,Weiler N,Scholz J,Tonner PH,Bein B

    更新日期:2009-04-01 00:00:00

  • Fatal fat embolism syndrome: a case report.

    abstract::Fat embolism syndrome is a dire complication of long bone trauma. It is usually associated with neurological, hematological and respiratory involvement, the latter being the major cause of death. We present a case of severe fat embolism syndrome occurring 3 hours after a long bone injury, leading to permanent vegetati...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200007000-00004

    authors: Bracco D,Favre JB,Joris R,Ravussin A

    更新日期:2000-07-01 00:00:00

  • Assessment of jugular blood oxygen and lactate indices for detection of cerebral ischemia and prognosis.

    abstract::Levels of jugular blood oxygen saturation (SjvO2) and lactate have been proposed as indicators of cerebral ischemia and prognosis. However, sensitivity and specificity of these markers remain unknown. We retrospectively analyzed records of a series of 43 comatose patients at risk for cerebral ischemia, mainly after he...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200407000-00007

    authors: Artru F,Dailler F,Burel E,Bodonian C,Grousson S,Convert J,Renaud B,Perret-Liaudet A

    更新日期:2004-07-01 00:00:00

  • Tracheal intubation with the PENTAX-AWS (airway scope) reduces changes of hemodynamic responses and bispectral index scores compared with the Macintosh laryngoscope.

    abstract::The PENTAX-AWS, a novel video laryngoscope, allows indirect visualization of the vocal cords on a color monitor display and enables tracheal intubation without upward lifting force required to expose the glottis. This study compared hemodynamic changes, bispectral index scores, and postoperative sore throat before and...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0b013e3181a9c6dc

    authors: Nishikawa K,Matsuoka H,Saito S

    更新日期:2009-10-01 00:00:00

  • Nimodipine does not affect the cerebral autoregulatory response in the anesthetized pig.

    abstract::The effect of the calcium blocker nimodipine on the cerebral blood flow (CBF) and cerebral autoregulatory responses was examined in seven fentanyl/N2O/anesthetized pigs. CBF was measured continuously from the sagittal sinus by a venous outlet flow technique. Cerebral autoregulation tests were performed before, after 3...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199404000-00007

    authors: Stånge K,Lagerkranser M,Sollevi A

    更新日期:1994-04-01 00:00:00

  • Anesthetic management of neurosurgical procedures during pregnancy: a case series.

    abstract:INTRODUCTION:Neurosurgical disorders are rare during pregnancy and challenge the anesthesiologist with conflicting anesthetic considerations and little evidence to guide decision-making. Our objective was to review the anesthetic management of pregnant patients undergoing intracranial neurosurgery at our institution an...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000029

    authors: Kazemi P,Villar G,Flexman AM

    更新日期:2014-07-01 00:00:00

  • Brain tissue oxygen monitoring for assessment of autoregulation: preliminary results suggest a new hypothesis.

    abstract::Brain tissue oxygen monitoring (P(ti)O2 (Neurotrend, Codman, Germany) was employed in addition to standard intracranial pressure (ICP) and cerebral perfusion pressure (CPP) monitoring in seven patients with severe neuronal damage of heterogeneous etiology. The correlation between P(ti)O2 changes and CPP fluctuations d...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00008506-200301000-00006

    authors: Menzel M,Soukup J,Henze D,Clausen T,Marx T,Hillman A,Miko I,Grond S,Rieger A

    更新日期:2003-01-01 00:00:00

  • Effects of THAM and sodium bicarbonate on intracranial pressure and mean arterial pressure in an animal model of focal cerebral injury.

    abstract::Episodes of arterial hypotension are associated with an increased mortality in head injury patients. Rapid infusion of sodium bicarbonate in such patients may cause hypotension and elevate intracranial pressure. Therefore, we examined the effects of tromethamine (THAM) versus bicarbonate on intracranial pressure and b...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199407000-00009

    authors: Duthie SE,Goulin GD,Zornow MH,Scheller MS,Peterson BM

    更新日期:1994-07-01 00:00:00

  • Fiberoptic intubation in 327 neurosurgical patients with lesions of the cervical spine.

