Incidence and Associated Factors of Delayed Extubation in patients undergoing Infratentorial craniotomy; A 5-Year Retrospective Analysis in TASH, Addis Ababa, Ethiopia, 2023.
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Date
2024-05
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Addis Ababa University
Abstract
Background: Infratentorial craniotomy, a neurosurgical procedure involving the removal of
lesions or tumors located in the posterior fossa of the brain, presents unique challenges and
considerations regarding perioperative management. Among these challenges, delayed
extubation, defined as the postponement of planned endotracheal tube removal following the
surgical procedure, emerges as a critical concern. Understanding the incidence and factors
contributing to delayed extubation is crucial for optimizing perioperative care and improving
patient outcomes.
Objective: The aim of this study was to investigate the incidence of the delayed extubation and
to identify the perioperative associated factors in patients undergoing infratentorial craniotomy.
Methods: Retrospective data from patients who underwent infratentorial craniotomy at Tikur
Anbessa Specialized Hospital between May 2018 and June 2023 between were analyzed. Patient
demographics, clinical variables, and intraoperative factors were collected from medical records.
The variables were compared between the delayed extubation and early extubation groups.
Results: A total of 112 patients met the inclusion criteria. The incidence of delayed extubation
was 83.9%. After multivariate forward logistic regression Independent factors related to delayed
extubation were Volume of crystalloid (OR [0.998], 95% CI [0.998 - 0.999], p-value < [0.001])
and duration of surgery (OR [0.091], 95% CI [0.030 - 0.281], p-value < [0.001])
Conclusions;The incidence of delayed extubation after infratentorial craniotomy in adults was
83.9%. Volume of crystalloid and duration of surgery are found as an independent risk factors.
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Keywords
Infratentorial Craniotomy, Neurosurgical Procedure