Cerebral oxygen saturation and cardiac output during anaesthesia in sitting position for neurosurgical procedures: a prospective observational study

Slides:

Advertisements

Similar presentations

Effect of high-dose preoperative methylprednisolone on recovery after total hip arthroplasty: a randomized, double-blind, placebo-controlled trial T.H.

Advertisements

Does the type of fluid affect rapidity of shock reversal in an anaesthetized-piglet model of near-fatal controlled haemorrhage? A randomized study C.

International Journal of Surgery

Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult.

Functional walking capacity as an outcome measure of laparoscopic prostatectomy: the effect of lidocaine infusion S. Lauwick, D.J. Kim, G. Mistraletti,

SponTaneous Respiration using IntraVEnous anaesthesia and Hi-flow nasal oxygen (STRIVE Hi) maintains oxygenation and airway patency during management.

A. Michalek-Sauberer, M. J. Oehmke, G. Scharbert, K. Neumann, S. A

X. Sun, J. Ellis, P.J. Corso, P.C. Hill, F. Chen, J. Lindsay

Gender, power and leadership: the effect of a superior's gender on respiratory therapists’ ability to challenge leadership during a life-threatening emergency

W. Habre, T. Asztalos, P.D. Sly, F. Petak

Impact of phenylephrine administration on cerebral tissue oxygen saturation and blood volume is modulated by carbon dioxide in anaesthetized patients†

High concordance between expert anaesthetists’ actions and advice of decision support system in achieving oxygen delivery targets in high-risk surgery.

Optimizing oxygenation and intubation conditions during awake fibre-optic intubation using a high-flow nasal oxygen-delivery system S. Badiger, M. John,

Orthostatic function and the cardiovascular response to early mobilization after breast cancer surgery R.G. Müller, M. Bundgaard-Nielsen, H. Kehlet

M. Ono, B. Joshi, K. Brady, R. B. Easley, Y. Zheng, C. Brown, W

A different use of visual analytic techniques in anaesthetics

Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state P.S.

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries British Journal of Anaesthesia

Measuring quality of recovery-15 after day case surgery

Tissue oxygenation response to mild hypercapnia during cardiopulmonary bypass with constant pump output O. Akça, D.I. Sessler, D. Delong, R. Keijner,

L Meng, P.M. Heerdt British Journal of Anaesthesia

Continuous and minimally invasive cardiac output monitoring by long time interval analysis of a radial arterial pressure waveform: assessment using a.

Does regional anaesthesia improve outcome?

A. Dyson, N. Ekbal, M. Stotz, S. Barnes, J. Carré, S. Tully, S

Cefalotin as antimicrobial prophylaxis in patients with known intraoperative anaphylaxis to cefazolin P.H.M. Sadleir, R.C. Clarke, P.R. Platt British.

Masahiro Ono, MD, PhD, Charles Brown, MD, Jennifer K

A. Abdelnasser, B. Abdelhamid, A. Elsonbaty, A. Hasanin, A. Rady

Saliva cyclic GMP increases during anaesthesia

Near-infrared spectroscopy as an index of brain and tissue oxygenation

Defining oliguria during cardiopulmonary bypass and its relationship with cardiac surgery–associated acute kidney injury D. Hori, N.M. Katz, D.M. Fine,

V. Uppal, G. Fletcher, J. Kinsella British Journal of Anaesthesia

Patient choice compared with no choice of intrathecal morphine dose for caesarean analgesia: a randomized clinical trial B. Carvalho, F. Mirza, P. Flood

Is postspinal hypotension a sign of impaired cardiac performance in the elderly? An observational mechanistic study J. Jakobsson, S.H. Kalman, M. Lindeberg-Lindvet,

J.E. Heavner, A.D. Kaye, B.-K. Lin, T. King

Shirley J. Fearn, PhD, FRCS, Andrew J. Picton, BSc, Andrew J

S.G. Sakka, K. Reinhart, A. Meier-Hellmann

T. S. Walsh, T. P. Lapinlampi, P. Ramsay, M. O. K. Särkelä, K

M. A. Levin, G. W. Fischer, H. -M. Lin, P. J. McCormick, M. Krol, D. L

Effect of phenylephrine on the haemodynamic state and cerebral oxygen saturation during anaesthesia in the upright position P.F. Soeding, S Hoy, G Hoy,

Chronic pain in adults after thoracotomy in childhood or youth

Tissue oxygen tension (PTO2) in anaesthesia and perioperative medicine

Optimizing cerebral oxygenation in anaesthetized patients with carotid artery stenosis: the influence of inspired oxygen fraction P. Picton, S.K. Ramachandran,

