Page 49 - BH-3-1

Brain & Heart

REVIEW ARTICLE
Post-operative intensive care unit admissions

following elective craniotomy for primary brain
tumor: A narrative review

Pavel Salvador Pichardo-Rojas 1† , Siddharth Shah * , Mariali Palacios-Cruz ,
2†
3
5
Emmanuel Beltran-Gutierrez , Mario Torres-Chavez ,
4
Jose Alfonso Alvarez-Castro , and Adrian Coria-Medrano 7
6
1 Vivian L. Smith Department of Neurosurgery, UTHealth Neuroscience, the University of Texas
Health Science Center at Houston, Texas, United States of America
2 Department of Neurosurgery, RCSM Government Medical College Kolhapur, Maharashtra, India
3 Department of Neurosurgery, Universidad Veracruzana, Veracruz, México
4 UHS Southern California Medical Education Consortium, California, United States of America
5 Facultad de Medicina Universidad Autónoma de Baja California, Mexicali, Baja California, México
6 Department of Neurosurgical Onxology, National Institute of Neurology and Neurosurgery, Mexico
City, Mexico
† These authors contributed equally 7 Programa de Maestría en Ciencias en Neurobiología, Instituto de Neurobiología, Campus UNAM-
to this work. Juriquilla, Juriquilla, Querétaro, México
*Corresponding author:
Siddharth Shah
(siddharth.dr99@gmail.com)
Citation: Pichardo-Rojas PS,
Shah S, Palacios-Cruz M, et al. Abstract
Post-operative intensive care
unit admissions following elective Primary brain tumors (PBTs) refer to the growth of abnormal cells originating in
craniotomy for primary brain tumor: the brain. These tumors account for approximately two percent of all cancers in
A narrative review. Brain & Heart.
2025;3(1):3802. the adult population of the United States. Patients diagnosed with glioblastoma,
doi: 10.36922/bh.3802 one of the most common malignant PBTs, often require treatments in intensive
Received: May 30, 2024 care unit (ICU). Surgical removal of PBTs through craniotomy is often the first-
line treatment for many types of brain tumors. ICU admission following major
1st revised: October 5, 2024
surgery like craniotomy is considered a standard of care in many healthcare
2nd revised: November 27, 2024 systems. ICU provides access to specialized equipment, such as mechanical
3rd revised: December 24, 2024 ventilators, continuous renal replacement therapy machines, continuous
electroencephalogram monitoring, and invasive hemodynamic monitoring
Accepted: January 17, 2025
devices, which might be essential for the care of these patients. Understanding
Published online: February 12, potential complications is essential for healthcare professionals to monitor
2025 patients more effectively and guide decision-making for optimal management.
Copyright: © 2025 Author(s). Over the years, perceptions of ICU utilization have shifted, raising questions
This is an Open Access article about whether ICU admission is always the right choice for patients who have
distributed under the terms of the
Creative Commons Attribution undergone brain surgery. Traditional scoring systems may not always demonstrate
License, permitting distribution, the necessity of ICU care for patients undergoing elective craniotomy for PBTs.
and reproduction in any medium, Further research is needed to identify the most effective strategies for optimizing
provided the original work is
properly cited. patient care, determining the need for ICU care in specific cases, and minimizing
costs in neurosurgery.
Publisher’s Note: AccScience
Publishing remains neutral with
regard to jurisdictional claims in
published maps and institutional Keywords: Neurosurgery; Craniotomy; Primary brain tumor patients; Intensive care unit
affiliations.

Volume 3 Issue 1 (2025) 1 doi: 10.36922/bh.3802