Differential increases in blood flow velocity in the middle cerebral artery after tourniquet deflation during sevoflurane, isoflurane or propofol anaesthesia

Anaesthesia and Intensive Care

Volumn 37, Issue 4, 2009, Pages 598-603

  Kadoi, Y ^a   Kawauchi, C H ^a   Ide, M ^a   Saito, S ^a   Mizutani, A ^a,b  

^a GUNMA UNIVERSITY HOSPITAL   (Japan)

^b OITA UNIVERSITY   (Japan)

Author keywords

Cerebral blood flow velocity; Orthopaedic; Propofol; Tourniquet; Volatile anaesthetics

Indexed keywords

ISOFLURANE; PROPOFOL; SEVOFLURANE;

ARTERIAL GAS; ARTERIAL PRESSURE; ARTICLE; BISPECTRAL INDEX; BLOOD FLOW VELOCITY; BRAIN ARTERY; CARBON DIOXIDE TENSION; CLINICAL ARTICLE; CONTROLLED STUDY; DRUG BLOOD LEVEL; HEART RATE; HUMAN; ORTHOPEDIC SURGERY; TIDAL VOLUME; TOURNIQUET;

EID: 67649658066     PISSN: 0310057X     EISSN: None     Source Type: Journal    
DOI: 10.1177/0310057x0903700412     Document Type: Article

References (27)

