TY - JOUR
T1 - Minimally Invasive Strip Craniectomy Simplifies Anesthesia Practice in Patients With Isolated Sagittal Synostosis
AU - van Nunen, Daan P. F.
AU - Stubenitsky, Bart M.
AU - Woerdeman, Peter A.
AU - Han, Kuo Sen
AU - Breugem, Corstiaan C.
AU - Mink van der Molen, Aebele B.
AU - de Graaff, Jurgen C.
PY - 2016
Y1 - 2016
N2 - RESULTS: In MISC, the median duration of surgery (90 versus 178 min.), anesthesia time (178 versus 291 min), and intubation time (153 versus 294 min) were all significantly (P < 0.001) shorter than in OESC. Intraoperative blood loss was less in MISC than in OESC (3.8 versus 29.7 mL/kg, P < 0.001), requiring less crystalloids (33.3 versus 76.9 mL/kg, P < 0.001) as well as less erythrocyte transfusions (0.0 versus 19.7 mL/kg, P < 0.001) in a smaller number of patients (2/20 versus 13/15). The improved hemodynamic stability in MISC allowed for placement of less arterial and central venous catheters. After OESC all 15 patients were admitted to high care units, compared with 9 of 20 in MISC. The overall median hospital stay was shorter in MISC than in OESC (4 versus 6 d, P < 0.001). Although the incidence of technical complications was similar in both techniques, patients in MISC were less affected by perioperative electrolyte and acid-base disturbances and postoperative pyrexia.
AB - RESULTS: In MISC, the median duration of surgery (90 versus 178 min.), anesthesia time (178 versus 291 min), and intubation time (153 versus 294 min) were all significantly (P < 0.001) shorter than in OESC. Intraoperative blood loss was less in MISC than in OESC (3.8 versus 29.7 mL/kg, P < 0.001), requiring less crystalloids (33.3 versus 76.9 mL/kg, P < 0.001) as well as less erythrocyte transfusions (0.0 versus 19.7 mL/kg, P < 0.001) in a smaller number of patients (2/20 versus 13/15). The improved hemodynamic stability in MISC allowed for placement of less arterial and central venous catheters. After OESC all 15 patients were admitted to high care units, compared with 9 of 20 in MISC. The overall median hospital stay was shorter in MISC than in OESC (4 versus 6 d, P < 0.001). Although the incidence of technical complications was similar in both techniques, patients in MISC were less affected by perioperative electrolyte and acid-base disturbances and postoperative pyrexia.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84984673587&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/28005739
U2 - https://doi.org/10.1097/SCS.0000000000003072
DO - https://doi.org/10.1097/SCS.0000000000003072
M3 - Article
C2 - 28005739
SN - 1049-2275
VL - 27
SP - 1985
EP - 1990
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 8
ER -