Retrospective Analysis of the Patients Undergoing Neuroanaesthesia on Account of the Intracranial Mass Surgery Between the Years 2000-2010

Abstract

Objective: The study aimed to carry out a retrospective analysis of 1709 patients anaesthetized for intracranial mass surgery between 2000 and 2010. Methods: Data were mainly obtained from preoperative and intraoperative anaesthetic record forms. To obtain data, we used the patients' records and hospital medical information system. Results: It was observed that 1103 patients (64.5%) had one or more accompanying systemic disease. Thiopental was the most frequently used induction agent and the most frequently used muscle relaxant agent was cisatracurium and propofol+remifentanyl were most frequently used for maintenance of anaethesia. The mean Glasgow Coma Scale (GCS) of 1709 patients was 14.27±1.80 and the mean postoperative GCS was 14.02±1.42 in 1495 patients. A statistically significant difference was observed between preoperative and postoperative means of GCS (p<0.05). In the study, the mean duration of anaesthesia was 217.57±91.67 min. The duration of anaesthesia in patients developing intraoperative complications was longer than those who did not (p<0.05). In the study, it was determined that 371 patients required intensive care and 299 patient lost their lives during intraoperative or postoperative periods. Conclusion: It is concluded that the rate of intraoperative complications has decreased in patients operated with the diagnosis of intracranial mass over the past 11 years and that the repetition of retrospective studies periodically would contribute to development of the anaesthesiology.