Cerebral haemodynamic physiology during steep Trendelenburg position and CO2 pneumoperitoneum

British Journal of Anaesthesia

Volumn 108, Issue 3, 2012, Pages 478-484

  Kalmar, A F ^a,b   Dewaele, F ^c   Foubert, L ^b   Hendrickx, J F ^b   Heeremans, E H ^a   Struys, M M R F ^a   Absalom, A ^a  

^a UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^b OLV HOSPITAL   (Belgium)

^c GHENT UNIVERSITY HOSPITAL   (Belgium)

Author keywords

arteries, cerebral; brain, intracranial pressure; measurement techniques, flow velocity waveform analysis, cerebral blood flow; surgery, urological

Indexed keywords

CARBON DIOXIDE;

ADULT; AGED; ARTERIAL PRESSURE; ARTICLE; BODY POSITION; BRAIN BLOOD FLOW; BRAIN HEMODYNAMICS; BRAIN PERFUSION PRESSURE; CALCULATION; CARDIOVASCULAR PARAMETERS; CENTRAL VENOUS PRESSURE; CLINICAL ARTICLE; DOPPLER FLOWMETRY; ENDOSCOPIC SURGERY; GENERAL ANESTHESIA; HEMODYNAMICS; HUMAN; LINEAR REGRESSION ANALYSIS; MALE; MEASUREMENT; PERFUSION PRESSURE; PNEUMOPERITONEUM; PRIORITY JOURNAL; PROSTATECTOMY; PULSATILITY INDEX; RESISTANCE INDEX; ROBOTICS; STEEP TRENDELENBURG POSITION; VALIDITY; WAVEFORM; ZERO FLOW PRESSURE;

EID: 84857299401     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aer448     Document Type: Article

References (19)

1. Menon M, Shrivastava A, Tewari A. Laparoscopic radical prostatectomy: conventional and robotic. Urology 2005; 66: 101-4 (Pubitemid 41356566)
2. Guru KA, Kim HL, Piacente PM, Mohler JL. Robot-assisted radical cystectomy and pelvic lymph node dissection: initial experience at Roswell Park Cancer Institute. Urology 2007; 69: 469-74 (Pubitemid 46428382)
3. Munis JR, Lozada LJ. Giraffes, siphons, and starling resistors. Cerebral perfusion pressure revisited. J Neurosurg Anesthesiol 2000; 12: 290-6 (Pubitemid 30456523)
4. Burton AC. On the physical equilibrium of small blood vessels. Am J Physiol 1951; 164: 319-29
5. Moppett IK, Mahajan RP. Transcranial Doppler ultrasonography in anaesthesia and intensive care. Br J Anaesth 2004; 93: 710-24 (Pubitemid 39445554)
6. Czosnyka M, Smielewski P, Piechnik S, et al. Critical closing pressure in cerebrovascular circulation. J Neurol Neurosurg Psychiatry 1999; 66: 606-11 (Pubitemid 29186966)
7. Schmidt EA, Czosnyka M, Gooskens I, et al. Preliminary experience of the estimation of cerebral perfusion pressure using transcranial Doppler ultrasonography. J Neurol Neurosurg Psychiatry 2001; 70: 198-204 (Pubitemid 32127857)
8. Gosling RG, King DH. Arterial assessment by Doppler-shift ultrasound. Proc Roy Soc Med 1974; 67: 447-9
9. Ursino M, Giulioni M, Lodi CA. Relationships among cerebral perfusion pressure, autoregulation, and transcranial Doppler waveform: a modeling study. J Neurosurg 1998; 89: 255-66 (Pubitemid 28346145)
10. Kalmar AF, Foubert L, Hendrickx JF, et al. Influence of steep Trendelenburg position and CO2 pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy. Br J Anaesth 2010; 104: 433-9
11. Aaslid R, Lindegaard KF, Sorteberg W, Nornes H. Cerebral autoregulation dynamics in humans. Stroke 1989; 20: 45-52 (Pubitemid 19040212)
12. Buffi N, Mottrie A, Lughezzani G, et al. Surgery illustrated-surgical atlas. Robotic radical cystectomy in the male. BJU Int 2009; 104: 726-45
13. Aldrete JA, Kroulik D. A postanesthetic recovery score. Anesth Analg 1970; 49: 924-34
14. Thees C, Scholz M, Schaller MDC, et al. Relationship between intracranial pressure and critical closing pressure in patients with neurotrauma. Anesthesiology 2002; 96: 595-9 (Pubitemid 34193498)
15. Belfort MA, Saade GR, Yared M, et al. Change in estimated cerebral perfusion pressure after treatment with nimodipine or magnesium sulfate in patients with preeclampsia. Am J Obstet Gynecol 1999; 181: 402-7 (Pubitemid 29409922)
16. Levick JR, Michel CC. Microvascular fluid exchange and the revised Starling principle. Cardiovasc Res 2010; 87: 198-210
17. Weyland A, Buhre W, Grund S, et al. Cerebrovascular tone rather than intracranial pressure determines the effective downstream pressure of the cerebral circulation in the absence of intracranial hypertension. J Neurosurg Anesthesiol 2000; 12: 210-6 (Pubitemid 30456513)
18. Choi SH, Lee SJ, Rha KH, Shin SK, Oh YJ. The effect of pneumoperitoneum and Trendelenburg position on acute cerebral blood flow-carbon dioxide reactivity under sevoflurane anaesthesia. Anaesthesia 2008; 63: 1314-8
19. Huettemann E, Terborg C, Sakka SG, Petrat G, Schier F, Reinhart K. Preserved CO2 reactivity and increase in middle cerebral arterial blood flow velocity during laparoscopic surgery in children. Anesth Analg 2002; 94: 255-8 (Pubitemid 34106811)