1. Lynn AM, Fischer T, Brandford HG, Pendergrass TW. Systemic responses to tourniquet release in children. Anesth Analg 1986; 65:865-872. (Pubitemid 16046047)
2. Kadoi Y, Ide M, Saito S, Shiga T, Ishizaki K, Goto F. Hyperventilation after tourniquet deflation prevents an increase in cerebral blood flow velocity. Can J Anesth 1999; 46:259-264. (Pubitemid 29198132)
3. Hirst RP, Slee TA, Lam AM. Changes in cerebral blood flow velocity after release of intraoperative tourniquets in humans: a transcranial Doppler study. Anesth Analg 1990; 71:503-510. (Pubitemid 20380599)
4. Brian JE. Carbon dioxide and the cerebral circulation. Anesthesiology 1998; 88:1365-1386. (Pubitemid 28216882)
5. Nishiyama T, Matsukawa T, Yokoyama T, Hanaoka K. Cerebrovascular carbon dioxide reactivity during general anesthesia: a comparison between sevoflurane and isoflurane. Anesth Analg 1999; 89:1437-1441.
6. Kadoi Y, Saito S, Takahashi K. The comparative effects of sevoflurane versus isoflurane on cerebrovascular carbon dioxide reactivity in patients with hypertension. Acta Anaesthesiol Scand 2007; 51:1382-1387. (Pubitemid 47609500)
7. Kadoi Y, Takahashi K, Saito S, Goto F. Comparative effects of sevoflurane versus isoflurane on cerebrovascular carbon dioxide reactivity in patients with diabetes mellitus. Anesth Analg 2006; 103:168-172. (Pubitemid 44036053)
8. Hinohara H, Kadoi Y, Takahashi K, Saito S, Goto F. Differential effects of propofol on cerebrovascular carbon dioxide reactivity between elderly and young subjects. J Clin Anesth 2005; 17:85-90. (Pubitemid 40462224)
9. 2 reactivity in humans. Anesthesiology 1992; 77:872-879.
10. Fox J, Gelb AW, Enns J, Murkin JM, Farrar JK, Manninen PH. The responsiveness of cerebral blood flow to changes in arterial carbon dioxide is maintained during propofol-nitrous oxide anesthesia in humans. Anesthesiology 1992; 77:453-456.
11. Myburgh JA, Upton RN, Ludbrook GL, Martinez A, Grant C. Cerebrovascular carbon dioxide reactivity in sheep: effect of propofol or isoflurane anaesthesia. Anaesth Intensive Care 2002; 30:413-421. (Pubitemid 34855054)
12. Matta BF, Lam AM, Strebel S, Mayberg TS. Cerebral pressure autoregulation and carbon dioxide reactivity during propofol-induced EEG suppression. Br J Anaesth 1995; 74:159-163.
13. Van Hemelrijck J, Fitch W, Mattheussen M, Van Aken H, Plets C, Lauwers T. Effect of propofol on cerebral circulation and autoregulation in the baboon. Anesth Analg 1990; 71:49-54. (Pubitemid 20380569)
14. Kadoi Y, Hinohara H, Kunimoto F, Saito S, Ide M, Hiraoka H et al. Diabetic patients have an impaired cerebral vasodilatory response to hypercapnia under propofol anesthesia. Stroke 2003; 34:2399-2403. (Pubitemid 37221950)
15. Kadoi Y, Goto F. Effects of nicardipine-induced hypotension on cerebrovascular carbon dioxide reactivity in patients with diabetes mellitus under sevoflurane anesthesia. J Anesth 2007; 21:125-130. (Pubitemid 46692001)
16. Conaty KR, Klemm MS. Severe increase of intracranial pressure after deflation of a pneumatic tourniquet. Anesthesiology 1989; 71:294-295. (Pubitemid 19203347)
17. Eldridge PR, Williams S. Effect of limb tourniquet on cerebral perfusion pressure in a head-injured patient. Anaesthesia 1989; 44:973-974. (Pubitemid 20045403)
18. Summors AC, Gupta AK, Matta BF. Dynamic cerebral autoregulation during sevoflurane anesthesia: a comparison with isoflurane. Anesth Analg 1999; 88:341-345. (Pubitemid 29070195)
19. McPherson RW, Brian JE, Traystman RJ. Cerebrovascular responsiveness to carbon dioxide in dogs with 1.4% and 2.8% isoflurane. Anesthesiology 1989; 70:843-850. (Pubitemid 19129043)
20. Lundar T, Lindegaard KF, Refsum L. Cerebrovascular effects of isoflurane in man. Br J Anaesth 1987; 59:1208-1213.
21. Olsen KS, Henriksen L, Owen-Falkengerg A, Dige-Peterson H, Rosenorn J, Chraemmer-Jorgensen B. Effect of 1 or 2 MAC isoflurane with or without keternserin on cerebral blood flow autoregulation in man. Br J Anaesth 1994; 72:66-71. (Pubitemid 24023566)
22. Gupta S, Heath K, Matta BF. Effect of incremental doses of sevoflurane on cerebral pressure autoregulation in humans. Br J Anaesth 1997; 79:469-472. (Pubitemid 27423325)
23. Scheller MS, Nakakimura K, Fleischer JE, Zornow MH. Cerebral effects of sevoflurane in the dog: comparison with isoflurane and enflurane. Br J Anaesth 1990; 65:388-392. (Pubitemid 20275626)
24. Kitaguchi K, Ohsumi H, Kuro M, Nakajima T, Hayashi Y. Effects of sevoflurane on cerebral circulation and metabolism in patients with ischemic cerebrovascular disease. Anesthesiology 1993; 79:704-709. (Pubitemid 23296700)
25. McCulloch TJ, Visco E, Lam A. Graded hypercapnia and cerebral autoregulation during sevoflurane or propofol anesthesia. Anesthesiology 2000; 93:1205-1209. (Pubitemid 30822833)
26. Harper AM. Autoregulation of cerebral blood flow: influence of the arterial blood pressure on the blood flow through the cerebral cortex. J Neurol Neurosurg Psychiatr 1966; 29:398-403.
27. Lam AM, Mayberg TS, Eng CC, Cooper JO, Bachenberg KL, Mathisen TL. nitrous oxide-isoflurane anesthesia causes more cerebral vasodilation than an equipotent dose of isoflurane in humans. Anesth Analg 1994; 78:462-468. (Pubitemid 24079366)