The comparative effects of equipotent Bispectral Index dosages of propofol and sevoflurane on cerebrovascular carbon dioxide reactivity in elderly patients

Journal of Clinical Anesthesia

Volumn 21, Issue 3, 2009, Pages 173-177

  Kadoi, Yuji ^a   Kawauchi, Chikara ^a   Saito, Shigeru ^a   Takahashi, Kenichiro ^b  

^a GUNMA UNIVERSITY HOSPITAL   (Japan)

^b Tone Central Hospital   (Japan)

Author keywords

Cerebrovascular CO2 reactivity; Elderly patients; Geriatrics; Propofol; Sevoflurane; Transcranial doppler sonography

Indexed keywords

CARBON DIOXIDE; FENTANYL; NITROUS OXIDE; OXYGEN; PROPOFOL; SEVOFLURANE; VECURONIUM;

AGED; ANESTHESIA; ARTICLE; BISPECTRAL INDEX; BLOOD FLOW VELOCITY; BLOOD PRESSURE; BRAIN CIRCULATION; CARBON DIOXIDE TENSION; CLINICAL ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTINUOUS INFUSION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOPPLER ECHOGRAPHY; DRUG EFFECT; ELDERLY CARE; HEART SURGERY; HUMAN; HYPERCAPNIA; MIDDLE CEREBRAL ARTERY; ORTHOPEDIC SURGERY; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; THORAX SURGERY;

AGED; ANESTHETICS, INHALATION; ANESTHETICS, INTRAVENOUS; CARBON DIOXIDE; CEREBROVASCULAR CIRCULATION; DOSE-RESPONSE RELATIONSHIP, DRUG; HOSPITALS, UNIVERSITY; HUMANS; HYPERCAPNIA; METHYL ETHERS; MONITORING, INTRAOPERATIVE; PROPOFOL; PROSPECTIVE STUDIES; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 65649114415     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2008.06.036     Document Type: Article

References (28)

