POSTOPERATIVE COMPLICATIONS IN CRANIUM RESTRICTED NEUROSURGERY

• DOI: 10.22533/at.ed.159282214026

• Palavras-chave: Neurosurgery; Skull; Intercurrence; Postoperative.

• Keywords: Neurosurgery; Skull; Intercurrence; Postoperative.

• Abstract:

  Introduction: Neurosurgery restricted to the skull has a high risk of developing systemic or localized post-surgical complications. Goal: To highlight the main complications in patients undergoing cranial neurosurgery, as well as estimate and compare the prevalence of complications in elective procedures and emergency procedures. Methods: Observational, retrospective, descriptive study, with secondary data collection and a quantitative approach, which included all hospital records of patients over 18 years of age who underwent surgery restricted to the skull from January 2018 to March 2019 in a hospital of high complexity in the south of Santa Catarina, Brazil. Results: The data obtained found a higher prevalence of elective surgeries and complications such as headache (24.7%), followed by delirium (19.7%), fever (16.7%), paresis/hemiparesis (11.4%), intraparenchymal hematoma (9.1%), hypokalemia (9.1%) and meningitis (9.1%). In addition, an association was found between emergency surgeries and the occurrence of fever, hypokalemia, increased blood pressure and emesis, with p-values < 0.001, < 0.001, 0.016 and 0.004, respectively. Conclusion: The most prevalent complications in neurosurgery restricted to the skull were headache, followed by delirium, fever, paresis/hemiparesis, intraparenchymal hematoma, hypokalemia and meningitis. In addition, fever, hypokalemia, increased blood pressure and emesis had a statistically significant association as the most prevalent complications in emergency surgeries. 

• Número de páginas: 24