Preoperative evaluation of neurosurgical patients

This article focuses on the required preoperative preparation of neurosurgical patients. Intracranial and spinal surgery are associated with significant morbidity (23.6% and 11.2%, respectively), with overall 30-day mortality around 0.4–2.3% for intracranial surgery. Preoperative assessment must consider the surgical procedure being undertaken, pathology and its presentation, as well as patient-related factors that can be optimized prior to surgery. It also allows preoperative risk stratification and shared decision-making, informed consent and appropriate planning of perioperative care. Careful documentation of preoperative neurological status is essential for postoperative assessment and management. A thorough understanding of the impact of surgery and anaesthesia on intracranial physiology is also required. This ensures high quality, safe care and excellent patient experience.

Source: Anaesthesia and intensive care medicine - October 28, 2016 Category: Anesthesiology Source Type: research