Continuous monitoring of cerebral oxygen saturation in elderly patients undergoing major abdominal surgery minimizes brain exposure to potential hypoxia
| Autor: | Casati, Andrea, Fanelli, Guido, Pietropaoli, Paolo, Proietti, Rodolfo, Tufano, Rosalba, Danelli, Giorgio, Fierro, Giuseppe, De Cosmo, Germano, Servillo, Giovanni, Nuzzi, Massimiliano, Mentegazzi, Federico, Fanelli, Andrea, Martani, Carla, Spreafico, Emanuela, Pugliese, Francesco, Aceto, Paola, MONACO, FABRIZIO |
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| Přispěvatelé: | Casati, Andrea, Fanelli, Guido, Pietropaoli, Paolo, Proietti, Rodolfo, Tufano, Rosalba, Danelli, Giorgio, Fierro, Giuseppe, De Cosmo, Germano, Servillo, Giovanni, Nuzzi, Massimiliano, Mentegazzi, Federico, Fanelli, Andrea, Martani, Carla, Spreafico, Emanuela, Pugliese, Francesco, Aceto, Paola, Monaco, Fabrizio, Andrea, Casati, Guido, Fanelli, Paolo, Pietropaoli, Rodolfo, Proietti, Giorgio, Danelli, Giuseppe, Fierro, Giovanni, Fierro, Germano De, Cosmo, Servillo, Giuseppe |
| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Male
Monitoring Hemodynamics Pain Cerebral oxygen saturation Patient-Controlled Anesthesia General Pacu Oxygen Consumption Postoperative Complications Double-Blind Method Monitoring Intraoperative Abdomen Medicine Humans Anesthesia Hemodynamic Aged Analgesia Patient-Controlled Anesthesia Recovery Period Brain Chemistry Female Hypoxia Brain Oximetry Pain Postoperative Prospective Studies Anesthesiology and Pain Medicine Postoperative Prospective cohort study General Hypoxia Intraoperative biology business.industry Area under the curve Brain biology.organism_classification Confidence interval Prospective Studie Postoperative Complication Analgesia business Abdominal surgery Human |
| Popis: | Elderly patients are more prone than younger patients to develop cerebral desaturation because of the reduced physiologic reserve that accompanies aging. To evaluate whether monitoring cerebral oxygen saturation (rSO(2)) minimizes intraoperative cerebral desaturation, we prospectively monitored rSO(2) in 122 elderly patients undergoing major abdominal surgery with general anesthesia. Patients were randomly allocated to an intervention group (the monitor was visible and rSO(2) was maintained at > or =75% of preinduction values; n = 56) or a control group (the monitor was blinded and anesthesia was managed routinely; n = 66). Cerebral desaturation (rSO(2) reduction |
| Databáze: | OpenAIRE |
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