Continuous monitoring of cerebral oxygen saturation in elderly patients undergoing major abdominal surgery minimizes brain exposure to potential hypoxia

Anesthesia and Analgesia

Volumn 101, Issue 3, 2005, Pages 740-747

  Casati, Andrea ^a,e   Fanelli, Guido ^a,e   Pietropaoli, Paolo ^b   Proietti, Rodolfo ^c   Tufano, Rosalba ^d,g   Danelli, Giorgio ^a,e   Fierro, Giuseppe ^b   De Cosmo, Germano ^c   Servillo, Giovanni ^d,g   Nuzzi, Massimiliano ^e   Mentegazzi, Federico ^e   Fanelli, Andrea ^e   Martani, Carla ^f   Spreafico, Emanuela ^f   Pugliese, Francesco ^b   Aceto, Paola ^c   Monaco, Fabrizio ^g  

^a UNIVERSITY OF PARMA   (Italy)

^b POLICLINICO UMBERTO I   (Italy)

^c FONDAZIONE POLICLINICO UNIVERSITARIO A GEMELLI IRCCS   (Italy)

^d Department of Anesthesiology   (Italy)

^e Azienda Ospedaliera Parma   (Italy)

^f SAN RAFFAELE HOSPITAL   (Italy)

^g FEDERICO II UNIVERSITY HOSPITAL   (Italy)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHETIC AGENT; CISATRACURIUM; FENTANYL; OXYGEN; SEVOFLURANE; THIOPENTAL;

ABDOMINAL SURGERY; AGED; AREA UNDER THE CURVE; ARTICLE; BRAIN HYPOXIA; BRAIN OXYGEN TENSION; CLINICAL TRIAL; COGNITION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MAJOR SURGERY; MALE; MINI MENTAL STATE EXAMINATION; MONITOR; NEAR INFRARED SPECTROSCOPY; OXIMETRY; PATIENT MONITORING; PEROPERATIVE COMPLICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL;

EID: 23944521347     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ane.0000166974.96219.cd     Document Type: Article

References (26)

1. Peduto VA, Chevallier P, Casati A, and the VIMA Group. A multicenter survey on anaesthesia practice in Italy. Minerva Anestesiol 2004; 70: 473-91.
2. Tonner PH, Kampen J, Scholz J. Pathophysiological changes in the elderly. Best Pract Res Clin Anaesthesiol 2003; 17: 163-77.
3. Lui LL, Wiener-Kronish JP. Perioperative anesthesia issues in the elderly. Crit Care Clin 2003; 19: 641-56.
4. Intiso D, Stampatore P, Zarrelli MM, et al. Incidence of first-ever ischemic and hemorrhagic stroke in a well-defined community of southern Italy. 1993-1995. Eur J Neurol 2003; 10: 559-65.
5. Mori E. Impact of subcortical ischemic lesions on behavior and cognition. Ann N Y Acad Sci 2002; 977: 141-8.
6. Burton DA, Nicholson C, Hall GM. Anaesthesia in elderly patients with neurodegenerative disorders: special considerations. Drugs Aging 2004; 21: 229-42.
7. Ancelin ML, DeRoquefeuil G, Ledesert B, et al. Exposure to anaesthetic agents, cognitive functioning and depressive symptomatology in the elderly. Br J Psychiatry 2001; 178: 360-6.
8. Edmonds HL Jr. Multi-modality neurophysiologic monitoring for cardiac surgery. Heart Surg Forum 2002; 5: 225-8.
9. Pollard V, Prough DS, DeMelo AE, et al. Validation in volunteers of a near-infrared spectroscope for monitoring brain oxygenation in vivo. Anesth Analg 1996; 82: 269-77.
10. Konishi A, Kikuchi K. Cerebral oxygen saturation (rSO2) during open heart surgery and postoperative brain dysfunction [in Japanese]. Masui 1995; 44: 1322-6.
11. Higami T, Kozawa S, Asada T, et al. Retrograde cerebral perfusion versus selective cerebral perfusion as evaluated by cerebral oxygen saturation during aortic arch reconstruction. Ann Thor Surg 1999; 67: 1091-6.
12. Samra SK, Dy EA, Welch K, et al. Evaluation of a cerebral oximeter as a monitor of cerebral ischemia during carotid endarterectomy. Anesthesiology 2000; 93: 964-70.
13. Plachky J, Hofer S, Volkman M, et al. Regional cerebral oxygen saturation is a sensitive marker of cerebral hypoperfusion during orthotopic liver transplantation. Anesth Analg 2004; 99: 344-9.
14. Iglesias I, Murkin JM, Bainbridge D, Adams S. Monitoring oxygen saturation significantly decreases postoperative length of stay: a prospective randomised blinded study. Heart Surg Forum 2003; 6: 204.
15. Casati A, Fanelli G, Pietropaoli P, et al. In a population of elderly patients undergoing elective non-cardiac surgery cerebral oxygen desaturation is associated with prolonged length of hospital stay [abstract]. Anesthesiology 2003; 99: A551.
16. Monk TG, Weldon BC, Weldon JE, van der Aa MT, et al. Cerebral oxygen desaturations are associated with postoperative cognitive dysfunction in elderly patients. [abstract] Anesthesiology 2002; 97: A40.
17. Aldrete JA, Kroulik D. A postanesthetic recovery score. Anesth Analg 1970; 49: 924-34.
18. Nickalls RW, Mapleson WW. Age-related iso-MAC charts for isoflurane, sevoflurane and desflurane in man. Br J Anaesth 2003; 91: 170-4.
19. Folstein M, Folstein S, McHugh P. "Mini Mental State". A practical method for grading the cognitive state of patients for clinician. J Psychiatr Res 1975; 12: 189-9.
20. Mondimore FM, Damlouji N, Folstein MF, Tune L. Post-ECT confusional states associated with elevated serum anticholinergic levels. Am J Psychiatry 1983; 140: 930-1.
21. Casati A, Aldegheri G, Vinciguerra E, et al. Randomized comparison between sevoflurane anaesthesia and unilateral spinal anaesthesia in elderly patients undergoing orthopaedic surgery. Eur J Anaesthesiol 2003; 20: 640-6.
22. Browner WS, Black D, Newman B, Hulley SB. Estimating sample size and power. In: Hulley, SB, Cummings SR, eds. Designing clinical research - an epidemiologic approach. Baltimore: Williams & Wilkins, 1988; 139-50.
23. Moller JT, Cluitmans P, Rasmussen LS, et al. Long-term postoperative cognitive dysfunction in the elderly: ISPOCD1 study. Lancet 1998; 351: 857-61.
24. Dijkstra JB, Houx PJ, Jolles J. Cognition after major surgery in the elderly: test performance and complaints. Br J Anaesth 1999; 82: 867-74.
25. Austin EH, Edmonds HL, Auden SM, et al. Benefit of neurophysiologic monitoring for pediatric cardiac surgery. J Thorac Cardiovasc Surg 1997; 114: 707-15.
26. Pedersen T, Pedersen D, Moller AM. Pulse oximetry for perioperative monitoring. Cochrane Database Syst Rev 2003; 3:: CD002013.