Abstract
Neurosurgical outcomes data have become increasingly available, allowing the neuroanesthesiologist to better understand the perioperative environment for neurosurgical patients. Grossly little actionable evidence exists to endorse specific medical therapies. Most data regarding neurosurgical outcomes report more specifically on differences in timing of surgical intervention, technique, preoperative counseling, medical decision-making, and postoperative care. Suggested readings present the best currently available representations of evidence for perioperative care of the neurosurgical patient.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
General Risk
Lieber BA, Bruce JN, et al. Preoperative chemotherapy and corticosteroids: independent predictors of cranial surgical-site infections. J Neurosurg 11/6/2015. https://doi.org/10.3171/2015.4.JNS142719.
Lieber B, Tabbosha M, et al. Preoperative predictors of spinal infection within the National Surgical Quality Inpatient Database. World Neurosurg. 2016; https://doi.org/10.1016/j.wneu.2015.12.085.
Lim S, Kim JYS, et al. Impact of resident involvement in neurosurgery: an analysis of 8748 patients from the 2011 American College of Surgeons National Surgical Quality Improvement Program database. J Neurosurg. 2015;122:962–70.
Reponen E, Tuominen H, et al. Preoperative identification of neurosurgery patients with a high risk of in-hospital complications: a prospective cohort of 418 consecutive elective craniotomy patients. J Neurosurg. 2015;123:594–604.
Epilepsy Surgery
Amar AP, Liu CY. Vagus nerve stimulation therapy after failed cranial surgery for intractable epilepsy: results from the vagus nerve stimulation therapy patient outcome registry. Neurosurgery. 2004;55(5):1086–93. https://doi.org/10.1227/01.NEU.0000141073.08427.76.
Asadi-Pooya AA, Nei M, Sharan A, Sperling MR. Historical risk factors associated with seizure outcome after surgery for drug-resistant mesial temporal lobe epilepsy. World Neurosurg. 2016; https://doi.org/10.1016/j.wneu.2016.02.023.
Brain Tumor
Karikari I, Isaacs R, et al. Impact of tumor histology on resectability and neurological outcome in primary intramedullary spinal cord tumors: a single-center experience with 102 patients. Neurosurgery. 2011;68:188–97. https://doi.org/10.1227/NEU.0b013e3181fe3794.
Ling D, Heron D. et al. postoperative stereotactic radiosurgery to the resection cavity for large brain metastases: clinical outcomes, predictors of intracranial failure, and implications for optimal patient selection. Neurosurgery. 2015;76:150–7. https://doi.org/10.1227/NEU.0000000000000584.
Skardelly M, Tabatabai G, et al. Predictors of preoperative and early postoperative seizures in patients with intra-axial primary and metastatic brain tumors: a retrospective observational single center study. Ann Neurol. 2015;78:917–28. https://doi.org/10.1002/ana.24522.
Vascular Neurosurgical Intervention
Alan N, et al. Impact of age on 30-day postoperative outcome of surgery for ruptured and unruptured intracranial aneurysms. J Neurointerventional Surg. 2015;7(6):431–7.
Antonucci MU, et al. Acute preoperative infarcts and poor cerebrovascular reserve are independent risk factors for severe ischemic complications following direct extracranial-intracranial bypass for Moyamoya disease. Am J Neuroradiol. 2016;37(2):228–35.
Ivanov AA, et al. Recurrence of cerebral arteriovenous malformations following resection in adults: does preoperative embolization increase the risk? Neurosurgery. 2016;78(4):562–71.
Newman WC, Neal DW, Hoh BL. A new comorbidities index for risk stratification for treatment of unruptured cerebral aneurysms. J Neurosurg. 2016;125(3):713–9.
Seicean A, et al. Risks associated with preoperative anemia and perioperative blood transfusion in open surgery for intracranial aneurysms. J Neurosurg. 2015;123(1):91–100.
Brain Trauma
Lin H, et al. Novel clinical scale for evaluating pre-operative risk of cerebral herniation from traumatic epidural hematoma. J Neurotrauma. 2016;33(11):1023–33.
Lukasiewicz AM, et al. Patient factors associated with 30-day morbidity, mortality, and length of stay after surgery for subdural hematoma: a study of the American College of Surgeons National Surgical Quality Improvement Program. J Neurosurg. 2016;124(3):760–6.
Spine Trauma
Alkabie S, Boileau AJ. The role of therapeutic hypothermia after traumatic spinal cord injury-a systematic review (P3. 284). Neurology. 2016;86(16 Supplement):P3–284.
Fehlings MG, et al. Early versus delayed decompression for traumatic cervical spinal cord injury: results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS). PLoS One. 2012;7(2):e32037.
Hurlbert RJ, et al. Pharmacological therapy for acute spinal cord injury. Neurosurgery. 2015;76:S71–83.
Liu J-M, et al. Is urgent decompression superior to delayed surgery for traumatic spinal cord injury? A meta-analysis. World Neurosurg. 2016;87:124–31.
Other Spine Surgery
Goldstein C, Rampersaud YR. Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review. J Neurosurg Spine. 2016;24:416–27.
Higgins D, Clarke M. Understanding the impact of obesity on short- term outcomes and in-hospital costs after instrumented spinal fusion. Neurosurgery. 2016;78:127–32. https://doi.org/10.1227/NEU.0000000000001018.
Tetreault L, Fehlings M. Predictors of outcome in patients with degenerative cervical spondylotic myelopathy undergoing surgical treatment: results of a systematic review. Eur Spine J. 2015;24(Suppl 2):S236–51. https://doi.org/10.1007/s00586-013-2658-z.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Field, R.R. (2020). Factors Influencing Outcome in Neurosurgical Anesthesia. In: Brambrink, A., Kirsch, J. (eds) Essentials of Neurosurgical Anesthesia & Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-17410-1_18
Download citation
DOI: https://doi.org/10.1007/978-3-030-17410-1_18
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-17408-8
Online ISBN: 978-3-030-17410-1
eBook Packages: MedicineMedicine (R0)