    abstract::In patients with lesions of the cervical spine, direct laryngoscopy for endotracheal intubation entails the risk of injuring the spinal cord. In an attempt to avoid this complication, the authors used flexible fiberoptic nasal intubation in a series of 327 patients with cervical lesions undergoing elective neurosurgic...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199901000-00003

    authors: Fuchs G,Schwarz G,Baumgartner A,Kaltenböck F,Voit-Augustin H,Planinz W

    更新日期:1999-01-01 00:00:00

  • Infratentorial neurosurgery is an independent risk factor for respiratory failure and death in patients undergoing intracranial tumor resection.

    abstract:BACKGROUND:Respiratory failure and death are devastating outcomes in the postoperative period. Patients undergoing neurosurgical procedures experience a greater frequency of respiratory failure compared with other surgical specialties. Resection of infratentorial mass lesions may be associated with an even higher risk ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3182a43ed8

    authors: Flexman AM,Merriman B,Griesdale DE,Mayson K,Choi PT,Ryerson CJ

    更新日期:2014-07-01 00:00:00

  • Brain and Heart Crosstalk During Neurointerventional Procedures: The Role of the Trigeminocardiac Reflex: An Updated Systematic Review.

    abstract::The trigeminocardiac reflex is a well-described brainstem reflex that clinically manifests as bradycardia, hypotension, or apnea. This physiological phenomenon is extensively reported during open neurosurgical procedures, but very few data exist for trigeminocardiac reflex occurrence during neurointerventional procedu...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000723

    authors: Chowdhury T,Rizk AA,Azazi EA,Venkatraghavan L,Shankar JS,Schaller B

    更新日期:2020-08-28 00:00:00

  • Epidemiology and Resource Utilization of Simple Febrile Seizure-associated Hospitalizations in the United States, 2003-2012.

    abstract:BACKGROUND:Simple febrile seizure (SFS) affects 2% to 4% of children under 6 years of age. The purpose of this study is to examine the epidemiologic patterns and resource utilization of SFS-associated hospitalizations in children aged younger than 6 years of age in the United States. MATERIALS AND METHODS:This study i...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000546

    authors: Huang YY,Li G,Sun LS

    更新日期:2019-01-01 00:00:00

  • The Effect of Ultra-low-dose Intrathecal Naloxone on Pain Intensity After Lumbar Laminectomy With Spinal Fusion: A Randomized Controlled Trial.

    abstract:BACKGROUND:Despite advances in pain management, several patients continue to experience severe acute pain after lumbar spine surgery. The aim of this study was to assess the safety and effectiveness of single ultra-low-dose intrathecal (IT) naloxone in combination with IT morphine for reducing pain intensity, pruritus,...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0000000000000537

    authors: Firouzian A,Gholipour Baradari A,Ehteshami S,Zamani Kiasari A,Shafizad M,Shafiei S,Younesi Rostami F,Alipour A,Ala S,Darvishi-Khezri H,Haddadi K

    更新日期:2020-01-01 00:00:00

  • Dexamethasone PONV prophylaxis alters the hypothalamic-pituitary-adrenal axis after transsphenoidal pituitary surgery.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) is common after general anesthesia and are reported by approximately 20% to 25% of all patients and up to 39% of patients undergoing neurosurgical procedures. The most common standard prophylaxis is a single application of 4 mg of dexamethasone before initiating anest...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000007

    authors: Burkhardt T,Rotermund R,Schmidt NO,Kiefmann R,Flitsch J

    更新日期:2014-07-01 00:00:00

  • Effect of an anion transport inhibitor, L-644,711, on brain injury and edema after temporary middle cerebral artery occlusion in rats.

    abstract::The affect of L-644,711, an anion transport inhibitor, on ischemic brain injury and edema was investigated. Spontaneously hypertensive rats were given one of the following doses of intrathecal L-644,711 during 180 min of middle cerebral artery occlusion and 120 min of reperfusion: control, vehicle only; dose I, 100 mi...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199112000-00003

    authors: Cole DJ,Ghazal EA,Osborne TN

    更新日期:1991-12-01 00:00:00

  • The influence of acute and chronic alcohol treatment on brain edema, cerebral infarct volume and neurological outcome following experimental head trauma in rats.

    abstract::The aim of this study was to determine the influence of acute and chronic ethanol treatment on neurological outcome following head trauma in rats. Eight-two Sprague-Dawley rats were divided into 10 groups. Four groups received sham head trauma (surgical incision of the scalp but no trauma) and were treated with (A) no...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199704000-00003

    authors: Shapira Y,Lam AM,Paez A,Artru AA,Laohaprasit V,Donato T

    更新日期:1997-04-01 00:00:00

  • Unrecognized internal jugular vein obstruction: cause of fatal intracranial hypertension after tracheostomy?

