当前位置： SCI文献检索 > World Neurosurgery期刊下所有文献 > Identifying Components Necessary for an Enhanced Recovery After Surgery Pathway for Elective Intracranial Surgery: An Improvement Project Using the Quality of Recovery-15 Score.

Identifying Components Necessary for an Enhanced Recovery After Surgery Pathway for Elective Intracranial Surgery: An Improvement Project Using the Quality of Recovery-15 Score.

Abstract：

OBJECTIVE:To identify the domains of recovery, as determined by the Quality of Recovery-15 (QoR-15) score, that needed improvement to develop initial interventions for an enhanced recovery after surgery protocol for patients undergoing elective intracranial surgery under general anesthesia. METHODS:A paired-availability design was used to assess 2 groups of 41 patients undergoing elective intracranial surgery. The baseline QoR-15 score and scores 0, 6, 12, and 24 hours after arrival in the intensive care unit characterized the postoperative recovery trajectory. The lowest scoring domains of the QoR-15 score were identified in the preimplementation group, and pharmacologic interventions were initiated in the postimplementation group. RESULTS:Postoperative analgesia and postoperative nausea and vomiting were identified as the lowest scoring domains. The pharmacologic interventions implemented were chosen because they produced minimal sedation and were easy to administer-1 40-mg oral preoperative dose of aprepitant to target postoperative nausea and vomiting and 2 perioperative 1-g doses of intravenous acetaminophen to improve analgesia. We observed a clinically significant as well as statistically significant improvement in analgesia on arrival in the intensive care unit and at the 6-hour postoperative time point. The total QoR-15 score was improved through the 12-hour time point. CONCLUSIONS:In this quality improvement project, the QoR-15 score allowed us to identify domains that slowed the recovery course in this patient population. Two 1-g doses of intravenous acetaminophen improved patients' well-being and analgesia after elective intracranial surgery.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Johnson A,Rice AN,Titch JF,Gupta DK

doi

10.1016/j.wneu.2019.06.108

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

e423-e430

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)31660-2

journal_volume

130

pub_type

杂志文章

相关文献

World Neurosurgery文献大全
  • Does Obesity Affect Perioperative and Postoperative Morbidity and Complication Rates After Minimal Access Spinal Technologies in Surgery for Lumbar Degenerative Disc Disease.

    abstract：OBJECTIVE:The impact of obesity on spine surgery has been studied extensively, but only a few investigations have been focused on minimally invasive spinal fusion techniques and complication rates in normal-weight, preobese, or obese patients. Obesity was found to be a risk factor for intraoperative complications. Publ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.12.075

    authors： Senker W,Stefanits H,Gmeiner M,Trutschnig W,Weinfurter I,Gruber A

    更新日期：2018-03-01 00:00:00

  • Programs selection criteria for neurological surgery applicants in the United States: a national survey for neurological surgery program directors.

    abstract：OBJECTIVES:To determine the criteria used by neurosurgery resident selection committees in different programs and to assess the process of selection. METHODS:A questionnaire based on the Electronic Residency Application Service (ERAS) guidelines was mailed to all 100 neurosurgery residency program directors in August ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2013.08.019

    authors： Al Khalili K,Chalouhi N,Tjoumakaris S,Gonzalez LF,Starke RM,Rosenwasser R,Jabbour P

    更新日期：2014-03-01 00:00:00

  • Complete Reversibility of the Chiari Type II Malformation After Postnatal Repair of Myelomeningocele.

    abstract：OBJECTIVE:It was believed that Chiari type II malformation (CM-II) was always present in a myelomeningocele (MMC). In fact, it is associated in about 80% of cases. Improvement of the hindbrain herniation after prenatal closure of MMC has challenged the idea that this condition was irreversible. Only 2 studies report as...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.08.152

    authors： Beuriat PA,Szathmari A,Rousselle C,Sabatier I,Di Rocco F,Mottolese C

    更新日期：2017-12-01 00:00:00

  • Quantitative Blood Flow Assessment by Multiparameter Analysis of Indocyanine Green Video Angiography.

