Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas
Objective To investigate the influence on regional cerebral oxygen saturation (rScO2) of sedation depth during anesthesia induction and maintenance in supratentorial glioma resections. Methods Thirty patients with Ⅰ - Ⅱ supratentorial glioma (graded by American Society of Anesthesiologists) underwen...
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2012-12-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
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| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/623 |
| _version_ | 1811338594921480192 |
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| author | Kai⁃ying ZHANG Ru⁃quan HAN |
| author_facet | Kai⁃ying ZHANG Ru⁃quan HAN |
| author_sort | Kai⁃ying ZHANG |
| collection | DOAJ |
| description | Objective To investigate the influence on regional cerebral oxygen saturation (rScO2) of sedation depth during anesthesia induction and maintenance in supratentorial glioma resections. Methods Thirty patients with Ⅰ - Ⅱ supratentorial glioma (graded by American Society of Anesthesiologists) underwent elective supratentorial glioma resection were included in this study. Rocuronium, sufentanil and propofol were used for anesthesia induction. After trachea cannula, total intravenous anesthesia (TIVA) was maintained with plasma concentration of propofol 2.80-3.20 μg/ml and remifentanil 0.10-0.20 μg/(kg·min). Thirty groups of rScO2, bispectral index (BIS), mean arterial pressure (MAP) and heart rate (HR) were recorded continuously till the incision. Results During anesthesia induction, BIS decreased along with the infusion of anesthetics, and there was significant negative correlation between BIS and rScO2 (r = ⁃0.803, P = 0.001). During anesthesia maintenance, rScO2 and BIS were not significantly related (r = 0.147, P = 0.396). Conclusion The rScO2 monitoring can reflect the influence of sedation depth on cerebral oxygen delivery and consumption balance during supratentorial glioma resection under TIVA．
DOI：10.3969/j.issn.1672⁃6731.2012.06.012 |
| first_indexed | 2024-04-13T18:14:16Z |
| format | Article |
| id | doaj.art-85250876e4e040b5bfae0621668c8793 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-04-13T18:14:16Z |
| publishDate | 2012-12-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-85250876e4e040b5bfae0621668c87932022-12-22T02:35:46ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312012-12-01126696700622Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomasKai⁃ying ZHANGRu⁃quan HANObjective To investigate the influence on regional cerebral oxygen saturation (rScO2) of sedation depth during anesthesia induction and maintenance in supratentorial glioma resections. Methods Thirty patients with Ⅰ - Ⅱ supratentorial glioma (graded by American Society of Anesthesiologists) underwent elective supratentorial glioma resection were included in this study. Rocuronium, sufentanil and propofol were used for anesthesia induction. After trachea cannula, total intravenous anesthesia (TIVA) was maintained with plasma concentration of propofol 2.80-3.20 μg/ml and remifentanil 0.10-0.20 μg/(kg·min). Thirty groups of rScO2, bispectral index (BIS), mean arterial pressure (MAP) and heart rate (HR) were recorded continuously till the incision. Results During anesthesia induction, BIS decreased along with the infusion of anesthetics, and there was significant negative correlation between BIS and rScO2 (r = ⁃0.803, P = 0.001). During anesthesia maintenance, rScO2 and BIS were not significantly related (r = 0.147, P = 0.396). Conclusion The rScO2 monitoring can reflect the influence of sedation depth on cerebral oxygen delivery and consumption balance during supratentorial glioma resection under TIVA． DOI：10.3969/j.issn.1672⁃6731.2012.06.012http://www.cjcnn.org/index.php/cjcnn/article/view/623Anesthesia, intravenousSupratentorial neoplasmsGliomaOxygen consumptionMonitoring, intraoperative |
| spellingShingle | Kai⁃ying ZHANG Ru⁃quan HAN Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas Chinese Journal of Contemporary Neurology and Neurosurgery Anesthesia, intravenous Supratentorial neoplasms Glioma Oxygen consumption Monitoring, intraoperative |
| title | Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas |
| title_full | Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas |
| title_fullStr | Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas |
| title_full_unstemmed | Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas |
| title_short | Influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas |
| title_sort | influence of the depth of sedation on regional cerebral oxygen saturation monitoring in neurosurgery of supratentorial gliomas |
| topic | Anesthesia, intravenous Supratentorial neoplasms Glioma Oxygen consumption Monitoring, intraoperative |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/623 |
| work_keys_str_mv | AT kaiyingzhang influenceofthedepthofsedationonregionalcerebraloxygensaturationmonitoringinneurosurgeryofsupratentorialgliomas AT ruquanhan influenceofthedepthofsedationonregionalcerebraloxygensaturationmonitoringinneurosurgeryofsupratentorialgliomas |