    abstract::We report an unusual case of fatal intracranial hypertension following tracheostomy due to the obstruction of the internal jugular veins (left side: thrombosis after central venous cannulation, right side: hypoplastic vein) and their collaterals. Principal cerebral outflow through the internal jugular veins can be sub...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200210000-00008

    authors: Schummer W,Schummer C,Niesen WD

    更新日期:2002-10-01 00:00:00

  • Dual effects of ketamine: neurotoxicity versus neuroprotection in anesthesia for the developing brain.

    abstract::Ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, is widely used in pediatric anesthesia. Recently, a series of animal studies have shown that ketamine may have neurotoxic effects on the developing brain and that these effects can later cause neurofunctional impairment. However, other studies have also sho...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/ANA.0000000000000027

    authors: Yan J,Jiang H

    更新日期:2014-04-01 00:00:00

  • Phenylephrine increases cerebral perfusion pressure without increasing intracranial pressure in rabbits with balloon-elevated intracranial pressure.

    abstract::Using a rabbit model of intracranial hypertension, we studied the effects of infusion of phenylephrine on intracranial pressure (ICP) and cerebral perfusion pressure (CPP). Seven New Zealand white rabbits were anesthetized with isoflurane and normocapnia was maintained. An extradural balloon was used to raise ICP to 2...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200201000-00006

    authors: Watts AD,Wyss AJ,Gelb AW

    更新日期:2002-01-01 00:00:00

  • An alternative position for the BIS-Vista montage in frontal approach neurosurgical cases.

    abstract:BACKGROUND:Appropriate placement of the bispectral index (BIS)-vista montage for frontal approach neurosurgical procedures is a neuromonitoring challenge. The standard bifrontal application interferes with the operative field; yet to date, no other placements have demonstrated good agreement. The purpose of our study w...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e31826ca3a0

    authors: Nelson P,Nelson JA,Chen AJ,Kofke WA

    更新日期:2013-04-01 00:00:00

  • Cerebral blood flow measurements during blood pressure control with intravenous labetalol following craniotomy.

    abstract::Cerebral blood flow measurements using a thermal diffusion technique were made in conjunction with an extensive cardiovascular evaluation, during and after administration of intravenous labetalol given for blood pressure control in craniotomy patients. Eighteen patients, ages 30-65 years, ASAII and III, scheduled for ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199207000-00005

    authors: Dubois M,Caputy A,MacCosbe P,Lea D,Duma C

    更新日期:1992-07-01 00:00:00

  • The efficacy of motor-evoked potentials on cerebral aneurysm surgery and new-onset postoperative motor deficits.

    abstract::Surgical clipping may cause stenosis of parent arteries or occlusion of perforating arteries in cerebral aneurysm surgery. To prevent postoperative motor deficits, motor-evoked potentials (MEPs) have been used. This enables to detect cerebral ischemia. However, the rate of false negatives (motor deficits with preserve...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3181de4eae

    authors: Irie T,Yoshitani K,Ohnishi Y,Shinzawa M,Miura N,Kusaka Y,Miyazaki S,Miyamoto S

    更新日期:2010-07-01 00:00:00

  • Effectiveness of an intravascular cooling method compared with a conventional cooling technique in neurologic patients.

    abstract::Fever is common among neurologic patients and is usually treated by antipyretic drugs and external cooling. An alternative method for temperature management may be an intravascular approach. The aim of the study was to compare the effectiveness and the therapeutic costs of this new method with conventional treatment i...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0b013e318032a208

    authors: Hinz J,Rosmus M,Popov A,Moerer O,Frerichs I,Quintel M

    更新日期:2007-04-01 00:00:00

  • A comparison of equivolume, equiosmolar solutions of hypertonic saline and mannitol for brain relaxation in patients undergoing elective intracranial tumor surgery: a randomized clinical trial.

    abstract:BACKGROUND:Hyperosmolar solutions have been used in neurosurgery to modify brain bulk and prevent neurological deterioration. The purpose of the study was to compare the effects of equivolume, equiosmolar solutions of mannitol and hypertonic saline (HTS) on brain relaxation and postoperative complications in patients u...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0000000000000091

    authors: Dostal P,Dostalova V,Schreiberova J,Tyll T,Habalova J,Cerny V,Rehak S,Cesak T

    更新日期:2015-01-01 00:00:00