    abstract：BACKGROUND:Measurements of quantitative blood flow are crucial during brain vascular surgery. Indocyanine green video angiography (ICG-VAG) is an accepted method of blood flow visualization; however, quantitative techniques have not yet been established. Thus, the aim of this study was to further develop ICG analysis f...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.04.148

    authors： Saito M,Saga T,Hayashi H,Noro S,Wada H,Kamada K

    更新日期：2018-08-01 00:00:00

  • Pitfalls of Neuroendoscopic Biopsy of Intraventricular Germ Cell Tumors.

    abstract：OBJECTIVE:A neuroendoscopic biopsy has become common for the diagnosis of ventricular tumors. However, its utility in patients with germ cell tumors (GCTs) has not been well discussed. We examined the usefulness and pitfalls of neuroendoscopic biopsies of intraventricular GCTs at a single institution. METHODS:We retro...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.07.013

    authors： Kinoshita Y,Yamasaki F,Tominaga A,Saito T,Sakoguchi T,Takayasu T,Usui S,Sugiyama K,Arita K,Kurisu K

    更新日期：2017-10-01 00:00:00

  • Results of a Single Center's Stenting Procedure for the Treatment of Carotid Stenosis.

    abstract：BACKGROUND:Stenting may be a safer alternative to endarterectomy for treating carotid artery stenosis (CAS), but its long-term efficacy is uncertain. There is a lack of long-term and noncontrolled clinical trial data that reflects "real-world" CAS. This study aimed to analyze the long-term efficacy and safety of our ce...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.09.065

    authors： Vieira-Leite C,Mosqueira AJ,Arias-Rivas S,Rodríguez-Yáñez M,Pumar JM

    更新日期：2020-01-01 00:00:00

  • Multiple Occipital Bone Lytic Lesions Containing Ectopic Cerebellar Parenchyma Mimicking Neoplasia.

    abstract：BACKGROUND:Nonlethal neural tube defects are developmental malformations with complex pathogenesis usually manifested at birth or in childhood. CASE DESCRIPTION:We report the case of a 61-year-old woman without significant previous clinical history presenting for neck pain and stiffness. An extensive workup detected m...

    journal_title：World neurosurgery

    pub_type：

    doi：10.1016/j.wneu.2020.02.164

    authors： Wild E,Sun H,Georgescu MM

    更新日期：2020-06-01 00:00:00

  • Phase-Contrast Magnetic Resonance Imaging Analysis of Cerebral Hyperperfusion Syndrome After Surgery in Adult Patients with Moyamoya Disease.

    abstract：OBJECTIVE:To investigate potential risk factors for cerebral hyperperfusion syndrome (CHS) after surgery in patients with moyamoya disease (MMD) using phase-contrast magnetic resonance imaging (MRI). METHODS:The study included 84 adult patients (89 brain hemispheres) with MMD who underwent surgery. Preoperative phase-...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.04.191

    authors： Gao F,Zhao W,Zheng Y,Li S,Lin G,Ji M,Duan Y,Li J,Hua Y

    更新日期：2019-09-01 00:00:00

  • Surgical Technique and Accuracy of S2 Alar-Iliac Screw Insertion Using Intraoperative O-Arm Navigation: An Analysis of 120 Screws.

    abstract：OBJECTIVE:To evaluate the surgical technique and accuracy of S2 alar-iliac (SAI) screw placement using intraoperative O-arm-based 3-dimensional navigation (O-arm). METHODS:This study involved 60 patients who underwent SAI screw placement using the O-arm system between September 2013 and September 2019. These surgeries...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.08.123

    authors： Tamaki R,Wada K,Okazaki K

    更新日期：2020-12-01 00:00:00

  • Factors Predicting Ventricle Volume Increase After Aneurysmal Clipping in Patients with Subarachnoid Hemorrhage.

    abstract：OBJECTIVE:Although many studies have evaluated risk factors associated with hydrocephalus after aneurysmal subarachnoid hemorrhage, specific ventricle volume changes after subarachnoid hemorrhage have not been evaluated. We sought to evaluate factors predicting ventricle volume enlargement in patients with aneurysmal s...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.08.076

    authors： Bang JH,Na MK,Kim CH,Kim JM,Cheong JH,Ryu JI,Han MH

    更新日期：2017-12-01 00:00:00

  • Contralateral Interhemispheric Transfalcine Transprecuneus Approach: Advancing Operative Angles to Deep-Seated Lesions.

