Study of changes in cardiac output, stroke volume, and cardiac index with two doses of mannitol infusion during supratentorial craniotomy

Autor: Pawan Kumar Ray, Deepak Malviya, Mamta Harjai, Manoj Tripathi, Deepak Kumar Singh, Smarika Mishra
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Ain Shams Journal of Anesthesiology, Vol 14, Iss 1, Pp 1-7 (2022)
Druh dokumentu: article
ISSN: 2090-925X
DOI: 10.1186/s42077-022-00291-6
Popis: Abstract Background Mannitol is used extensively in supratentorial surgeries to reduce intracranial pressure. The optimum dose of mannitol is still a matter of debate. We have done this prospective, comparative and randomized study to compare the changes in cardiac output (CO), stroke volume (SV), cardiac index (CI), central venous pressure (CVP), brain relaxation, and side effects in two doses of mannitol infusion. We have divided 60 enrolled patients randomly into two groups. We infused 0.7gm kg-1, 20% mannitol in 20 min duration in Group A and 1.4gm kg-1 of 20% mannitol in 20 min in Group B. Flotrac transducer was connected to assess SV, CO, and CI. We recorded and analyzed brain relaxation score, HR, MAP, CVP, SV, CO, and CI at predefined time intervals after mannitol infusion. Chi-square test and unpaired t test were used to analyze categorical and continuous variables between two groups. Results We have found statistically significant and better brain relaxation in Group B than Group A. Significant (p
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