A prognostic model for 1-month mortality in the postoperative intensive care unit

Surgery Today ◽  
2021 ◽  
Author(s):  
Mohammad Fathi ◽  
Nader Markazi Moghaddam ◽  
Saba Naderian Jahromi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Prognostic Model ◽  
Postoperative Intensive Care ◽  
Postoperative Intensive Care Unit

Intensive Insulin Therapy in Postoperative Intensive Care Unit Patients

2006 ◽  
Vol 173 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Moritoki Egi ◽  
Rinaldo Bellomo ◽  
Edward Stachowski ◽  
Craig J. French ◽  
Graeme Hart ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Insulin Therapy ◽  
Intensive Insulin Therapy ◽  
Postoperative Intensive Care ◽  
Postoperative Intensive Care Unit

scholarly journals The Incidence of Delirium at the Postoperative Intensive Care Unit in Adult Patients

2015 ◽  
Vol 43 (4) ◽  
pp. 232-239 ◽  
Author(s):  
Emel Unal Bilge ◽  
Mensure Kaya ◽  
Gulcin Ozalp Senel ◽  
Suheyla Unver
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adult Patients ◽  
Postoperative Intensive Care ◽  
Postoperative Intensive Care Unit

End of life decisions in a postoperative intensive care unit

2008 ◽  
Vol 25 (Sup 44) ◽  
pp. 184
Author(s):  
N. Molins ◽  
P. Rama-Maceiras ◽  
T. Rey ◽  
M. Fernández ◽  
C. Nogueira
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
End Of Life Decisions ◽  
Postoperative Intensive Care ◽  
Life Decisions ◽  
Postoperative Intensive Care Unit

Hospital mortality in patients with prolonged stay in non-cardiac postoperative intensive care unit (PICU)

2011 ◽  
Vol 28 ◽  
pp. 185
Author(s):  
Martínez M. López ◽  
Martínez A. Guerra ◽  
E. López ◽  
Tapia P. Magán ◽  
Silvestre F. Pérez-Cerdá
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Prolonged Stay ◽  
Postoperative Intensive Care ◽  
Postoperative Intensive Care Unit

Is postoperative intensive care unit admission a prerequisite for elective craniotomy?

2011 ◽  
Vol 115 (6) ◽  
pp. 1236-1241 ◽  
Author(s):  
John Q. H. Bui ◽  
Rajith L. Mendis ◽  
James M. van Gelder ◽  
Mark M. P. Sheridan ◽  
Kylie M. Wright ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Blood Loss ◽  
Medical Emergency Team ◽  
Medical Emergency ◽  
Safe Alternative ◽  
Emergency Team ◽  
Icu Admission ◽  
Postoperative Intensive Care ◽  
Postoperative Intensive Care Unit

Object Routine postoperative admission to the intensive care unit (ICU) is often considered a necessity in the treatment of patients following elective craniotomy but may strain already limited resources and is of unproven benefit. In this study the authors investigated whether routine postoperative admission to a regular stepdown ward is a safe alternative. Methods Three hundred ninety-four consecutive patients who had undergone elective craniotomy over 54 months at a single institution were retrospectively analyzed. Indications for craniotomy included tumor (257 patients) and transsphenoidal (63 patients), vascular (31 patients), ventriculostomy (22 patients), developmental (13 patients), and base of skull conditions (8 patients). Recorded data included age, operation, reason for ICU admission, medical emergency team (MET) calls, in-hospital mortality, and postoperative duration of stay. Results Three hundred forty-three patients were admitted to the regular ward after elective craniotomy, whereas there were 43 planned and 8 unplanned ICU admissions. The most common reasons for planned ICU admissions were anticipated lengthy operations (42%) and anesthetic risks (40%); causes for unplanned ICU admissions were mainly unexpected slow neurological recovery and extensive intraoperative blood loss. Of the 343 regular ward admissions, 10 (3%) required a MET call; only 3 of these MET calls occurred within the first 48 postoperative hours and did not lead to an ICU admission. The overall mortality rate in the investigated cohort was 1%, with no fatalities in patients admitted to the normal ward postoperatively. Conclusions Routine ward admission for patients undergoing elective craniotomies with selective ICU admission appears safe; however, approximately 2% of patients may require a direct postoperative unplanned ICU admission. Patients with anticipated long operation times, extensive blood loss, and high anesthetic risks should be selected for postoperative ICU admission, but further study is needed to determine the preoperative factors that can aid in identifying and caring for these groups of patients.

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