Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report
Both robotic surgery and head-down tilt increase intracranial pressure by impairing venous blood outflow. Prostatectomy is commonly performed in elderly patients, who are more likely to develop postoperative cognitive disorders. Therefore, increased intracranial pressure could play an essential role...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | Brazilian Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001421003523 |
| _version_ | 1828383157560279040 |
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| author | Gabriela Tognini Saba Vinicius Caldeira Quintão Suely Pereira Zeferino Claudia Marquez Simões Rafael Ferreira Coelho Arnaldo Fazoli William Nahas Gustavo Henrique Frigieri Vilela Maria José Carvalho Carmona |
| author_facet | Gabriela Tognini Saba Vinicius Caldeira Quintão Suely Pereira Zeferino Claudia Marquez Simões Rafael Ferreira Coelho Arnaldo Fazoli William Nahas Gustavo Henrique Frigieri Vilela Maria José Carvalho Carmona |
| author_sort | Gabriela Tognini Saba |
| collection | DOAJ |
| description | Both robotic surgery and head-down tilt increase intracranial pressure by impairing venous blood outflow. Prostatectomy is commonly performed in elderly patients, who are more likely to develop postoperative cognitive disorders. Therefore, increased intracranial pressure could play an essential role in cognitive decline after surgery. We describe a case of a 69-year-old male who underwent a robotic prostatectomy. Noninvasive Brain4careTM intraoperative monitoring showed normal intracranial compliance during anesthesia induction, but it rapidly decreased after head-down tilt despite normal vital signs, low lung pressure, and adequate anesthesia depth. We conclude that there is a need for intraoperative intracranial compliance monitoring since there are major changes in cerebral compliance during surgery, which could potentially allow early identification and treatment of impaired cerebral complacency. |
| first_indexed | 2024-12-10T04:43:50Z |
| format | Article |
| id | doaj.art-13455e7e368d408fb3741da427de299f |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-12-10T04:43:50Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-13455e7e368d408fb3741da427de299f2022-12-22T02:01:47ZengElsevierBrazilian Journal of Anesthesiology0104-00142021-11-01716656659Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case reportGabriela Tognini Saba0Vinicius Caldeira Quintão1Suely Pereira Zeferino2Claudia Marquez Simões3Rafael Ferreira Coelho4Arnaldo Fazoli5William Nahas6Gustavo Henrique Frigieri Vilela7Maria José Carvalho Carmona8Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto Central, São Paulo, SP, Brazil; Corresponding author.Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto Central, São Paulo, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto do Coração, São Paulo, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina, Disciplina de Urologia, São Paulo, SP, BrazilBrain4care Scientific Department, São Paulo, SP, BrazilUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto Central, São Paulo, SP, Brazil; Universidade de São Paulo, Faculdade de Medicina, Disciplina de Anestesiologia, São Paulo, SP, BrazilBoth robotic surgery and head-down tilt increase intracranial pressure by impairing venous blood outflow. Prostatectomy is commonly performed in elderly patients, who are more likely to develop postoperative cognitive disorders. Therefore, increased intracranial pressure could play an essential role in cognitive decline after surgery. We describe a case of a 69-year-old male who underwent a robotic prostatectomy. Noninvasive Brain4careTM intraoperative monitoring showed normal intracranial compliance during anesthesia induction, but it rapidly decreased after head-down tilt despite normal vital signs, low lung pressure, and adequate anesthesia depth. We conclude that there is a need for intraoperative intracranial compliance monitoring since there are major changes in cerebral compliance during surgery, which could potentially allow early identification and treatment of impaired cerebral complacency.http://www.sciencedirect.com/science/article/pii/S0104001421003523Head-down tiltIntracranial pressureRobotic surgical procedures |
| spellingShingle | Gabriela Tognini Saba Vinicius Caldeira Quintão Suely Pereira Zeferino Claudia Marquez Simões Rafael Ferreira Coelho Arnaldo Fazoli William Nahas Gustavo Henrique Frigieri Vilela Maria José Carvalho Carmona Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report Brazilian Journal of Anesthesiology Head-down tilt Intracranial pressure Robotic surgical procedures |
| title | Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report |
| title_full | Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report |
| title_fullStr | Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report |
| title_full_unstemmed | Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report |
| title_short | Noninvasive intracranial pressure real-time waveform analysis monitor during prostatectomy robotic surgery and Trendelenburg position: case report |
| title_sort | noninvasive intracranial pressure real time waveform analysis monitor during prostatectomy robotic surgery and trendelenburg position case report |
| topic | Head-down tilt Intracranial pressure Robotic surgical procedures |
| url | http://www.sciencedirect.com/science/article/pii/S0104001421003523 |
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