دورية أكاديمية

Impact of intracranial hypertension on the short-term prognosis in dogs undergoing brain tumor surgery.

التفاصيل البيبلوغرافية
العنوان: Impact of intracranial hypertension on the short-term prognosis in dogs undergoing brain tumor surgery.
المؤلفون: Seri SEKI, Kenji TESHIMA, Daisuke ITO, Masato KITAGAWA, Yoshiki YAMAYA
المصدر: Journal of Veterinary Medical Science; 2019, Vol. 81 Issue 8, p1205-1210, 6p
مصطلحات موضوعية: TUMOR surgery, BRAIN surgery, BRAIN tumors, INTRACRANIAL hypertension, STRAIN gages, CANCER prognosis, ODDS ratio
مستخلص: The present study used data from anesthetic records to analyze variables of intracranial pressure (ICP) during brain tumor surgery or in the early postoperative period as prognostic indicators in dogs. Data from 17 dogs which were scheduled to undergo elective craniotomy for brain tumor surgery from 2009 to 2012 were included. Of these, five (29.4%) died during 14 days after the surgery because of respiratory failure following pneumonia (n=2), euthanasia due to difficulty in treatment of status epilepticus (n=1), tumor-bed hematoma (n=1), and unknown reason (n=1). In the 12 surviving dogs, neurological signs were improved or resolved at discharge. All dogs were administered midazolam and droperidol-fentanyl as premedication. General anesthesia was induced using propofol maintained on isoflurane and oxygen. Direct ICP was obtained via a Codman Microsensor strain gauge transducer. ICP hypertension (>13 mmHg) measured after 15 min of recovery from the moment after discontinuation of anesthesia by turning off the vaporizer dial was associated with poor prognosis (odds ratio, 20.00; 95% confidence interval, 1.39-287.60, P=0.028). This suggests that intracranial pressure influences the postoperative mortality rate in dogs undergoing brain tumor surgery. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Supplemental Index
الوصف
تدمد:09167250
DOI:10.1292/jvms.18-0475