Intraoperative Hyperglycemia in Patients Undergoing Emergency Craniotomy for Traumatic Brain Injury

Dr. Gatha Madhusoodanan, Dr. Praseetha V. K.

Abstract: The study aimed to investigate the prevalence and risk factors of intraoperative hyperglycemia in adults undergoing emergency craniotomy for traumatic brain injury TBI at the Government Medical College, Thrissur. Conducted over 1.5 years, the cross-sectional prospective observational study included 214 patients after excluding 26 based on specific criteria. The findings revealed that 79.9 of the patient?s experienced hyperglycemia during surgery, with a significant association observed with advanced age 65 years, subdural hematoma SDH, low preoperative Glasgow Coma Scale GCS 9, and preoperative hyperglycemia. The study emphasizes the need for vigilant monitoring and management of blood glucose levels during emergency craniotomies to mitigate the risk of adverse outcomes.

Keywords: intraoperative hyperglycemia, traumatic brain injury, emergency craniotomy, risk factors, glucose monitoring