ArticleJournal of neurosurgical anesthesiology2012
Prevalence and risk factors for intraoperative hypotension during craniotomy for traumatic brain injury.
Article in Journal of neurosurgical anesthesiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 37 citations in OpenAlex.
- Intraoperative Hemodynamic Management and Cerebral Protection During Awake Craniotomy: Evidence-Based Approaches.Anesthesiology research and practice · 2026Review
- A Novel Mixed Methods Approach to Understanding Priorities in Emergent Traumatic Brain Injury Anesthesia Care.Cureus · 2025Article
- An Overview of Adult Acute Traumatic Neurologic Injury for the Anesthesiologist:Current anesthesiology reports · 2025Article
- Hypotension after Induction of Anesthesia as a Predictor of Hypotension after Opening the Dura Mater during Emergency Craniotomy.Journal of clinical medicine · 2024Article
- Incidence of intraoperative hypotension and its factors among adult traumatic head injury patients in comprehensive specialized hospitals, Northwest Ethiopia: a multicenter observational study.BMC anesthesiology · 2024Observational
- A Comparison of Perioperative Complications and Outcomes in Patients Undergoing Cerebral Aneurysm Clipping Performed Ultra-Early (≤ 24 hours) versus Late (> 24 hours): A 7-Year Retrospective Study of 302 Patients.Asian journal of neurosurgery · 2024Article
- Correlation of head injury with ECG and echo changes.Surgical neurology international · 2024Article
- Identification of Demographic and Clinical Prognostic Factors in Traumatic Intraventricular Hemorrhage.Neurocritical care · 2023Review
- Preoperative elevated FDP may predict severe intraoperative hypotension after dural opening during decompressive craniectomy of traumatic brain injury.JA clinical reports · 2018Article
- Intraoperative Secondary Insults During Orthopedic Surgery in Traumatic Brain Injury.Journal of neurosurgical anesthesiology · 2017Article
- Severe Cranioencephalic Trauma: Prehospital Care, Surgical Management and Multimodal Monitoring.Bulletin of emergency and trauma · 2016Review
- Association between electrocardiographic findings and cardiac dysfunction in adult isolated traumatic brain injury.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2014Article
- Intraoperative secondary insults during extracranial surgery in children with traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014Article
- Myocardial dysfunction in acute traumatic brain injury relieved by surgical decompression.Case reports in anesthesiology · 2013Article
- Perioperative management of adult traumatic brain injury.Anesthesiology clinics · 2012Review
- Anesthetic considerations for extracranial injuries in patients with associated brain trauma.Journal of anaesthesiology, clinical pharmacologyReview
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHypotension after traumatic brain injury (TBI) is associated with poor outcomes. However, data on intraoperative hypotension (IH) are scarce and the effect of anesthetic agents on IH is unknown. We examined the prevalence and risk factors for IH, including the effect of anesthetic agents during emergent craniotomy for isolated TBI.
methodsThis is a retrospective cohort study of patients 18 years and above, who underwent emergent craniotomy for TBI at Harborview Medical Center (level 1 trauma center) between October 2007 and January 2010. Demographic, clinical, and radiographic characteristics and hemodynamic and anesthetic data were abstracted from medical and electronic anesthesia records. Hypotension was defined as systolic blood pressure <90 mm Hg. Univariate analyses were performed to compare the clinical characteristics of patients with and without IH, and multiple logistic regression analysis was used to determine independent risk factors for IH.
resultsData abstracted from 113 eligible patients aged 48±19 years were analyzed. IH was common (n=73, 65%) but not affected by the choice of anesthetic agent. Independent risk factors for IH were multiple computed tomographic (CT) lesions [adjusted odds ratios (AOR) 19.1; 95% confidence interval (CI), 2.08-175.99; P=0.009], subdural hematoma (AOR 17.9; 95% CI, 2.97-108.10; P=0.002), maximum CT lesion thickness (AOR 1.1; 95% CI, 1.01-1.13; P=0.016), and anesthesia duration (AOR 1.1; 95% CI, 1.01-1.30; P=0.009).
conclusionsIH was common in adult patients with isolated TBI undergoing emergent craniotomy. The presence of multiple CT lesions, subdural hematoma, maximum thickness of CT lesion, and longer duration of anesthesia increase the risk for IH.
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