Departments of Neurologic Surgery.
AJNR Am J Neuroradiol. 2013 Nov-Dec;34(11):2199-201. doi: 10.3174/ajnr.A3566. Epub 2013 Jun 6.
Routine intensive care unit monitoring is common after elective embolization of unruptured intracranial aneurysms. In this series of 200 consecutive endovascular procedures for unruptured intracranial aneurysms, 65% of patients were triaged to routine (non-intensive care unit) floor care based on intraoperative findings, aneurysm morphology, and absence of major co-morbidities. Only 1 patient (0.5%) required subsequent transfer to the intensive care unit for management of a perioperative complication. The authors conclude that patients without major co-morbidities, intraoperative complications, or complex aneurysm morphology can be safely observed in a regular ward rather than being admitted to the intensive care unit.
在择期栓塞未破裂颅内动脉瘤后，通常需要在重症监护病房进行常规监测。在这一系列 200 例连续的未破裂颅内动脉瘤血管内治疗中，根据术中发现、动脉瘤形态和无主要合并症，65%的患者被分诊至常规（非重症监护病房）病房护理。只有 1 例患者（0.5%）因围手术期并发症需要转至重症监护病房治疗。作者得出结论，无主要合并症、术中并发症或复杂动脉瘤形态的患者可以安全地在普通病房观察，而无需收入重症监护病房。
