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Brain & Heart ICU admission post-craniotomy for tumor

7.2. The need for further research and improvement Availability of data
in ICU management
Not applicable.
In conclusion, it is widely accepted that the ICU
management is an important approach to managing References
post-operative patients with PBTs and is associated with 1. Louis DN, Perry A, Wesseling P, et al. The 2021 WHO
improved outcomes. However, the decision to admit a classification of tumors of the central nervous system:
patient to the ICU should be made on a case-by-case basis, A summary. Neuro Oncol. 2021;23(8):1231-1251.
considering the patient’s individual characteristics and doi: 10.1093/neuonc/noab106
the specific type of tumor. Many studies suggest that non-
ICU care is safe for this patient population, with a mean 2. Perkins A, Liu G. Primary brain tumors in Adults: Diagnosis
LOS shorter than for those admitted to the ICU. However, and treatment. Am Fam Physician. 2016;93(3):211-217.
none of these studies provide a definitive conclusion on the 3. Zarnett OJ, Sahgal A, Gosio J, et al. Treatment of elderly
matter. Traditional scoring systems may not be sufficient to patients with glioblastoma: A systematic evidence-based
determine the need for ICU admission following elective analysis. JAMA Neurol. 2015;72(5):589-596.
craniotomy for a PBT. doi: 10.1001/jamaneurol.2014.3739
Further research is needed to identify the most effective 4. De Almeida CC, Boone MD, Laviv Y, Kasper BS, Chen CC,
strategies for optimizing patient care, determining the Kasper EM. The utility of routine intensive care admission for
need for ICU care after surgery in specific patients, and patients undergoing intracranial neurosurgical procedures:
discovering ways to minimize costs in neurosurgery. A systematic review. Neurocrit Care. 2018;28(1):35-42.
Figure 2 represents the knowledge gap and the area doi: 10.1007/s12028-017-0433-4
requiring further research to determine whether patients
require ICU or non-ICU management after surgery. 5. Gabel BC, Martin J, Crawford JR, Levy M. Questioning the
need for ICU level of care in pediatric patients following
Acknowledgments elective uncomplicated craniotomy for brain tumors.
J Neurosurg Pediatr. 2016;17(5):564-568.
None.
doi: 10.3171/2015.8.peds15191
Funding 6. Hanak BW, Walcott BP, Nahed BV, et al. Postoperative
intensive care unit requirements after elective craniotomy.
None.
World Neurosurg. 2014;81(1):165-172.
Conflict of interest doi: 10.1016/j.wneu.2012.11.068
The authors declare they have no competing interests. 7. White JL, Sheth KN, editors. Neurocritical Care for the
Advanced Practice Clinician. Berlin, Germany: Springer
Author contributions International Publishing; 2018.
Conceptualization: Pavel Salvador Pichardo-Rojas, doi: 10.1007/978-3-319-48669-7
Siddharth Shah, Mariali Palacios-Cruz 8. Altieri R, Cofano F, Agnoletti A, et al. Postoperative care of
Visualization: Siddharth Shah, Pavel Salvador Pichardo- patients with high-grade glioma: Is there a real need for the
Rojas, Jose Alfonso Alvarez-Castro, Mario Torres- neurocritical ICU and early CT scan? J Neurol Surg A Cent
Chavez Eur Neurosurg. 2018;79(1):25-30.
Writing–original draft: Mariali Palacios-Cruz, Emmanuel doi: 10.1055/s-0037-1599238
Beltran-Gutierrez, Mario Torres-Chavez, Jose Alfonso 9. Chan AY, Choi EH, Oh MY, et al. Elective versus nonelective
Alvarez-Castro brain tumor resections: A 5-year propensity score matching
Writing–review & editing: Pavel Salvador Pichardo-Rojas, cost comparison analysis. J Neurosurg. 2022;136(1):40-44.
Siddharth Shah, Mario Torres-Chavez, Adrian Coria-
Medrano doi: 10.3171/2020.12.jns203401
10. Duncan GG, Goodman GB, Ludgate CM, Rheaume DE. The
Ethics approval and consent to participate treatment of adult supratentorial high grade astrocytomas.
Not applicable. J Neurooncol. 1992;13(1):63-72.
doi: 10.1007/BF00172947
Consent for publication
11. Lonjaret L, Guyonnet M, Berard E, et al. Postoperative
Not applicable. complications after craniotomy for brain tumor surgery.

Volume 3 Issue 1 (2025) 9 doi: 10.36922/bh.3802