Seizure outcomes of supratentorial brain tumor resection in pediatric patients

Abstract INTRODUCTION We reviewed our practice at the University of Kentucky in order to assess the safety of admitting adult and pediatric patients to floor beds after craniotomy, exclusively for intra-axial brain tumor resection. METHODS Retrospective chart review of patients, adults and pediatric, who underwent craniotomy by a single surgeon (TP) for intra axial brain tumor resection between January 2012 and December 2015. 413 patient charts were reviewed, 16 were omitted due to incomplete records. RESULTS >421 craniotomies for intra axial brain tumor resection were performed. 397 patients underwent surgery, 35 of whom were <18 years of age.188 females and 209 males. 351 patients (331 adults, 20 pediatric) were admitted to floor beds. In this group, length of operation was <4 hours in 346 patients (99.1%) and >4 hours in only 5 patients (0.9%). 3 patients (0.8%) required transfer to ICU within 24 hours of floor admission. 55 adult patients required ICU stay for various reasons: 9 patients had pre-operative or intra operative EVD placement; 15 patients required prolonged ventilation; 1 patient had to be taken back to the operating room for hemorrhage evacuation; 5 had intraventricular tumors and were planned ICU admissions; 26 patients were admitted pre-operatively to an ICU bed on a non neurosurgical service and were returning to their assigned beds. In the pediatric population, 15 patients required ICU stay: 8 were for EVD management and 7 for prolonged operation or frequent neurological evaluations. In this group, the length of operation was <4 hours in 40 patients(57.1%) and >4 hours in 30 patients (42.9%). CONCLUSION Admitting adult and pediatric patients to floor beds after craniotomy for intra-axial brain tumor resection is safe. There are some conditions that mandate ICU admission: these include prolonged mechanical ventilation and the presence of an external ventricular drain.

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PCN9 - BRAIN TUMOR RESECTION SURGERY IN PEDIATRIC PATIENTS; RETROSPECTIVE EPIDEMIOLOGICAL STUDY USING JAPANESE ADMINISTRATIVE DATABASE

Value in Health ◽

10.1016/j.jval.2018.09.092 ◽

2018 ◽

Vol 21 ◽

pp. S16

Author(s):

D. Shinjo ◽

K. Matsumoto ◽

K. Terashima ◽

T. Takimoto ◽

T. Noguchi ◽

...

Keyword(s):

Brain Tumor ◽

Epidemiological Study ◽

Pediatric Patients ◽

Tumor Resection ◽

Administrative Database ◽

Brain Tumor Resection

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SERIOUS POST-OPERATIVE INFECTIONS INCREASE RESOURCE UTILIZATION, LENGTH OF STAY, AND INPATIENT MORTALITY IN PEDIATRIC PATIENTS UNDERGOING BRAIN TUMOR RESECTION

Value in Health ◽

10.1016/j.jval.2015.09.1023 ◽

2015 ◽

Vol 18 (7) ◽

pp. A430

Author(s):

BA Van Doren ◽

J Noone ◽

SM Odum ◽

YM Huet

Keyword(s):

Brain Tumor ◽

Length Of Stay ◽

Resource Utilization ◽

Pediatric Patients ◽

Tumor Resection ◽

Inpatient Mortality ◽

Brain Tumor Resection

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Gd-DTPA-enhanced MR imaging in pediatric patients after brain tumor resection.

Radiology ◽

10.1148/radiology.169.1.3420247 ◽

1988 ◽

Vol 169 (1) ◽

pp. 123-126 ◽

Cited By ~ 32

Author(s):

C R Bird ◽

B P Drayer ◽

M Medina ◽

H L Rekate ◽

R A Flom ◽

...

Keyword(s):

Brain Tumor ◽

Mr Imaging ◽

Pediatric Patients ◽

Tumor Resection ◽

Brain Tumor Resection

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Bioreactance-guided fluid therapy for excision of a giant brain tumor in an infant under general anesthesia: A case report and literature review

Brain Science Advances ◽

10.26599/bsa.2021.9050007 ◽

2021 ◽

Vol 7 (3) ◽

pp. 199-206

Author(s):

Yao Chen ◽

Ting Fan

Keyword(s):

Brain Tumor ◽

Fluid Therapy ◽

Pediatric Patients ◽

Perioperative Management ◽

Tumor Resection ◽

Pediatric Brain Tumor ◽

Good Prognosis ◽

Brain Tumor Resection ◽

Coagulation Dysfunction ◽

Pediatric Brain

Pediatric patients are more likely to suffer from brain tumors. Surgical resection is often the optimal treatment. Perioperative management of pediatric brain tumor resection brings great challenges to anesthesiologists, especially for fluid therapy. In this case, the infant-patient was only 69-day-old, weighed 6 kg，but she was facing a gaint brain tumor (7.9 cm × 8.1 cm × 6.7 cm) excision. The infant was at great risks such as hemorrhagic shock, cerebral edema, pulmonary edema, congestive heart failure, coagulation dysfunction, etc. However, we tried to use the parameters obtained by bioreactance-based NICOM® device (Cheetah Medical) to guide the infant’s intraoperative fluid therapy, and successfully avoided these complications and achieved a good prognosis.

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