Complications Of Brain Surgery

Therefore, the overall prognosis is guarded in view of the underlying pathology, its extent and the post-operative respiratory insufficiency. The life expectancy is difficult to anticipate but the

Mean preoperative UCVA was 1.9 logMAR and post operative UCVA was 0.3 logMAR after phakic IOL implantation, showing a statistical significance (p=0.000).

The brain is often exposed to various disturbance during the perioperative period in all age groups. Neurobehavioral disturbances during the perioperative period may manifest as:

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

A study revealed surgical morbidity rates of 7-38%, with mortality varying from 5% to 10%.

Cerebral vascular accidents are also known as strokes. Strokes can cause minimal to severe brain damage which can affect a person’s quality of life. This paper covers the definition, signs and symptoms, treatments, causes, prevention and what a nursing assistant can do to help someone recovering from a stroke.

A traumatic brain injury also known as a TBI is an acquired injury to the brain caused by an external physical force resulting in total or partial functional disability or psychosocial impairment, or both, that adversely affects educational performance. The term applies to mild, moderate, or severe, open or closed head injuries resulting in impairments in one or more areas. (Florida Dept. of Education 2015) Although I have never met anyone with a brain injury, I wanted to learn more about it and what they go through to get a better perspective. One of my favorite movies is 50 First Dates with Adam Sandler and Drew Barrymore. He meets a girl who had been in a car accident with her father years before and suffers from memory loss. Every day she re-lives her day the same as before and every night it’s almost like her short term memory has been erased. She only remembers what happened right before her accident. Until she meets a man who changes all of that. As the movie goes on, they fall in love and every day she wakes up to watch a video to show what her life is like now. During the movie she meets a man named “10 second Tom” who could only remember things for 10 seconds. It really opened my eyes to how blessed we are to remember the little things. A TBI can affect everyone differently. It can cause you to lose short term memory, long term, affect other parts of your body, and you might not

This vastly effects the patient’s decision to have surgery performed, because the procedure could affect their normal way of living. This can cause a tremendous amount of anxiety in patients that prevents them from wanting to have surgery. If someone is close to dying and has a chance of being saved from surgery, they should have the surgery performed regardless of the possible side effects. To establish a faction of satisfied patients, neurosurgeons should start putting the impact of the treatment on the patient’s quality of life before the actual surgical procedure.

According to the CDC (United States Centers for Disease Control and Prevention), there are approximately 1.5 million people in the U.S. who suffer from a traumatic brain injury each year (CDC, 2003). Also, the CDC reports that nearly 50,000 people die from TBI each year and 85,000 people suffer long-term disabilities and slowly growing. Traumatic brain injury, also well known as TBI, is when severe change(s) in a normal functioning brain has abruptly changed due to a plethora of different MOI’s, some include: open or closed head injuries, deceleration injuries, chemical/toxic, hypoxia, tumors, infections and stroke. Car accidents, firearms, and falls often cause many TBI’s. Consequences of a brain injury vary from person-to-person because no two injuries are alike. A brain injury is different from a broken leg or punctured lung. Brain injuries do not heal like other injuries; once the brain is damaged it's hard to heal the damaged areas in the brain. Once the areas in the brain are affected it can lead to limited use of specific body parts, alter your personality, mental abilities, abnormal speech/language, impaired or loss of thinking and emotions (depression) and sensation (vision or hearing.)

The elderly population and woman are mostly at risk of having operation. Most patients who undergo

Neurological level, hemodynamic and respiratory status at hospital admission, type of projectile, pupil size and reactivity, as well as the CT findings, all these factors will affect the prognosis so they should be evaluated carefully before the decision of the line of

an estimate of 10 million people annually [1]. It is often referred to as a "silent

Per the study, the “findings have a few important implications. A substantial minority of patients aged 80 and older who have major noncardiac surgery die or suffer a postoperative complication, but the majority have good outcomes, and for many operations, mortality rates were low (>2%).” The

The efficacy of the decompressive craniectomy is a topic of debate in today’s healthcare setting. While initial studies showed no significance in the procedure’s ability to save lives when compared to conservative treatment, more recent studies that take into account time after onset of injury and age of patient make a strong case for the necessity of the craniectomy. As research continues to develop, the decompressive craniectomy continues to gain more support as the gold standard treatment for a sudden, uncontrolled increase in intracranial pressure.

Sample was described with sufficient details. Sample size was adequately estimated using the Epi Info™ version seven software to enhance sampling validity. Purposive sampling was used by the researchers as they only included OR staff in OR department. The sample was representative of the target population. To track and calculate the participants’ response rate, questionnaires were numbered before distribution. To avoid duplication, participants were asked to write their initials. The questionnaire was delivered to surgeons’ departments and clinics if they were not in OR in addition to obtaining permission from the head of OR