Comparative Study of Efficacy and Safety of Mini-craniotomy under Local Anaesthesia versus General Anaesthesia for Chronic Subdural Hematoma Article Swipe
Shah Mehndi Masih
,
Mukesh Kumar
,
Ravi Kumar
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.52403/ijrr.20220501
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.52403/ijrr.20220501
Background: Mini-craniotomy is generally better than burr whole drainage for chronic subdural hematoma (CSDH) as there are less chances of recurrence and need for re-surgery in this technique. But generally mini craniotomy is performed under general anaesthesia and this is found to be associated with post-operative complication in earlier studies. The same procedure when carried under local anaesthesia is expected to cause less post-operative complications. Aim: To compare the efficacy and safety of min-craniotomy under general anaesthesia and local anaesthesia for CSDH. Material & Methods: It was a retrospective study in which patients of age 50 years or higher that have undergone mini-craniotomy under general or local anaesthesia were included. Pre-operative condition, surgery duration and post-operative complications were taken from patient’s medical records and compared. Results: Sixty patients were included in the study. Thirty-two of these patients underwent mini-craniotomy under LA and thirty-eight under GA. Improvement was better in patients who underwent the surgery under local anaesthesia than the general anaesthesia group. Post-operative complications like pneumonia and DVT (Deep Venous Thrombosis) were less frequent in local anaesthesia group. Conclusion: Mini-craniotomy performed under local anaesthesia is found to have same efficacy than the same procedure performed under general anaesthesia. It is also found to have less chance of recurrence, reoperation and postoperative complication. So, mini-craniotomy under local anaesthesia can be better alternative for CSDH. Keywords: Mini-craniotomy, Local anaesthesia, General anaesthesia, chronic subdural hematoma.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- http://doi.org/10.52403/ijrr.20220501
- https://doi.org/10.52403/ijrr.20220501
- OA Status
- diamond
- Cited By
- 1
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4280581701
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4280581701Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.52403/ijrr.20220501Digital Object Identifier
- Title
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Comparative Study of Efficacy and Safety of Mini-craniotomy under Local Anaesthesia versus General Anaesthesia for Chronic Subdural HematomaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
-
2022-05-11Full publication date if available
- Authors
-
Shah Mehndi Masih, Mukesh Kumar, Ravi KumarList of authors in order
- Landing page
-
https://doi.org/10.52403/ijrr.20220501Publisher landing page
- PDF URL
-
https://doi.org/10.52403/ijrr.20220501Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.52403/ijrr.20220501Direct OA link when available
- Concepts
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Medicine, Craniotomy, Anesthesia, General anaesthesia, Surgery, Complication, HematomaTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2022: 1Per-year citation counts (last 5 years)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.anaesthesia | 36, 57, 76, 79, 107, 156, 160, 176, 183, 216 |
| abstract_inverted_index.patient’s | 120 |
| abstract_inverted_index.recurrence, | 207 |
| abstract_inverted_index.reoperation | 208 |
| abstract_inverted_index.anaesthesia, | 226, 228 |
| abstract_inverted_index.anaesthesia. | 197 |
| abstract_inverted_index.complication | 46 |
| abstract_inverted_index.thirty-eight | 142 |
| abstract_inverted_index.Pre-operative | 110 |
| abstract_inverted_index.complication. | 211 |
| abstract_inverted_index.complications | 116, 163 |
| abstract_inverted_index.postoperative | 210 |
| abstract_inverted_index.retrospective | 88 |
| abstract_inverted_index.Post-operative | 162 |
| abstract_inverted_index.complications. | 64 |
| abstract_inverted_index.min-craniotomy | 73 |
| abstract_inverted_index.post-operative | 45, 63, 115 |
| abstract_inverted_index.Mini-craniotomy | 1, 179 |
| abstract_inverted_index.mini-craniotomy | 102, 138, 213 |
| abstract_inverted_index.Mini-craniotomy, | 224 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 3 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7400000095367432 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.45936309 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |