Experience with "Fast track" postoperative care after deep brain stimulation surgery.
Neurocirugia (Astur)
; 27(6): 263-268, 2016.
Article
em En
| MEDLINE
| ID: mdl-27006141
ABSTRACT
BACKGROUND:
A 24-h-stay in the post-anesthesia care unit (PACU) is a common postoperative procedure after deep brain stimulation surgery (DBS).OBJECTIVE:
We evaluated the impact of a fast-track (FT) postoperative care protocol.METHODS:
An analysis was performed on all patients who underwent DBS in 2 periods 2006, overnight monitored care (OMC group), and 2007-2013, FT care (FT group).RESULTS:
The study included 19 patients in OMC and 95 patients in FT. Intraoperative complications occurred in 26.3% patients in OMC vs. 35.8% in FT. Post-operatively, one patient in OMC developed hemiparesis, and agitation in 2 patients. In FT, two patients with intraoperative hemiparesis were transferred to the ICU. While on the ward, 3 patients from the FT developed hemiparesis, two of them 48h after the procedure. Thirty eight percent of FT had an MRI scan, while the remaining 62% and all patients of OMC had a CT-scan performed on their transfer to the ward. One patient in OMC had a subthalamic hematoma. Two patients in FT had a pallidal hematoma, and 3 a bleeding along the electrode.CONCLUSIONS:
A FT discharge protocol is a safe postoperative care after DBS. There are a small percentage of complications after DBS, which mainly occur within the first 6h.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Cuidados Pós-Operatórios
/
Estimulação Encefálica Profunda
Limite:
Humans
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article