SavedAdd your journal

Journals / Sağlık Akademisi Kastamonu / 2022 / Cilt: 7 - Sayı: 3

Evaluation of Anesthesia and Transfusion in Craniosynostosis Surgery: A Retrospective Study

Kraniosinostoz Cerrahisinde Anestezi ve Transfüzyonun Değerlendirilmesi: Retrospektif Çalışma

Nermin KILIÇARSLAN
Ayşe Neslihan BALKAYA
Pages
527–537
Publication Date
2022-12-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, we think that packaging blood products according to pediatric age, weight and surgery would reduce donor exposure and cost.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim:Craniosynostosis surgery is one of the difficult operations in terms of anesthesia and surgery, in which morbidity and mortality can be seen due to hypovolemia and hypothermia.
📊
Key Findings & Data:Results:The mean age was 8.4 months.
💡
Conclusion & Impact:In addition, we think that packaging blood products according to pediatric age, weight and surgery would reduce donor exposure and cost.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:anestezi · kanama · transfüzyon

Abstract

Aim:Craniosynostosis surgery is one of the difficult operations in terms of anesthesia and surgery, in which morbidity and mortality can be seen due to hypovolemia and hypothermia. In this study, general use of anesthesia and blood transfusion applied in craniosynostosis surgery of pediatric patients. Materials and Methods:The files of pediatric patients who had craniosynostosis surgery were evaluated.The demographic data including, hemoglobin and hematocrit values, the given volume of erythrocyte (ES) and fresh frozen plasma (FFP) suspension were recordedpre and post operatively. Results:The mean age was 8.4 months. All patients were given ES in the pediatric intensive care unit during the operation and 7 patients after the operation. TDP was given to 2 patients during the operation. The amount of ES given to the patients during the operation was 12.7 mL/kg (3-23) and the amount of ES given after the operation was 14.2 mL/kg (7.7-25.0). The mean operative time was 234 minutes. Conclusion:Careful and comprehensive follow-up of craniosynostosis surgery is required due to the high probability of bleeding during the operation, and the long anesthesia period. In addition, we think that packaging blood products according to pediatric age, weight and surgery would reduce donor exposure and cost.

Özet

Amaç: Kraniosinostoz cerrahisi hipovolemi ve hipotermi nedeniyle morbidite ve mortalitenin görülebildiği, anestezi ve cerrahi açıdan riskli ameliyatlardandır. Çalışmada pediyatrik hastaların kraniosinostoz cerrahisinde uygulanan anestezi ve kan transfüzyonunun genel kullanımını değerlendirdik. Gereç ve Yöntem: Kraniosinostoz cerrahisi geçiren çocuk hastaların medikal kayıtları değerlendirildi. Hemoglobin ve hematokrit değerleri, verilen eritrosit (ES) hacmi ve taze donmuş plazma (TDP) süspansiyonunu içeren demografik veriler ameliyat öncesi ve sonrası kaydedildi. Bulgular: Ortalama yaş 8.4 ay idi. Hastaların tümüne operasyon sırasında, 7 hastaya operasyondan sonra çocuk yoğun bakımda ES verildi. TDP operasyon sırasında 2 hastaya verildi. Hastalara operasyon sırasında verilen ES miktarı 12.7 mL/kg (3-23), operasyon sonrası verilen ES miktarı ise 14.2 mL/kg (7.7-25.0) idi. Ortalama operasyon süresi 234 dakika idi. Sonuç: Kraniosinostoz cerrahisinde yüksek kanama ihtimali, uzun anestezi süresi nedeniyle dikkatli ve kapsamlı hasta takibi yapılması gerekmektedir. Ayrıca kan ürünlerinin pediyatrik yaş, kilo ve yapılacak cerrahiye göre ambalajlanmasının donör maruziyeti ve maliyeti azaltacağını düşünmekteyiz.

🔖

Cite This Article

KILIÇARSLAN, N., BALKAYA, A. N. (2022). Evaluation of Anesthesia and Transfusion in Craniosynostosis Surgery: A Retrospective Study. Sağlık Akademisi Kastamonu, Cilt: 7 - Sayı: 3, 527–537. https://ajindex.com/articles/870446

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Ali A, Basaran B, Yornuk M, Altun D, Aydoseli A, Sencer A, Akinci IO. (2013). Factors influencing blood loss and postoperative morbidity in children undergoing craniosynostosis surgery: a retrospective study.Pediatric neurosurgery 49 (6), 339-46. https://doi.org/10.1159/000368781
  2. Bajwa SS, Kulshrestha A. (2014). Craniofacial and maxillary anomalies: Anaestetic implications and management. J Sci Sov 41:73-78. https://doi.org/ 10.4103/0974-5009.132819 Balderas V, Bhore R, Lara LF, Spesivtseva J, Rockey DC. (2011).The hematocrit level in upper gastrointestinal hemorrhage: safety of endoscopy and outcomes. Am J Med. Oct;124(10):970–76. https://doi.org/10.1016/j.amjmed.2011.04.032
  3. Bayık M, Uluhan R, Heper R. (2015).XVIII. Ulusal Kan Merkezleri ve Transfüzyon Tıbbı Kurs Kitabı. İstanbul:
  4. Yatay Ofset. Bellew M, Chumas P. (2015).Long-term developmental follow-up in children with nonsyndromic craniosynostosis. J. Neurosurg Pediatr 16 (4): 445-51.https://doi.org/10.3171/2015.3.PEDS14567
  5. Choi JW, Lim SY, Shin HJ. (2016).Craniosynostosis in Growing Children: Pathophysiological Changes and Neurosurgical ProblemsJ Korean Neurosurg Soc. 59 (3): 197-203.https://dx.doi.org/10.3340%2Fjkns.2016.59.3.197
  6. Cornelissen M, Ottelander B, Rizopoulos D, Hulst R, Molen AM, Horst C, Delye H, Veelen ML, Bonsel G, Mathijssen I.(2016). Increase of prevalence of craniosynostosis. Journal of Cranio-Maxillofacial Surgery. 44(9):1273-79.https://doi.org/10.1016/j.jcms.2016.07.007
  7. Czerwinski M, Hopper RA, Gruss J, Fearon FA. (2010). Major morbidity and mortality rates in craniofacial Surgery: An Analysis of 8101 major procedures. Plast Recons Surg. 126(1): 181-86.https://doi.org/10.1097/prs.0b013e3181da87df
  8. Çeltikçi E, Börcek AÖ, Baykener MK. (2013). Kraniyosinostozlar. Türk Nöroşirurji Dergisi.23:132-37.
  9. Forvet PA, Lin EE, Fiadjoe JE, Sussman EM, Pruitt EY, Zhao H et al. (2013). Evaluation of central venous pressure monitoring in children undergoing craniofacial reconstruction surgery. Anesth Analg. 116:411-20.https://doi.org/10.1213/ane.0b013e31827008e6
  10. Goobie SM, Meier PM, Pereira LM, McGowan FX, Prescilla RP, Scharp LA, Rogers GF, Proctor MR, Meara JG, Soriano SG, Zurakowski D, Sethna NF.(2011). Efficacy of tranexamic acid in pediatric craniosynostosis surgery. Anesthesiology 114: 862- 71. https://doi.org/10.1097/aln.0b013e318210fd8f
  11. Han RH, Nguyen DC, Bruck BS, Skolnick GB, Yarbrough CK, Naidoo SD, Patel KB, Kane AA, Woo AS, Symyth M.(2016). Characterisation of complications associated w