Effects of desflurane on cerebral autoregulation

Slides:



Advertisements
Similar presentations
Effects of different concentrations of sevoflurane and desflurane on subcortical somatosensory evoked responses in anaesthetized, non-stimulated patients 
Advertisements

Effect of ventilation on cerebral oxygenation in patients undergoing surgery in the beach chair position: a randomized controlled trial  G.S. Murphy,
C.-A. Ewaldsson, R.G. Hahn  British Journal of Anaesthesia 
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
Lidocaine use in ultrasound-guided femoral nerve block: what is the minimum effective anaesthetic concentration (MEAC90)?†  A.M. Taha, A.M. Abd-Elmaksoud 
K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo 
W. Habre, T. Asztalos, P.D. Sly, F. Petak 
Comparison of alfentanil, fentanyl and sufentanil for total intravenous anaesthesia with propofol in patients undergoing coronary artery bypass surgery† 
Comparison of coagulation and blood loss during anaesthesia with inhaled isoflurane or intravenous propofol  N.L. Law, K.F.J. Ng, M.G. Irwin, J.S.F. Man 
M. Ono, B. Joshi, K. Brady, R. B. Easley, Y. Zheng, C. Brown, W
J. Ahonen, R. Jokela, K. Uutela, M. Huiku 
J.-Y. Hwang, H.-S. Na, Y.-T. Jeon, Y.-J. Ro, C.-S. Kim, S.-H. Do 
Trigeminal neuralgia—pathophysiology, diagnosis and current treatment
Doppler study of middle cerebral artery blood flow velocity and cerebral autoregulation during a simulated ascent of Mount Everest  Aram Ter Minassian,
Cerebral haemodynamic changes during propofol–remifentanil or sevoflurane anaesthesia: transcranial Doppler study under bispectral index monitoring  A.
Codeine phosphate in paediatric medicine
EEG signal processing in anaesthesia
Chronic opioid therapy for non-cancer pain
Continuing to excel in anaesthesia through the ‘big five’: teaching, training, testing, quality, and research  A.A.J. Van Zundert, S.P. Gatt, R.P. Mahajan 
Thyroid disease British Journal of Anaesthesia
Uptake of isoflurane during prolonged clinical anaesthesia
Schmitt H.J. , Wick S , Münster T   British Journal of Anaesthesia 
Pituitary disease and anaesthesia
Premedication with controlled-release oxycodone does not improve management of postoperative pain after day-case gynaecological laparoscopic surgery 
Faster wash-out and recovery for desflurane vs sevoflurane in morbidly obese patients when no premedication is used  L. La Colla, A. Albertin, G. La Colla,
S. So¨derstro¨m, G. Nyberg, M.F. O’Rourke, J. Sellgren, J. Pontén 
Which is most pungent: isoflurane, sevoflurane or desflurane?
Transient hyperaemic response to assess vascular reactivity of skin; effect of locally iontophoresed sodium nitroprusside†  V.L. Webster, R.P. Mahajan 
Preoperative evaluation of patients with, or at risk of, coronary artery disease undergoing non-cardiac surgery  P.-G. Chassot, A. Delabays, D.R. Spahn 
The output of two sevoflurane vaporizers in the presence of helium
Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing  A. Sarang, J. Dinsmore  British Journal of Anaesthesia 
Complex regional pain syndrome
Predictive factors of symptomatic cerebral hyperperfusion after superficial temporal artery-middle cerebral artery anastomosis in adult patients with.
Ultrasound-guided central venous catheterization in the prone position
S.G. Sakka, K. Reinhart, A. Meier-Hellmann 
H.M. Soliman, C. Mélot, J.-L. Vincent  British Journal of Anaesthesia 
Effects of haemoglobin-based oxygen carrier Hemoglobin glutamer-200 (bovine) on intestinal perfusion and oxygenation in a canine hypovolaemia model  B.
Takotsubo cardiomyopathy and anaesthesia
H Viitanen, P Annila  British Journal of Anaesthesia 
Differential modulation of interleukin‐6 and interleukin‐10 by diclofenac in patients undergoing major surgery  A.M. Mahdy, H.F. Galley, M.A. Abdel‐Wahed,
Pre-existing arterial stiffness can predict hypotension during induction of anaesthesia in the elderly  C Alecu, E Cuignet-Royer, P.M. Mertes, P Salvi,
Cerebral haemodynamics in pregnancy and pre-eclampsia as assessed by transcranial Doppler ultrasonography  R.W. Sherman, R.A. Bowie, M.M.E. Henfrey, R.P.
Respirophasic carotid artery peak velocity variation as a predictor of fluid responsiveness in mechanically ventilated patients with coronary artery disease 
Optimizing cerebral oxygenation in anaesthetized patients with carotid artery stenosis: the influence of inspired oxygen fraction  P. Picton, S.K. Ramachandran,
Review of management of purpura fulminans and two case reports
Effect of changes in arterial-mixed venous oxygen content difference (C(a– v _ )O2) on indices of pulmonary oxygen transfer in a model ARDS lung†,†† 
G.B. Drummond, B. Lafferty  British Journal of Anaesthesia 
Diffusion of nitrous oxide into the pleural cavity†
Assessment of pulse transit time to indicate cardiovascular changes during obstetric spinal anaesthesia†  G Sharwood-Smith, J Bruce, G Drummond  British.
Significant decrease of cerebral oxygen saturation during single-lung ventilation measured using absolute oximetry  T.M. Hemmerling, M.C. Bluteau, R.
Rocuronium plasma concentrations during three phases of liver transplantation: relationship with early postoperative graft liver function†‡  L. Gao, I.
Reduction of vasopressor requirement by hydrocortisone administration in a patient with cerebral vasospasm  J.A. Alhashemi  British Journal of Anaesthesia 
P. Brassard, T. Seifert, N.H. Secher  British Journal of Anaesthesia 
A huffing manoeuvre, immediately before induction of anaesthesia, prevents fentanyl- induced coughing: a prospective, randomized, and controlled study 
B.H. Cuthbertson, S.A. Stott, N.R. Webster 
Systematic review of the QoR-15 score, a patient- reported outcome measure measuring quality of recovery after surgery and anaesthesia  J. Kleif, J. Waage,
A. Schlager, M. Boehler, F. Pühringer  British Journal of Anaesthesia 
Predictor of fluid responsiveness in the ‘grey zone’: augmented pulse pressure variation through a temporary increase in tidal volume  J.J. Min, N.-S.
D.A. Rowney, R. Fairgrieve, B. Bissonnette 
S.J. Olday, R. Walpole, J.Y.Y. Wang  British Journal of Anaesthesia 
Influence of head and neck position on ventilation using the air-Q® SP airway in anaesthetized paralysed patients: a prospective randomized crossover.
Evaluation of artery and vein differentiation methods using ultrasound imaging among medical students  N. Komasawa, R. Mihara, K. Hattori, T. Minami 
Psychomotor recovery in very old patients after total intravenous or balanced anaesthesia for cataract surgery  J Kubitz, J Epple, A Bach, J Motsch, E.
A reduction in Type and Screen: preoperative prediction of RBC transfusions in surgery procedures with intermediate transfusion risks†  W.A. van Klei,
Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia  H.A. Jlala, J.L.
Effect of concentration of local anaesthetic solution on the ED50 of bupivacaine for supraclavicular brachial plexus block†   P.K. Gupta, P.M. Hopkins 
S. Singaravelu, P. Barclay  British Journal of Anaesthesia 
Wee L. , Barron J. , Toye R.   British Journal of Anaesthesia 
Effects of dexmedetomidine on adrenocortical function, and the cardiovascular, endocrine and inflammatory responses in post-operative patients needing.
R. Parke, S. McGuinness, R. Dixon, A. Jull 
Presentation transcript:

