RESUMO
Analyzed in the paper is the early postoperative management of 50 neurosurgery patients operated on the structures of the posterior cranial fossa, primarily, in as far as the respiratory problems and their solution by early tracheostomy are concerned. A classification of indications for early tracheostomy as well as an algorithm of the management of such patients are described.
Assuntos
Neoplasias do Tronco Encefálico/cirurgia , Fossa Craniana Posterior/cirurgia , Complicações Pós-Operatórias , Paralisia Pseudobulbar/etiologia , Traqueostomia/métodos , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Período Pós-Operatório , Paralisia Pseudobulbar/cirurgia , Estudos Retrospectivos , Fatores de TempoRESUMO
Two case reports of patients operated for posterior fossa tumors complicated by postoperative hematoma are presented. In both cases patients underwent tracheostomy and were on ventilator for more than three weeks. Postoperative course was complicated by pneumonia and bronchitis. Fiberoptic bronchoscopy was performed to rule out lung complications. Fiberoptic laryngotracheoscopy was done for dynamic control of vocal cords paralysis and helped to make a decision regarding the time of the safe extubation.