Minimal and normal-flow general anesthesia in patients undergoing surgery in prone position: impact on hemodynamics and regional cerebral oxygenation
Acta cir. bras
; 38: e380523, 2023. tab, graf, ilus
Article
in English
| LILACS, VETINDEX
| ID: biblio-1429533
Responsible library:
BR68.1
ABSTRACT
Purpose:
In this study, the aim to assess the combined effects of prone-positioning (PP) and minimal-flow (MF) general anesthesia on regional cerebral oxygenation (RCO) and systemic hemodynamics.Methods:
This is a randomized prospective study aiming to evaluate changes in cerebral oxygenation and hemodynamic parameters in MF systemic anesthesia in patients undergoing surgery in PP. Patients were randomized to MF or normal-flow (NF) anesthesia. In the operating room, pulse rate, mean arterial pressure (MAP), peripheral hemoglobin oxygen saturation (spO2), and right- and left-side RCO (assessed by nearinfrared spectroscopy, NIRS) were measured perioperatively.Results:
Overall, 46 patients were included (24 in the MF group and 22 in the NF group). The amount of anesthetic gas consumption was significantly lower in the low-flow (LF) group. In both groups, the mean pulse rate showed a decrease after PP. Before induction, RCO was significantly higher both at the right- and left-sides in the LF group compared to the NF group. This difference continued throughout the operation on the left-side and disappeared 10 min after intubation on the right-side. On the left side, mean RCO decreased after PP in both groups.Conclusion:
MF anesthesia in PP did not reduce cerebral oxygenation compared to NF and was safe in terms of systemic hemodynamics and cerebral oxygenation.
Full text:
Available
Database:
LILACS
/
VETINDEX
Main subject:
Oxygenation
/
Prone Position
/
Cerebrum
/
Hemodynamic Monitoring
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Humans
Language:
English
Journal:
Acta cir. bras
Year:
2023
Document type:
Article
Institution/Affiliation country:
University of Health Sciences Prof. Dr. Cemil Tascioglu City Hospital/TR