title: [Use of multislice spiral computed tomography to diagnose and control pulmonary complications in intensive care unit patients after neurosurgical interventions].
abstract: OBJECTIVE
  To perform a multifactorial analysis of the association of the development of complications in neurologic intensive care unit patients in the early (on days 1-3) postoperative period and with surgical conditions, mechanical ventilation parameters, and risk factors.
  
  
  METHODS
  The results of multislice spiral computed tomography (MSCT) of the chest and brain were analyzed in 80 patients (34 men and 46 women; mean age, 52 +/- 13 years).
  
  
  RESULTS
  In the study patient group, the incidence of pulmonary edema and pneumonia was not found to depend on the type of neurosurgical intervention and that of an inhaled anesthetic. There was a significant (p < 0.05) relationship of the development of pulmonary edema to anesthesia duration exceeding 6 hours and an increase in the risk of lung pathology in the presence of extrapulmonary complications in patients with high body mass index.
  
  
  CONCLUSIONS
  Some pulmonary complications in neurosurgical patients are potentially preventable. Early postoperative chest MSCT in neurosurgical patients is essential to timely diagnose lung pathology.
authors.forename: L P
authors.initials: LP
authors.lastname: Cherkasova
authors.forename: V E
authors.initials: VE
authors.lastname: Sinitsyn
authors.forename: S V
authors.initials: SV
authors.lastname: Tsarenko
authors.forename: E A
authors.initials: EA
authors.lastname: Mershina
mesh_terms: D000328:Adult; D002493:Central Nervous System Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units / Q000706:statistics & numerical data; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009031:Moscow / Q000453:epidemiology; D019635:Neurosurgical Procedures / Q000009:adverse effects* / Q000379:methods; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000517:prevention & control; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012307:Risk Factors; D036542:Tomography, Spiral Computed / Q000379:methods*