AI Summary & Key Takeaways
AI InsightAdditional studiesare needed to define the threshold values of several metabolic and hemodynamic markers in risk assessment after cranial vault surgery.
📌 3 Key Takeaways
Abstract
Background/aim: Declined morbidity rates after craniosynostosis surgery indicate bypassing the pediatric intensive care unit (PICU)course to minimize treatment costs and bed usage. The aim of this study is to examine the incident rates of PICU admission and assessits necessity.Materials and methods: A retrospective analysis of 41 patients (operated on by open surgical techniques) between July 2011 andDecember 2015 was carried out. Intraoperative/postoperative vital signs, hemodynamic and metabolic parameters, estimated blood loss(EBVloss), blood transfusions, length of PICU, and hospitalizations were recorded.Results: Major and minor events reached 51.2% and 82.9%, respectively. EBVloss within 24 h was calculated as 39.58 ± 8.19 (median:38.44, 25.68–66.34) with 75.6% blood transfusion rate. Hypotension and hypothermia were associated with prolonged surgery (P =0.001 and P = 0.007, respectively), but were not related to age (P = 0.054, P = 0.162) or procedure types (P = 0.558, P = 0.663). Prolongedsurgery and younger age had an impact on the complications. One patient died of persistent hemorrhage at 96 h.Conclusion: Monitoring cardiovascular and metabolic dynamics at PICU during the first 24 h after surgery is crucial. Additional studiesare needed to define the threshold values of several metabolic and hemodynamic markers in risk assessment after cranial vault surgery.