Effect of Intraoperative Anesthetic Management on Patient Outcomes for Surgical Revascularization for Moyamoya Disease: A 7-year Retrospective Study-Juniper Publishers
Juniper Publishers - Journal of Anesthesia Abstract Study objective: The anesthetic management of a patient with MMD presents a challenge to the anesthesiologist as it may affect the prevalence of further complications of the disease. We hypothesize that anesthetic management significantly affects the long term neurological outcome in patients with MMD and an ideal anesthetic will reduce the length of stay. Study design: Retrospective cohort study Patients: We performed a retrospective review of 32 patients with MMD who underwent craniotomy and surgical revascularization. The data was divided into two equal case cohorts based on two equal time periods. Measurements: Data was collected on usage of anesthetic agents such as fentanyl, propofol, remifentanil, isoflurane, sevoflurane and desflurane. Patient length of stay and adverse events that were associated with each case were also noted. Results: Remifentanil use increased significantly over the two period...