Cerebral oxygen and microdialysis monitoring during aneurysm surgery: effects of blood pressure, cerebrospinal fluid drainage, and temporary clipping on infarction.
作者： Rupert Kett-White , Peter J. Hutchinson , Pippa G. Al-Rawi , Marek Czosnyka , Arun K. Gupta
DOI: 10.3171/JNS.2002.96.6.1013
关键词:
摘要: Object. The aim of this study was to investigate potential episodes cerebral ischemia during surgery for large and complicated aneurysms, by examining the effects arterial temporary clipping impact confounding variables such as blood pressure cerebrospinal fluid (CSF) drainage. Methods. Brain tissue PO2, PCO2, pH, well temperature extracellular glucose, lactate, pyruvate, glutamate were monitored in 46 patients using multiparameter sensors microdialysis. Baseline data showed that brain PO2 decreased significantly, below a mean (MAP) threshold 70 mm Hg. Further evidence its relationship with perfusion shown an increase after drainage CSF from basal cisterns (Wilcoxon test, p < 0.01). Temporary required 31 patients, total duration 14 minutes (range 3–52 minutes), causing decrease PCO2 te...
mysciencework.com参考文章(23)
Tillman F. Bardt, A. W. Unterberg, R. Härtl, K. L. Kiening, G. H. Schneider, W. R. Lanksch, Monitoring of brain tissue PO2 in traumatic brain injury: effect of cerebral hypoxia on outcome. Acta Neurochirurgica. ,vol. 71, pp. 153- 156 ,(1998) , 10.1007/978-3-7091-6475-4_45
Akira Ogawa, Hiroo Sato, Yoshiharu Sakurai, Takashi Yoshimoto, Limitation of temporary vascular occlusion during aneurysm surgery. Study by intraoperative monitoring of cortical blood flow. Surgical Neurology. ,vol. 36, pp. 453- 457 ,(1991) , 10.1016/0090-3019(91)90159-7
Graham Teasdale, Bryan Jennett, ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS: A Practical Scale The Lancet. ,vol. 304, pp. 81- 84 ,(1974) , 10.1016/S0140-6736(74)91639-0
Anthony Jabre, Symon Lindsay, Temporary vascular occlusion during aneurysm surgery. Surgical Neurology. ,vol. 27, pp. 47- 62 ,(1987) , 10.1016/0090-3019(87)90107-8
William E. Hoffman, Fady T. Charbel, Chris Abood, James I. Ausman, Regional ischemia during cerebral bypass surgery Surgical Neurology. ,vol. 47, pp. 455- 459 ,(1997) , 10.1016/S0090-3019(97)82798-X
Alois Zauner, Egon M.R. Doppenberg, John J. Woodward, Sung C. Choi, Harold F. Young, Ross Bullock, Continuous Monitoring of Cerebral Substrate Delivery and Clearance: Initial Experience in 24 Patients with Severe Acute Brain Injuries Neurosurgery. ,vol. 41, pp. 1082- 1093 ,(1997) , 10.1097/00006123-199711000-00011
Duke Samson, H. Hunt Batjer, Gary Bowman, Lee Mootz, William J. Krippner, Yves J. Meyer, Beth C. Allen, A Clinical Study of the Parameters and Effects of Temporary Arterial Occlusion in the Management of Intracranial Aneurysms Neurosurgery. ,vol. 34, pp. 22- 29 ,(1994) , 10.1227/00006123-199401000-00005
William E. Hoffman, Fady T. Charbel, Guy Edelman, Brain tissue oxygen, carbon dioxide, and pH in neurosurgical patients at risk for ischemia. Anesthesia & Analgesia. ,vol. 82, pp. 582- 586 ,(1996) , 10.1097/00000539-199603000-00027
William E Hoffman, Fady T Charbel, Gabriel Gonzalez-Portillo, James I Ausman, Measurement of ischemia by changes in tissue oxygen, carbon dioxide, and pH Surgical Neurology. ,vol. 51, pp. 654- 658 ,(1999) , 10.1016/S0090-3019(99)00011-7
L. Hillered, L. Persson, U. Pont�n, U. Ungerstedt, Neurometabolic monitoring of the ischaemic human brain using microdialysis. Acta Neurochirurgica. ,vol. 102, pp. 91- 97 ,(1990) , 10.1007/BF01405420