Int J Med Robot - Cerebral oxygenation measured by near-infrared spectroscopy and jugular vein oxygen saturation during robotic-assisted laparoscopic radical prostatectomy under total intravenous anaesthesia.

Tópicos

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Resumo

CKGROUND: The effects of total intravenous anaesthesia (TIVA) on cerebral oxygenation in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALP) have not been investigated. We examined the changes in jugular venous oxygen saturation (SjvO2 ) and regional cerebral tissue oxygen saturation (rSO2 ) during RALP under TIVA. Whether rSO2 could reflect SjvO2 was also examined.METHODS: Forty patients (ASA 1-2) undergoing RALP were enrolled. Measurements were obtained at eight time points during the operation.RESULTS: SjvO2 did not decrease at any measurement point, whereas rSO2 fell significantly 120min after pneumoperitoneum in a steep Trendelenburg position (p <0.01). There was a weak correlation between SjvO2 and rSO2 (Pearson correlation coefficient =0.34; p <0.01). Bland-Altman analysis showed a wide interval for the limit of agreement (47%) between the two measurements.CONCLUSIONS: These findings suggested that TIVA could be safely used for RALP. It was also demonstrated that rSO2 did not accurately reflect SjvO2 during RALP. Copyright ? 2014 John Wiley & Sons, Ltd.

Resumo Limpo

ckground effect total intraven anaesthesia tiva cerebr oxygen patient undergo robotassist laparoscop radic prostatectomi ralp investig examin chang jugular venous oxygen satur sjvo region cerebr tissu oxygen satur rso ralp tiva whether rso reflect sjvo also examinedmethod forti patient asa undergo ralp enrol measur obtain eight time point operationresult sjvo decreas measur point wherea rso fell signific min pneumoperitoneum steep trendelenburg posit p weak correl sjvo rso pearson correl coeffici p blandaltman analysi show wide interv limit agreement two measurementsconclus find suggest tiva safe use ralp also demonstr rso accur reflect sjvo ralp copyright john wiley son ltd

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