Preoperative risk assessment before elective craniotomy: are aspirin, arrhythmias, deep venous thromboses, and hyperglycemia contraindications to surgery?

Kulikov, A.; Gruenbaum, S.E.; Quinones-Hinojosa, A.; Pugnaloni, P.P.; Lubnin, A.; Bilotta, F.

Авторы: Kulikov Alexander, Gruenbaum Shaun E., Quinones-Hinojosa Alfredo, Pugnaloni Pier Paolo, Lubnin Andrey, Bilotta Federico
Журнал: World Neurosurgery
Год издания: 2024
Издательство: Elsevier BV
Местоположение издательства: Netherlands
Первая страница: 68
Последняя страница: 77
DOI: 10.1016/j.wneu.2024.03.018
Аннотация: Objective Perioperative risk assessment and stratification before craniotomy is necessary to identify and optimize modifiable risk factors. Due to the high costs of diagnostic testing and concerns for delaying surgery, some have questioned whether and when surgery delays are warranted and supported by the current body of literature. The objective of this scoping review was to evaluate the available evidence on the prognostic value of preoperative risk assessment before anesthesia for elective craniotomy. Methods In this scoping review, we reviewed 156 papers that assess preoperative risk assessment before elective craniotomy, of which 27 papers were included in the final analysis. Results There is little high-quality evidence to suggest significant risk reduction when 4 common preexisting abnormalities are present: preoperative chronic aspirin therapy, cardiac arrhythmias, deep vein thrombosis, or hyperglycemia. Conclusions The risk of delaying craniotomy should ultimately be weighed against the perceived risks associated the patient's comorbid conditions and should be considered on an individualized basis.
Добавил в систему: Куликов Александр Сергеевич

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Preoperative risk assessment before elective craniotomy: are aspirin, arrhythmias, deep venous thromboses, and hyperglycemia contraindications to surgery?статья

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