In the early postoperative phase after brain surgery, even after elective uncomplicated procedures, some clinical variables can affect brain perfusion and influence the outcome. In these patients, safe discharge by the post anesthesia care unit is possible when physiologic variables return within normal values. Nevertheless, to avoid postoperative complications it is mandatory a strict monitoring and thoughtful surveillance of qualified variables. Aim of this article is to highlight the clinical variables that qualify early postoperative phase after brain surgery and that âtherefore- deserve close surveillance, including: hemodynamic, ventilation, neurologic and cognitive status, shivering, PONV, pain and metabolism. In conclusion, some clinical variables -including hemodynamic, ventilation, neurologic and cognitive status, shivering and PONV, metabolism- are especially relevant after brain surgery and deserve to be strictly monitored. A qualified surveillance of these variables and a tight communication between health care professionals can significantly contribute to improve the post operative outcome of patients undergone brain surgery. Peer review refers to the work done during the screening of submitted manuscripts and funding applications. This process encourages authors to meet the accepted standards of their discipline and reduces the dissemination of irrelevant findings, unwarranted claims, unacceptable interpretations, and personal views. Publications that have not undergone peer review are likely to be regarded with suspicion by academic scholars and professionals.
Last date updated on June, 2014