    abstract：:The reach to expose the peritrigonal/atrial territories poses special challenges. The highly functional overlying cortices and white matter tracts, such as the optic radiations lateral to the ventricle, postcentral gyrus laterally and more superficially, and the thalamus anteroinferiorly, constrain the surgical corrid...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2020.08.150

    authors： Fernandez-Miranda JC,Xu Y,Hendricks BK,Cohen-Gadol A

    更新日期：2020-12-01 00:00:00

  • Hydrocephalus Secondary to Intradural Extramedullary Malignant Melanoma of Spinal Cord.

    abstract：BACKGROUND:Hydrocephalus secondary to spinal cord tumors is rare. CASE DESCRIPTION:We present a 39-year-old male with gradual-onset headache whose initial diagnosis was cerebral aneurysm and communicating hydrocephalus. The correct diagnosis was primary intradural extramedullary malignant melanoma of the spinal cord. ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.07.046

    authors： Hironaka K,Tateyama K,Tsukiyama A,Adachi K,Morita A

    更新日期：2019-10-01 00:00:00

  • Brain Abscess of Basal Ganglia Presenting with Persistent Hiccups.

    abstract：BACKGROUND:Brain abscesses are well-known to neurologic surgeons with well-recognized presentations, which include seizures, neurologic deficit, and headache. Rare symptoms may lead to a delay in diagnosis, which can be life threatening in the setting of a brain abscess. CASE DESCRIPTION:We present the case of a 46-ye...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.01.139

    authors： Sweeney J,Bodman A,Hall WA

    更新日期：2018-04-01 00:00:00

  • The Lumbosacral Dural Venous Sinus: A New Discovery with Potential Clinical Applications.

    abstract：BACKGROUND:Traditionally, the dural venous sinuses have been described only in the cranium. However, anecdotally, during various neurosurgical intradural procedures in the lumbosacral spine, we noticed an intradural collection of blood. With no prior studies on this in the extant medical literature, the following anato...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.01.116

    authors： Iwanaga J,Alonso F,Akobo S,Turgut M,Yurttas C,Loukas M,Reina MA,Oskouian RJ,Tubbs RS

    更新日期：2017-05-01 00:00:00

  • Autologous Bone Harvest in Anterior Cervical Spine Surgery: A Quantitative and Qualitative In Vitro Analysis of Cadaveric Tissue.

    abstract：BACKGROUND:The cervical spine may be used as a harvesting site of local autograft material during anterior cervical discectomy and fusion procedures. We analyzed the quality and composition of bone grafts obtained from different parts of the cervical vertebrae in a cadaveric model. METHODS:Five fresh adult human cadav...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.12.175

    authors： Rustagi T,Alonso F,Drazin D,Schmidt C,Rostad S,Yilmaz E,Oskouian RJ,Tubbs RS,Chapman JR,Fisahn C

    更新日期：2018-04-01 00:00:00

  • Solitary Cysticercal Cyst Inside the Blake's Pouch Remnant of Mega Cisterna Magna with Associated Aqueductal Stenosis: Clinical and Management Implications.

    abstract：BACKGROUND:Intraventricular and subarachnoid forms represent the relatively complex, albeit uncommon, manifestations of central nervous system involvement by cysticercal cysts. Cysticercal encystation inside the Blake's pouch remnant of mega cisterna magna (MCM) remains an extremely rare clinical scenario that, to the ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.04.067

    authors： Das KK,Gosal JS,Singh S,Mehrotra A,Jaiswal A,Jaiswal S,Kumar R

    更新日期：2017-06-01 00:00:00

  • Training in endovascular surgical neuroradiology.

    abstract：BACKGROUND:During the past few years, the field of endovascular surgical neuroradiology has been expanding. Neurosurgeons, radiologists, and neurologists are currently being trained. We analyzed data from a national survey of endovascular training programs to assess the current training status and future projections. ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2010.04.006

    authors： Strozyk D,Hanft SJ,Kellner CP,Meyers PM,Lavine SD

    更新日期：2010-07-01 00:00:00

  • Does Heterotopic Ossification in Cervical Arthroplasty Affect Clinical Outcome?

    abstract：OBJECTIVE:To investigate the occurrence and progression of heterotopic ossification (HO) in patients treated by anterior cervical discectomy with arthroplasty. It was evaluated if HO affects clinical outcome and range of motion (ROM). Risk factors of HO was studied as well. METHODS:Patients who underwent anterior cerv...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.07.187

    authors： Yang X,Bartels RHMA,Donk R,Depreitere B,Walraevens J,Zhai Z,Vleggeert-Lankamp CLA

    更新日期：2019-11-01 00:00:00

  • Extraventricular Intraparenchymal Choroid Plexus Tumors in Cerebral Hemisphere: A Series of 6 Cases.

    abstract：OBJECTIVE:Extraventricular intraparenchymal choroid plexus tumors (CPTs) in the cerebral hemisphere are extremely rare. The aim of this study was to investigate the clinical characteristics, radiologic findings, and surgical outcomes of this atypical type of CPT. METHODS:The study comprised 6 patients with pathologica...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2015.07.004

    authors： Qi Q,Ni S,Zhou X,Huang B,Li X

    更新日期：2015-12-01 00:00:00

  • High FABP5 Versus CRABPII Expression Ratio in Recurrent Craniopharyngiomas: Implications for Future Treatment.

    abstract：BACKGROUND AND OBJECTIVE:Recurrence is a major problem in craniopharyngioma (CP) management. Recent study shows that high FABP5/CRABPII may be related to tumor growth and that all-trans retinoic acid (ATRA) may suppress primary CP growth. We studied the expression profile of FABP5 and CRABPII in recurrent CP tissue and...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2016.05.063

    authors： Li Q,You C,Zhou L,Sima X,Liu Z,Liu H,Xu J

    更新日期：2016-10-01 00:00:00

  • Treatment of Ruptured Vertebral Artery Dissection and Abdominal Hemorrhage Associated with Segmental Arterial Mediolysis Using Endovascular Coil Embolization.

    abstract：BACKGROUND:Segmental arterial mediolysis is a rare disease characterized by idiopathic noninflammatory vasculopathy involving small to medium arteries. Here, we report a case of ruptured cerebral and abdominal aneurysms, which were successfully treated using emergency endovascular coil embolization. CASE DESCRIPTION:A...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.05.043

    authors： Isaji T,Ohshima T,Miyachi S,Matsuo N,Kawaguchi R,Takayasu M

    更新日期：2018-08-01 00:00:00

  • Clipping of Ruptured Aneurysm of Lateral Spinal Artery Associated with Anastomosis to Distal Posterior Inferior Cerebellar Artery: A Case Report.

    abstract：BACKGROUND:Arteries that anastomose with the posterior inferior cerebellar artery (PICA) can harbor aneurysms. CASE DESCRIPTION:We present a case of a patient who suffered a subarachnoid hemorrhage as a result from an aneurysm on the left lateral spinal artery (LSA) that anastomosed to the PICA. The aneurysm was treat...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.06.085

    authors： Germans MR,Kulcsar Z,Regli L,Bozinov O

    更新日期：2018-09-01 00:00:00

  • Ambroise Paré: His Contribution to the Future Advancement of Neurosurgery and the Hardships of His Times Affecting His Life and Brilliant Career.

    abstract：:Ambroise Paré was celebrated surgeon of the 16th century whose practical accomplishments, books, and ideas transformed surgery and was a precursor for the later development of neurosurgery. He developed many surgical innovations related to wound management, arterial ligation for the prevention of hemorrhage during lim...

    journal_title：World neurosurgery

    pub_type： 传,历史文章,杂志文章,评审

    doi：10.1016/j.wneu.2019.10.187

    authors： Splavski B,Rotim K,Boop FA,Gienapp AJ,Arnautović KI

    更新日期：2020-02-01 00:00:00

  • Choroidal fissure cerebrospinal fluid-containing cysts: case series, anatomical consideration, and review of the literature.