Individual patient data analysis of tidal volumes used in three large randomized control trials involving patients with acute respiratory distress syndrome

Non-invasive continuous arterial pressure monitoring with Nexfin® does not sufficiently replace invasive measurements in critically ill patients A Hohn,

G.B. Drummond, B. Lafferty British Journal of Anaesthesia

Teamwork, communication, and anaesthetic assistance in Scotland

Stress response during weaning after cardiac surgery

J.H. Philip British Journal of Anaesthesia

Influence of ambient light on cerebral oximeters

P Schramm, K Engelhard, A Scherhag, F Schier, C Werner

Stellate ganglion block increases blood flow in the anastomotic artery after superficial temporal artery–middle cerebral artery bypass S. Doi, N. Cho,

Postoperative analgesic effect of intravenous (i. v

Hans H. Tulip, MD, Eric B. Rosero, MD, Adriana J

Performance of cardiac output measurement derived from arterial pressure waveform analysis in patients requiring high-dose vasopressor therapy S. Metzelder,

Human cerebral microcirculation and oxygen saturation during propofol-induced reduction of bispectral index† K.U. Klein, K. Fukui, P. Schramm, A. Stadie,

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 randomized trial of the effect of low dose epinephrine infusion in addition to tranexamic acid on blood loss during total hip arthroplasty Ø. Jans,

Use of a high-fidelity simulator to develop testing of the technical performance of novice anaesthetists† F.C. Forrest, M.A. Taylor, K. Postlethwaite,

B.H. Cuthbertson, S.A. Stott, N.R. Webster

Fibrinogen plasma concentration before delivery is not associated with postpartum haemorrhage: a prospective observational study O. Karlsson, A. Jeppsson,

Takamatsu I. , Ozaki M. , Kazama T. British Journal of Anaesthesia

D.A. Rowney, R. Fairgrieve, B. Bissonnette

S.J. Olday, R. Walpole, J.Y.Y. Wang British Journal of Anaesthesia

Cricoid pressure force retention analysis using a simulator

Influence of head and neck position on ventilation using the air-Q® SP airway in anaesthetized paralysed patients: a prospective randomized crossover.

Voltage changes in the lithium dilution cardiac output sensor after exposure to blood from horses given xylazine T.D. Ambrisko, Y. Moens British Journal.

L Meng, P.M. Heerdt British Journal of Anaesthesia

Myocardial tissue CO2 tension detects coronary blood flow reduction after coronary artery bypass in real-time† S.E. Pischke, S. Hyler, C. Tronstad, J.

R. Parke, S. McGuinness, R. Dixon, A. Jull

Presentation transcript:

Cerebral oxygen saturation and cardiac output during anaesthesia in sitting position for neurosurgical procedures: a prospective observational study P Schramm, I Tzanova, F Hagen, M Berres, D Closhen, G Pestel, K Engelhard British Journal of Anaesthesia Volume 117, Issue 4, Pages 482-488 (October 2016) DOI: 10.1093/bja/aew250 Copyright © 2016 The Author(s) Terms and Conditions

Fig 1 Cerebral oxygen saturation during sitting the position in anaesthetized patients during neurosurgery. The time point zero represents start of the sitting position, and RP represents all patients with the individual measurement after repositioning. Values measured with FORE-SIGHT® (cerebral tissue oxygen saturation, ) are shown in the top graph and with INVOS® (regional cerebral oxygen saturation, ) in the middle graph. Boxes show medians and 25th–75th percentiles, and whiskers extend to a maximum of 1.5 interquartile range; circles represent outliers. The bottom graph shows the number of patients measured at each time point. British Journal of Anaesthesia 2016 117, 482-488DOI: (10.1093/bja/aew250) Copyright © 2016 The Author(s) Terms and Conditions

Fig 2 Cerebral oxygen saturation (measured by near-infrared spectroscopy, NIRS) in the dependence of cardiac output (CO, top graph) and mean arterial blood pressure (MAP, bottom graph). Values measured with FORE-SIGHT® (cerebral tissue oxygen saturation, ) are shown as asterisks and with INVOS® (regional cerebral oxygen saturation, ) as open circles. The dashed lines are the regression lines between FORE-SIGHT® and CO or MAP, and the continuous lines are the regression lines between INVOS® and CO or MAP. The correlation between NIRS and CO was statistically significant (P<0.01). British Journal of Anaesthesia 2016 117, 482-488DOI: (10.1093/bja/aew250) Copyright © 2016 The Author(s) Terms and Conditions