脑瘤切除手术后的迷你中风:有没有麻醉相关的因素?
Thaïs Walter1,2,3, Grégoire Foray4, Nawel Mohammed-Brahim5
1Department of Anesthesiology and Critical Care and Burn Unit, Saint-Louis and Lariboisière Hospitals, FHU PROMICE, DMU Parabol, Paris, France. thais.walter10@gmail.com.
Acta neurochirurgica
|July 31, 2024
概括
在清醒时进行质瘤手术时,术后的迷你中风 (脑缺血病变) 与手术性尿输出有关. 麻醉管理因素没有显著影响小中风风险或体积.
科学领域:
- 神经外科 神经外科
- 麻醉学 麻醉学
- 神经学 神经学
背景情况:
- 醒着手术是质瘤切除的标准手术.
- 迷你中风或围切性缺血性病变是潜在的并发症.
- 了解影响迷你中风风险的麻醉因素至关重要.
研究的目的:
- 调查麻醉管理与小中风发生率之间的关联.
- 为了确定与质瘤手术后的术后缺血性病变相关的特定麻醉参数.
主要方法:
- 在清醒状态下对176例质瘤切除术 (2011-2022) 的回顾性分析.
- 评估血液动力学变量,流体摄入量和尿液输出量.
- 主要终点:在48小时内在术后MRI上出现小中风.
主要成果:
- 迷你中风发生在70%的手术中 (120/171),中位体积为1.2厘米.
- 每次手术尿液输出与小型中风发生率显著相关 (aOR 0.65,P=0.02).
- 没有麻醉管理变量与迷你中风体积相关;血压变化不显著.
结论:
- 每次手术尿液输出是唯一的麻醉相关的因素与小卒中发生率在醒着的质瘤手术.
- 麻醉管理策略可能需要考虑尿液输出,以减轻缺血病变风险.
更多相关视频
07:46Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
29.1K
08:07Rose Bengal Photothrombosis by Confocal Optical Imaging In Vivo: A Model of Single Vessel Stroke
Published on: June 23, 2015
15.1K
相关概念视频
General Anesthesia: Overview
200
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
200
Stages of General Anesthesia
404
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
404