Effects of desflurane on cerebral autoregulation N.M. Bedforth, K.J. Girling, H.J. Skinner, R.P. Mahajan  British Journal of Anaesthesia  Volume 87, Issue 2, Pages 193-197 (August 2001) DOI: 10.1093/bja/87.2.193 Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

Fig 1 Middle cerebral artery flow velocity during a typical transient hyperaemic response test. The flow velocity decreases suddenly at the onset of compression of ipsilateral common carotid artery and, if the autoregulation is intact, shows hyperaemic response at the release of compression. The pulse wave form immediately before the onset of compression (F1), immediately after the onset of compression (F2) and that immediately after the release of compression (F3) are taken for calculating the transient hyperaemic response ratio and strength of autoregulation. British Journal of Anaesthesia 2001 87, 193-197DOI: (10.1093/bja/87.2.193) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

Fig 2 Middle cerebral artery (MCA) flow velocity (FV) for the eight patients before induction of anaesthesia and during anaesthesia maintained with desflurane at end-tidal concentrations of 7.4 and 10.8%. The thin lines show changes for each individual and the thick line shows mean changes. The changes were insignificant. British Journal of Anaesthesia 2001 87, 193-197DOI: (10.1093/bja/87.2.193) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

Fig 3 The transient hyperaemic response ratio (THRR) for the eight patients before induction of anaesthesia and during anaesthesia maintained with desflurane at end-tidal concentrations of 7.4 and 10.8%. The thin lines show changes for each individual and the thick line shows mean changes. The changes were significant (P<0.001). British Journal of Anaesthesia 2001 87, 193-197DOI: (10.1093/bja/87.2.193) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

Fig 4 The strength of autoregulation (SA) for the eight patients before induction of anaesthesia and during anaesthesia maintained with desflurane at end-tidal concentrations of 7.4 and 10.8%. The thin lines show changes for each individual and the thick line shows mean changes. The changes were significant (P<0.001). British Journal of Anaesthesia 2001 87, 193-197DOI: (10.1093/bja/87.2.193) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions