Common Post Elective Neurosurgery Complications – Risks, Assessment, Management

Curriculum Reference

13.11.7 Manages the resuscitation, stabilisation and transfer of patients with acute neurological deterioration.

14.14.2 Recognises and manages the surgical patient who would benefit from pre and/or post-operative critical care.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.

HiLLO 7: Specialists in Intensive Care Medicine can provide pre-operative resuscitation and optimisation of patients, deliver post-operative clinical care including optimising their physiological status, provide advanced organ system support and manage their pain relief.

Review Articles

Perioperative management of hydrocephalus BJA Education 18(5) 140-146 (2018)

Management of postoperative neurosurgical complications J Neuroanaesthesiol Crit Care 2019;6:80–86

Further Reading (incl. Key Trials)

Frequency and predictors of complications in neurosurgical surgery: national trends from 2006 to 2011 Journal of Neurosurgery 120(3) 736-745 (2014)

Post cranioplasty, review

https://link.springer.com/article/10.1007/s10143-021-01511-7

National Guidance/Standards

SBNS and commissioner standards for provision of neurosurgery (2002)