Is There a Risk of Stroke During Anterior Cervical Discectomy? A Randomized Controlled Trial.
Autor: | Gumus NE; Samsun Training and Research Hospital, Anesthesia Clinic, Samsun, Türkiye., Yoldas TK, Koksal V, Karkucak A, Bayraktar B |
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Jazyk: | angličtina |
Zdroj: | Turkish neurosurgery [Turk Neurosurg] 2024; Vol. 34 (5), pp. 794-801. |
DOI: | 10.5137/1019-5149.JTN.44169-23.3 |
Abstrakt: | Aim: To examine the effects of different retractor techniques for anterior cervical discectomy on cerebral oxygen saturation. Material and Methods: In this study, a prospective comparative design was employed to examine the effects of different retractor techniques on a cohort of 48 adult patients with ASA I-II classification who underwent anterior cervical discectomy under general anesthesia. The study was conducted under assessor-blinded conditions, and the patients were divided equally into two groups: the self-retaining retractor group and the hand-held retractor group. In addition to standard anaesthesia monitoring, the utilization of cerebral oximetry monitoring was implemented for all patients. A total of 7 measurements were obtained at various stages, including preoperative, during anaesthesia induction, surgical positioning, surgical retraction, release of retractors, after correction of extension position, and prior to extubation. The main objective of this study was to evaluate the impact of neck position and surgical retraction on brain perfusion, as measured by regional cerebral oximetry. Results: Sociodemographic data, duration of operation, hemodynamic parameters, bilateral regional cerebral oxygen saturation (rScO Conclusion: The rScO |
Databáze: | MEDLINE |
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