Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery
BackgroundWe aimed to evaluate the effects of internal jugular vein (IJV) catheterization on intracranial pressure (ICP) and postoperative delirium (POD) during robot-assisted laparoscopic surgery by measuring the optic nerve sheath diameter (ONSD).MethodsData from a prospective single-center cohort...
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1199931/full |
| _version_ | 1797833577915744256 |
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| author | Bin Yang Bin Yang Min Li Jingqiu Liang Xixi Tang Qi Chen |
| author_facet | Bin Yang Bin Yang Min Li Jingqiu Liang Xixi Tang Qi Chen |
| author_sort | Bin Yang |
| collection | DOAJ |
| description | BackgroundWe aimed to evaluate the effects of internal jugular vein (IJV) catheterization on intracranial pressure (ICP) and postoperative delirium (POD) during robot-assisted laparoscopic surgery by measuring the optic nerve sheath diameter (ONSD).MethodsData from a prospective single-center cohort study, conducted from October 2021 to February 2022, were used. Forty out of 80 patients scheduled for laparoscopic radical hysterectomy or prostatectomy were assigned to the group receiving IJV catheterization (Group I), and the other 40 only received peripheral venous cannulation (Group C) according to clinical need of patients. Ultrasonography of ONSDs, the proportion of regurgitation time in a cardiac cycle, and hemodynamic parameters were measured at four time points: immediately after induction of anesthesia in the supine position (T0), 30 min (T1), 60 min (T2) after orienting to the Trendelenburg position, and before returning to the supine position at the end of surgery (T3). Time to eye opening and emergence stay, POD, and QoR-15 were compared.ResultsThe ONSDs increase gradually as the surgery progressed. Group I showed a higher value of ONSD at T1 (4.72 ± 0.29 mm vs. 4.5 ± 0.33 mm, p = 0.0057) and T3 (5.65 ± 0.33 mm vs. 5.26 ± 0.31 mm, p < 0.0001). The proportions of the regurgitation time of IJVV were greater in Group I than those in Group C at T1 (14.95, 8.5%–18.9% vs. 9.6%, 0%–17.2%, p < 0.0001) and T3 (14.3, 10.6%–18.5% vs. 10.4%, 0%–16.5%, p = 0.0003). Group I had a delayed time to eye opening (10.7 ± 1.72 min vs. 13.3 ± 2.35 min, p < 0.0001) and emergence stay (32.2 ± 5.62 min vs. 39.9 ± 6.7 min, p < 0.0001). There were no significant differences in POD and QoR-15 between the two groups on day three.ConclusionIJV cannulation may not be the preferred approach in robot-assisted laparoscopic surgery as it was risk factor for IJVV regurgitation, ICP elevation, emergence delayed. |
| first_indexed | 2024-04-09T14:26:14Z |
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| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-09T14:26:14Z |
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| spelling | doaj.art-9179004c6c80480e894e2101fb4de8bd2023-05-04T04:35:22ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-05-011010.3389/fmed.2023.11999311199931Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgeryBin Yang0Bin Yang1Min Li2Jingqiu Liang3Xixi Tang4Qi Chen5School of Clinical Medicine, Fujian Medical University, Fuzhou, Fujian, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, ChinaDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, ChinaChongqing Cancer Multi-omics Big Data Application Engineering Research Center, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, ChinaBackgroundWe aimed to evaluate the effects of internal jugular vein (IJV) catheterization on intracranial pressure (ICP) and postoperative delirium (POD) during robot-assisted laparoscopic surgery by measuring the optic nerve sheath diameter (ONSD).MethodsData from a prospective single-center cohort study, conducted from October 2021 to February 2022, were used. Forty out of 80 patients scheduled for laparoscopic radical hysterectomy or prostatectomy were assigned to the group receiving IJV catheterization (Group I), and the other 40 only received peripheral venous cannulation (Group C) according to clinical need of patients. Ultrasonography of ONSDs, the proportion of regurgitation time in a cardiac cycle, and hemodynamic parameters were measured at four time points: immediately after induction of anesthesia in the supine position (T0), 30 min (T1), 60 min (T2) after orienting to the Trendelenburg position, and before returning to the supine position at the end of surgery (T3). Time to eye opening and emergence stay, POD, and QoR-15 were compared.ResultsThe ONSDs increase gradually as the surgery progressed. Group I showed a higher value of ONSD at T1 (4.72 ± 0.29 mm vs. 4.5 ± 0.33 mm, p = 0.0057) and T3 (5.65 ± 0.33 mm vs. 5.26 ± 0.31 mm, p < 0.0001). The proportions of the regurgitation time of IJVV were greater in Group I than those in Group C at T1 (14.95, 8.5%–18.9% vs. 9.6%, 0%–17.2%, p < 0.0001) and T3 (14.3, 10.6%–18.5% vs. 10.4%, 0%–16.5%, p = 0.0003). Group I had a delayed time to eye opening (10.7 ± 1.72 min vs. 13.3 ± 2.35 min, p < 0.0001) and emergence stay (32.2 ± 5.62 min vs. 39.9 ± 6.7 min, p < 0.0001). There were no significant differences in POD and QoR-15 between the two groups on day three.ConclusionIJV cannulation may not be the preferred approach in robot-assisted laparoscopic surgery as it was risk factor for IJVV regurgitation, ICP elevation, emergence delayed.https://www.frontiersin.org/articles/10.3389/fmed.2023.1199931/fullinternal jugular veinoptic nerve sheath diameterpostoperative deliriumrobot-assisted laparoscopycatheterization |
| spellingShingle | Bin Yang Bin Yang Min Li Jingqiu Liang Xixi Tang Qi Chen Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery Frontiers in Medicine internal jugular vein optic nerve sheath diameter postoperative delirium robot-assisted laparoscopy catheterization |
| title | Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery |
| title_full | Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery |
| title_fullStr | Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery |
| title_full_unstemmed | Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery |
| title_short | Effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot-assisted laparoscopic surgery |
| title_sort | effect of internal jugular vein catheterization on intracranial pressure and postoperative cognitive function in patients undergoing robot assisted laparoscopic surgery |
| topic | internal jugular vein optic nerve sheath diameter postoperative delirium robot-assisted laparoscopy catheterization |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1199931/full |
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