1. Kitaguchi K., Ohsumi H., Kuro M., Nakajima T., and Hayashi Y. Effects of sevoflurane on cerebral circulation and metabolism in patients with ischemic cerebrovascular disease. Anesthesiology 79 (1993) 704-709
2. McPherson R.W., Brian J.E., and Traystman R.J. Cerebrovascular responsiveness to carbon dioxide in dogs with 1.4% and 2.8% isoflurane. Anesthesiology 70 (1989) 843-850
3. Nishiyama T., Matsukawa T., Yokoyama T., and Hanaoka K. Cerebrovascular carbon dioxide reactivity during general anesthesia: a comparison between sevoflurane and isoflurane. Anesth Analg 89 (1999) 1437-1441
4. Summors A.C., Gupta A.K., and Matta B.F. Dynamic cerebral autoregulation during sevoflurane anesthesia: a comparison with isoflurane. Anesth Analg 88 (1999) 341-345
5. Muravchick S. Nervous system aging. In: McLeskey C.H. (Ed). Geriatric anesthesiology (1997), Williams & Wilkins, Baltimore 29-41
6. Hartl W.H., and Furst H. Application of transcranial Doppler sonography to evaluate cerebral hemodynamics in carotid artery disease. Comparative analysis of different hemodynamic variables. Stroke 26 (1995) 2293-2297
7. Hinohara H., Kadoi Y., Takahashi K., Saito S., and Goto F. Differential effects of propofol on cerebrovascular carbon dioxide reactivity in elderly versus young subjects. J Clin Anesth 17 (2005) 85-90
8. Kadoi Y., Hinohara H., Kunimoto F., et al. Diabetic patients have an impaired cerebral vasodilatory response to hypercapnia under propofol anesthesia. Stroke 34 (2003) 2399-2403
9. Hinohara H., Kadoi Y., Takahashi K., Saito S., and Goto F. Cerebrovascular carbon dioxide reactivity in patients with former stroke under propofol anesthesia. J Clin Anesth 16 (2004) 483-487
10. Kadoi Y., Ide M., Saito S., Shiga T., Ishizaki K., and Goto F. Hyperventilation after tourniquet deflation prevents an increase in cerebral blood flow velocity. Can J Anaesth 46 (1999) 259-264
11. Matta B.F., Lam A.M., Strebel S., and Mayberg T.S. Cerebral pressure autoregulation and carbon dioxide reactivity during propofol-induced EEG suppression. Br J Anaesth 74 (1995) 159-163
12. Myburgh J.A., Upton R.N., Ludbrook G.L., Martinez A., and Grant C. Cerebrovascular carbon dioxide reactivity in sheep: effect of propofol and isoflurane anesthesia. Anaesth Intensive Care 30 (2002) 413-421
13. Nishiyama T., Sugai N., and Hanaoka K. Cerebrovascular CO2 reactivity in elderly and younger adult patients during sevoflurane anesthesia. Can J Anaesth 44 (1997) 160-164
14. Rowney D.A., Fairgrieve R., and Bissonnette B. Cerebrovascular carbon dioxide reactivity in children anesthetized with sevoflurane. Br J Anaesth 88 (2002) 357-361
15. Watts A.D., Eliasziw M., and Gelb A.W. Propofol and hyperventilation for the treatment of increased intracranial pressure in rabbit. Anesth Analg 87 (1998) 564-568
16. Matta B.F., Heath K.I., Tipping K., and Summors A.C. Direct cerebral vasodilatory effects of sevoflurane and isoflurane. Anesthesiology 91 (1999) 677-680
17. Yamamoto M., Meyer J.S., Sakai F., and Yamaguchi F. Aging and cerebral vasodilator responses to hypercarbia: responses in normal aging and in persons with risk factors for stroke. Arch Neurol 37 (1980) 489-496
18. Kessler C., Junge H.M., Walker M.L., Busack R., Albrecht D.M., and Ackeren K.V. Reduced cerebral vasomotor reactivity as an indicator of postoperative confusion. Anaesthesia 52 (1997) 433-437
19. Lipsitz L.A., Mukai S., Hamner J., Gagnon M., and Babikian V. Dynamic regulation of middle cerebral artery blood flow velocity in aging and hypertension. Stroke 31 (2000) 1897-1903
20. Lam A.M., Mayberg T.S., Eng C.C., Cooper J.O., Bachenberg K.L., and Mathisen T.L. Nitrous oxide-isoflurane anesthesia causes more cerebral vasodilation than an equipotent dose of isoflurane in humans. Anesth Analg 78 (1994) 462-468
21. Eng C., Lam A.M., Mayberg T.S., Lee C., and Mathisen T. The influence of propofol with and without nitrous oxide on cerebral flow velocity and CO2 reactivity in humans. Anesthesiology 77 (1992) 872-879
22. Fox J., Gelb A.W., Enns J., Murkin J.M., Farrar J.K., and Manninen P.H. The responsiveness of cerebral blood flow to changes in arterial carbon dioxide is maintained during propofol-nitrous oxide anesthesia in humans. Anesthesiology 77 (1992) 453-456
23. Brian J.E. Carbon dioxide and the cerebral circulation. Anesthesiology 88 (1998) 1365-1386
24. Cenic A., Craen R.A., Howard-Lech V.L., et al. Cerebral blood volume and blood flow at varying arterial carbon dioxide tension levels in rabbits during propofol anesthesia. Anesth Analg 90 (2000) 1376-1383
25. McCulloch T.J., Boesel T.W., and Lam A.M. The effect of hypocapnia on the autoregulation of cerebral blood flow during administration of isoflurane. Anesth Analg 100 (2005) 1463-1467
26. Kadoi Y., Saito S., and Takahashi K. The comparative effects of sevoflurane versus isoflurane on cerebrovascular carbon dioxide reactivity in patients with hypertension. Acta Anaesthesiol Scand 51 (2007) 1382-1387
27. Kadoi Y., and Goto F. Effects of nicardipine-induced hypotension on cerebrovascular carbon dioxide reactivity in patients with diabetes mellitus under sevoflurane anesthesia. J Anesth 21 (2007) 125-130
28. Kawaguchi M., Furuya H., Kurehara K., and Yamada M. Effects of nicardipine on cerebral vascular responses to hypocapnia and blood flow velocity in the middle cerebral artery. Stroke 22 (1991) 1170-1172