Intraoperative Hypotension During Second Stage of Deep Brain Stimulator Placement: Same Day versus Different Day Procedures.

Autor: Nada EM; Department of Anesthesiology and Perioperative Medicine, University of Massachusetts, Worcester, Massachusetts, USA., Rajan S; Cleveland Clinic, Cleveland, Ohio, USA., Grandhe R; Cleveland Clinic, Cleveland, Ohio, USA., Deogaonkar M; Cleveland Clinic, Cleveland, Ohio, USA., Zimmerman NM; Cleveland Clinic, Cleveland, Ohio, USA., Ebrahim Z; Cleveland Clinic, Cleveland, Ohio, USA., Avitsian R; Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: avitsir@ccf.org.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2016 Nov; Vol. 95, pp. 40-45. Date of Electronic Publication: 2016 Jul 21.
DOI: 10.1016/j.wneu.2016.07.050
Abstrakt: Background: We evaluated blood pressure management associated with implantable pulse generator (IPG) procedure on same day (SD) versus different day (DD) from deep brain stimulation (DBS) placement.
Methods: A retrospective chart review of 99 records for vasopressors given during IPG using a negative binomial regression model was performed. An association between SD versus DD, cumulative vasopressor dose, and minimum and maximum mean arterial pressure (MAP) were sought.
Results: No significant association between SD versus DD DBS and the number of times vasopressors were given during stage II, estimated ratio of means (CI) of 1.8 (0.9-3.5); P = 0.07. Day of stage II had no association with the cumulative dose of vasopressor given during stage II, with an estimated difference in means (CI) of 2.4 (-0.4 to 5.3). The SD group had a significantly lower mean of minimum stage II MAP compared with DD, with an estimated difference in means (CI) of -10.5 (-17.4 to -3.5; P < 0.001). There was no association with maximum stage II MAP, with an estimated difference in means (CI) of -2.8 (-17.6 to 12.0; P = 0.63).
Conclusion: No difference in intraoperative vasopressor use was found between SD versus DD IPG placement, but the SD group had a significantly lower minimum MAP.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: