%0 Journal Article
%T Factors Related to Extubation Failure and Post Pulmonary Complications in Intracranial Surgery in 254 Patients: a Brief Report
%A SV Heydari
%A SM Ramak Hashemi
%A EA Abasnejad
%A F Abbasi Gravnd
%J Tehran University Medical Journal
%D 2012
%I Tehran University of Medical Sciences
%X Background: The purpose of this study was to determine the prevalence and associated factors for postoperative pulmonary complications (PPCs) and extubation failure in patients having undergone intracranial surgery.Methods: In this retrospective study done in Firozgar Hospital during 2008-2010, we followed up 254 patients through a clinical questionnaire and observation of the clinical course of participants in pre- and post-operative periods.Results: Overall, 40 (15.74%) patients had postoperative pulmonary complications. The most common PPC was pneumonia, which was seen in 24 patients (60% of complications). The average duration of ventilation in patients with PPC was significantly higher (16.8.¡À10 vs. 5.09¡À4.5 days; P=0.001) than patients without the complication. The mean Glasgow coma scale (GCS) after surgery in patients with PPC was significantly lower (11.¡À4 vs. 13.2¡À3; P=0.001) than the rest of the patients. Moreover, the mean age of patients with PPC was significantly higher (64.02¡À14 vs. 41.6.¡À17 years; P=0.001). Average duration of stay in ICU in patients with PPC was also higher (24.¡À27 vs. 8.7¡À0.5; P=0.001).Conclusion: GCS before surgery and failed extubation independently of other variables were significantly associated with pulmonary complications independent of other variables.
%K Extubation
%K Failure
%K Intracranial
%K Postoperative Complications
%K Pulmonary
%K Surgery
%U http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/21338.pdf&manuscript_id=21338