Author/Authors :
khalid, muhammad pakistan institute of medical sciences - department of neurosurgery, Pakistan , naz, farah pakistan institute of medical sciences - department of neurosurgery, Pakistan , raina, umer farooq pakistan institute of medical sciences - department of neurosurgery, Pakistan , abbass, gayyur pakistan institute of medical sciences - department of neurosurgery, Pakistan , ali, nusrat pakistan institute of medical sciences - department of neurosurgery, Pakistan , zaman, khaleeq uz pakistan institute of medical sciences - department of neurosurgery, Pakistan
Abstract :
Objective: To determine the factors which predict preoperatively the need of mechanical ventilatory support in postoperative care in posterior fossa tumor patients. Materials and Methods: A descriptive case series was conducted in Neurosurgery department with calibration of anesthesia department, PIMS, Islamabad. This study including all the Patients reporting to OPD, accident and emergency department and those admitted to Neurosurgery unit or referred from other units were enrolled between July 2014 to April 2016 in duration of 22 months. 73 patients which were diagnosed on CT/MRI with contrast. The outcome of this study was determined as how many posterior fossa tumor patients need post operatively ventilatory support and will help us in the management of the patients. Results: In this study 73 patients were studied prospectively. The patients’ average age was 37.4 ± 11.2 years. Female gender was in dominance with 43 patients compared to 33 males of the total 73 patients. 33 patients developed respiratory distress post operatively and were on ventilator postoperatively. Conclusion: From This study it is proven that we can predict about the need of Post operatively mechanical ventilator support, when we carefully assess the patient of posterior fossa tumors through history and examination then correlation with radiology.
