Anesthesia During Positive-pressure Myelogram: A New Role for Cerebral Oximetry
| Autor: | Jeffrey J. Pasternak, Arnoley S. Abcejo, Tasha L. Welch, Sebastian R. Gatica-Moris, Carrie M. Carr |
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| Rok vydání: | 2019 |
| Předmět: |
Intracranial Pressure
Positive pressure Cerebral oxygen saturation Anesthesia General 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid 030202 anesthesiology Medicine Humans Oximetry Cerebral perfusion pressure Intracranial pressure Retrospective Studies business.industry Oxygen Anesthesiology and Pain Medicine Mean blood pressure Blood pressure Oxygen Saturation Anesthesia Cerebrovascular Circulation Surgery Neurology (clinical) Cerebrospinal fluid pressure business 030217 neurology & neurosurgery |
| Zdroj: | Journal of neurosurgical anesthesiology. 33(3) |
| ISSN: | 1537-1921 |
| Popis: | BACKGROUND Positive-pressure myelogram (PPM) is an emerging radiologic study used to localize spinal dural defects. During PPM, cerebrospinal fluid pressure (CSFp) is increased by injecting saline with contrast into the cerebrospinal fluid. This has the potential to increase intracranial pressure and compromise cerebral perfusion. METHODS We performed a retrospective chart review and analysis of 11 patients. The aim was to describe the periprocedural anesthetic management of patients undergoing PPM. RESULTS All patients underwent PPM with general anesthesia and intra-arterial blood pressure and near-infrared spectroscopy monitoring of regional cerebral tissue oxygen saturation. Mean±SD maximum lumbar CSFp was 58±12 mm Hg. Upon intrathecal injection, mean systolic blood pressure increased from 115±21 to 142±32 mm Hg (P |
| Databáze: | OpenAIRE |
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