Anesthesia Management of Patients with Redo Craniotomy: Cases of Supratentorial Recidive Tumors
DOI:
https://doi.org/10.55324/iss.v2i8.450Keywords:
case study, brain tumor, redo, craniotomyAbstract
Background: Compared to non-surgical therapies, redo craniotomy is linked to improved neurological state and a lower mortality rate. But it also carries a higher price tag and complication risk.
Aim: The researchers would like to discover anesthesia management of patients with redo craniotomy in patients with supratentorial recidive tumors.
Method: The researchers used the case study method. Two cases of redo craniotomy performed at the Santosa Hospital Bandung Central Indonesia are presented. The first case involved a 24-year-old male with a supraorbital tumor, GCS 15, and the second case involved a 43-year-old woman with meningiomas, GCS 15. The first patient underwent redo craniotomy six (6) months after the first operation, while the second patient underwent the procedure three (3) months after the first operation. These patients were subjected to anesthesia using the same techniques and anesthetic drugs. patients were positioned in a neutral position with 20-30 degree head up, voluntary hyperventilated, and adequate anxiolytics.
Findings: The bleeding volume of the patients was 800 mL for the first patient and 1,000 mL for the second, and the fluid balance was maintained using the ringerfundin balance solution. The durations of the operation of the first and second patients were 4 and 6.5 hours, respectively. Postoperatively, patients were treated in the ICU for one day under mechanical ventilation and were transferred to the ward after extubation. Better intraoperative care, improved surgical skills, surgical equipment, and better intensive care support are likely to improve outcomes in patients with redo craniotomy.
References
Adigun, T. A., Adeolu, A. A., Adeleye, A. O., Shokunbi, M. T., Malomo, A. O., & Amanor Boadu, S. D. (2011). Anesthetic and surgical predictors of treatment outcome in re-do craniotomy. Journal of Neurosciences in Rural Practice, 2(2). https://doi.org/10.4103/0976-3147.83578
Bisri, D. Y., & Bisri, T. (2016). Anestesi untuk operasi tumor otak: Supratentorial infratentorial. Fakultas Kedokteran Universitas Padjajaran.
Bruder, N. J., & Ravussin, P. A. (2012). Anesthesia for supratentorial tumors. In P. Niewfield & J. E. Cottrell (Eds.), Handbook of Neuroanaesthesia (5th ed.). Wolter Kluwer.
Bruder, N., & Ravussin, P. (2017). Supratentorial masses: Anesthetic considerations. In Cottrell. J. E. & P. Patel (Eds.), Neuroanaesthesia (Vol. 5). Elsevier.
Chen, M. W., Morsy, A. A., Liang, S., & Ng, W. H. (2016). Re-do craniotomy for recurrent grade IV glioblastomas: Impact and outcomes from the National Neuroscience Institute Singapore. World Neurosurgery, 87. https://doi.org/10.1016/j.wneu.2015.10.051
Dasenbrock, H. H., Yan, S. C., Chavakula, V., Gormley, W. B., Smith, T. R., Claus, E. B., & Dunn, I. F. (2017). Unplanned reoperation after craniotomy for tumor: A National Surgical Quality Improvement Program analysis. Clinical Neurosurgery, 81(5). https://doi.org/10.1093/neuros/nyx089
Fernández-de, T., & de Jesus, O. (2022). Craniotomy. Stat Pearls Publishing.
Keown, T., Bhangu, S., & Solanki, S. (2022). Anaesthesia for craniotomy and brain tumour resection. Anaesthesia Tutorial of the Week.
K?l?ç, M. (2018). Cranio-orbital tumors: Clinical results and surgical approach. SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital. https://doi.org/10.14744/semb.2018.82698
Kulsum, K., & Suryadi, T. (2021). Neuro-anesthetic management of craniotomy-surgery in removal tumor multiple meningioma patients: A case report. Open Access Macedonian Journal of Medical Sciences, 9(C). https://doi.org/10.3889/oamjms.2021.6371
Mukherjee, S., Wood, J., Liaquat, I., Stapleton, S. R., & Martin, A. J. (2020). Craniotomy for recurrent glioblastoma: Is it justified? A comparative cohort study with outcomes over 10 years. Clinical Neurology and Neurosurgery, 188. https://doi.org/10.1016/j.clineuro.2019.105568
Purohit, B. S., Vargas, M. I., Ailianou, A., Merlini, L., Poletti, P. A., Platon, A., Delattre, B. M., Rager, O., Burkhardt, K., & Becker, M. (2016). Orbital tumours and tumour-like lesions: exploring the armamentarium of multiparametric imaging. In Insights into Imaging (Vol. 7, Issue 1). https://doi.org/10.1007/s13244-015-0443-8
Raghib, M. F., Khalid, M. U., Imran, N., Sajid, M. I., Abdullah, U. E. H., Tanwir, A., & Enam, S. A. (2022). Risk factors and outcomes of redo craniotomy: A tertiary care center analysis. Cureus. https://doi.org/10.7759/cureus.21440
Rath, G. P., & Dash, H. H. (2012). Anaesthesia for neurosurgical procedures in paediatric patients. In Indian Journal of Anaesthesia (Vol. 56, Issue 5). https://doi.org/10.4103/0019-5049.103979
Schipmann, S., Brix, T., Varghese, J., Warneke, N., Schwake, M., Brokinkel, B., Ewelt, C., Dugas, M., & Stummer, W. (2019). Adverse events in brain tumor surgery: incidence, type, and impact on current quality metrics. Acta Neurochirurgica, 161(2). https://doi.org/10.1007/s00701-018-03790-4
Soriano, S. G., & McManus, M. L. (2010). Pediatric neuroanesthesia and critical care. In Cottrell and Young’s Neuroanesthesia. https://doi.org/10.1016/b978-0-323-05908-4.10024-7
Zattra, C. M., Zhang, D. Y., Broggi, M., Velz, J., Vasella, F., Seggewiss, D., Schiavolin, S., Bozinov, O., Krayenbühl, N., Sarnthein, J., Ferroli, P., Regli, L., & Stienen, M. N. (2019). Repeated craniotomies for intracranial tumors: is the risk increased? Pooled analysis of two prospective, institutional registries of complications and outcomes. Journal of Neuro-Oncology, 142(1). https://doi.org/10.1007/s11060-018-03058-y
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Copyright (c) 2023 Dewi Yulianti Bisri, Gusti Ayu Pitria Septiani, Michaela Arshanty Limawan, Tatang Bisri

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