    abstract：BACKGROUND:Cerebrospinal fluid (CSF)-containing cysts at the level of the choroidal fissure are rare embryological entities infrequently described in the literature because of their benign nature. On the occasion of a case series, we present an overview of the literature and discuss anatomical and embryological locatio...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2010.12.056

    authors： de Jong L,Thewissen L,van Loon J,Van Calenbergh F

    更新日期：2011-05-01 00:00:00

  • Subsidence Rates After Lateral Lumbar Interbody Fusion: A Systematic Review.

    abstract：OBJECTIVE:The evidence regarding the consequences of subsidence with lateral lumbar interbody fusion (LLIF) has been sparse. The objective of this study is to calculate the incidence of subsidence and reoperation for subsidence after LLIF. A secondary outcome examined the quantitative degree of subsidence by calculatin...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2018.11.121

    authors： Macki M,Anand SK,Surapaneni A,Park P,Chang V

    更新日期：2019-02-01 00:00:00

  • Technical and Clinical Outcomes After Thrombectomy for the Various Segments of the Middle Cerebral Artery.

    abstract：BACKGROUND:After showing the success of mechanical thrombectomy (MT) in treating large-vessel occlusion stroke, the target population has been expanded to include patients with smaller and more distal vessels including the M2 segment of the middle cerebral artery. We compared the procedural and clinical outcomes of pat...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.04.175

    authors： Alawieh A,Kellogg RT,Chatterjee AR,Korson C,Lajthia O,Anadani M,Lena J,Spiotta AM

    更新日期：2019-08-01 00:00:00

  • Is It Better to Resect a Bony Spur Before Corrective Surgery for Congenital Scoliosis with Type I Split Cord Malformation?

    abstract：OBJECTIVE:To compare bony spur resection (BR) with bony spur nonresection (BN) treatment in patients with congenital scoliosis and type I split cord malformation. METHODS:Patients with congenital scoliosis and type I split cord malformation who underwent corrective surgery in a single institution from 2008 to 2015 wer...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.01.265

    authors： Yang N,Luo M,Yu Y,Wang J,Xia L,Wang W

    更新日期：2019-05-01 00:00:00

  • Effect of Progesterone on Cerebral Vasospasm and Neurobehavioral Outcomes in a Rodent Model of Subarachnoid Hemorrhage.

    abstract：BACKGROUND:Subarachnoid hemorrhage (SAH) induces widespread inflammation leading to cellular injury, vasospasm, and ischemia. Evidence suggests that progesterone (PROG) can improve functional recovery in acute brain injury owing to its anti-inflammatory and neuroprotective properties, which could also be beneficial in ...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2017.10.118

    authors： Turan N,Miller BA,Huie JR,Heider RA,Wang J,Wali B,Yousuf S,Ferguson AR,Sayeed I,Stein DG,Pradilla G

    更新日期：2018-02-01 00:00:00

  • Tailor-Made Branch Reconstruction by Intracranial to Intracranial Bypass During Clipping Surgery for Middle Cerebral Artery Aneurysms.

    abstract：BACKGROUND:In clipping surgery, it can be advantageous to dissect an adherent artery from the aneurysmal dome to achieve complete clipping. Bypass surgery can be useful to reconstruct an adherent artery when dissection of the artery is technically difficult or risky. We report the effectiveness of tailor-made intracran...

    journal_title：World neurosurgery

    pub_type： 杂志文章

    doi：10.1016/j.wneu.2019.04.074

    authors： Sato K,Endo H,Fujimura M,Endo T,Shimizu H,Tominaga T

    更新日期：2019-07-01 00:00:00

  • Dose-Dependent Effects of Statins for Patients with Aneurysmal Subarachnoid Hemorrhage: Meta-Regression Analysis.

    abstract：OBJECTIVE:The study uses meta-regression analysis to quantify the dose-dependent effects of statin pharmacotherapy on vasospasm, delayed ischemic neurologic deficits (DIND), and mortality in aneurysmal subarachnoid hemorrhage. METHODS:Prospective, retrospective observational studies, and randomized controlled trials (...

    journal_title：World neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.wneu.2018.01.184

    authors： To MS,Prakash S,Poonnoose SI,Bihari S

    更新日期：2018-05-01 00:00:00