Monitoring hepatic venous hemoglobin oxygen saturation in patients undergoing liver surgery.

Abstract:

:Hepatic venous oxygen saturation (ShvO2) was continuously monitored in 33 consecutive patients undergoing hepatic lobectomy. Fiberoptic pulmonary artery catheters were inserted into the hepatic vein (HV) and in the pulmonary artery through the right internal jugular vein before anesthetic induction. The success rate and mean time for HV catheterization were 100% and 14 min, respectively. The only complication of the procedure was nonsustained atrial or ventricular arrhythmias. Eighteen patients showed decreases in ShvO2 to less than 30% at skin incision, at temporary cessation of hepatic inflow, and/or at surgical manipulation of the liver. Clinical HV catheterization was easy to accomplish and may be a valuable technique in studying the extent and significance of hepatic ischemia during liver surgery.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Kainuma M,Fujiwara Y,Kimura N,Shitaokoshi A,Nakashima K,Shimada Y

doi

10.1097/00000542-199101000-00009

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

49-52

issue

1

eissn

0003-3022

issn

1528-1175

journal_volume

74

pub_type

杂志文章
  • Anesthesia with Disuse Leads to Autophagy Up-regulation in the Skeletal Muscle.

    abstract:BACKGROUND:It has been known that skeletal muscles show atrophic changes after prolonged sedation or general anesthesia. Whether these effects are due to anesthesia itself or disuse during anesthesia has not been fully clarified. Autophagy dysregulation has been implicated in muscle-wasting conditions. This study teste...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000561

    authors: Kashiwagi A,Hosokawa S,Maeyama Y,Ueki R,Kaneki M,Martyn JA,Yasuhara S

    更新日期:2015-05-01 00:00:00

  • Forebrain HCN1 channels contribute to hypnotic actions of ketamine.

    abstract:BACKGROUND:Ketamine is a commonly used anesthetic, but the mechanistic basis for its clinically relevant actions remains to be determined. The authors previously showed that HCN1 channels are inhibited by ketamine and demonstrated that global HCN1 knockout mice are twofold less sensitive to hypnotic actions of ketamine...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318287b7c8

    authors: Zhou C,Douglas JE,Kumar NN,Shu S,Bayliss DA,Chen X

    更新日期:2013-04-01 00:00:00

  • Signaling pathways involved in desflurane-induced postconditioning in human atrial myocardium in vitro.

    abstract:BACKGROUND:Isoflurane and sevoflurane have been shown to elicit myocardial postconditioning, but the effect of desflurane remain unknown. The authors studied the mechanisms involved in desflurane-induced myocardial postconditioning. METHODS:Contracting isolated human right atrial trabeculae (34 degrees C, stimulation ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31818d6b09

    authors: Lemoine S,Beauchef G,Zhu L,Renard E,Lepage O,Massetti M,Khayat A,Galera P,Gérard JL,Hanouz JL

    更新日期:2008-12-01 00:00:00

  • Anesthetic potencies of isoflurane, halothane, and diethyl ether for various end points of anesthesia.

    abstract::In experiments with rats, the authors compared potency ratios and slopes of dose-effect curves of isoflurane, halothane, and diethyl ether for three end points of anesthesia: loss of righting reflex (RR), abolition of purposeful movement (PM) response to painful stimuli, and abolition of heart rate (HR) response to pa...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198301000-00012

    authors: Kissin I,Morgan PL,Smith LR

    更新日期:1983-01-01 00:00:00

  • Thiopental pharmacodynamics. I. Defining the pseudo-steady-state serum concentration-EEG effect relationship.

    abstract::To assess depth of anesthesia for intravenous anesthetics using clinical stimuli and observed responses, it is necessary to achieve constant serum concentrations of drug that result in constant biophase or central nervous system concentrations. The goal of this investigation was to use a computer-controlled infusion p...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199208000-00002

    authors: Bührer M,Maitre PO,Hung OR,Ebling WF,Shafer SL,Stanski DR

    更新日期:1992-08-01 00:00:00

  • Role of the O-linked β-N-acetylglucosamine in the cardioprotection induced by isoflurane.

    abstract:BACKGROUND:Cardiac protection by volatile anesthetic-induced preconditioning and ischemic preconditioning have similar signaling pathways. Recently, it was reported that augmentation of protein modified with O-linked β-N-acetylglucosamine (O-GlcNAc) contributes to cardiac protection. This study investigated the role of...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31822fcede

    authors: Hirose K,Tsutsumi YM,Tsutsumi R,Shono M,Katayama E,Kinoshita M,Tanaka K,Oshita S

    更新日期:2011-11-01 00:00:00

  • Cardiovascular events in the postanesthesia care unit: contribution of risk factors.

    abstract:BACKGROUND:The purpose of this study was to determine the relationship of four postanesthesia care unit (PACU) cardiovascular events to long-term outcomes (unplanned critical care admission or mortality) and to evaluate the contribution of anesthetic management compared with other perioperative factors in predicting th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199604000-00003

    authors: Rose DK,Cohen MM,DeBoer DP

    更新日期:1996-04-01 00:00:00

  • Lateral position decreases collapsibility of the passive pharynx in patients with obstructive sleep apnea.

    abstract:BACKGROUND:Reduction of nocturnal obstructive events during lateral position in patients with obstructive sleep apnea was previously reported. However, little information is available regarding mechanisms of the improvement and the precise pharyngeal site influenced by the lateral position. The authors tested the hypot...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200210000-00006

    authors: Isono S,Tanaka A,Nishino T

    更新日期:2002-10-01 00:00:00

  • Association between Neuraxial Labor Analgesia and Neonatal Morbidity after Operative Vaginal Delivery.

    abstract:BACKGROUND:Up to 84% of women who undergo operative vaginal delivery receive neuraxial analgesia. However, little is known about the association between neuraxial analgesia and neonatal morbidity in women who undergo operative vaginal delivery. The authors hypothesized that neuraxial analgesia is associated with a redu...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003589

    authors: Butwick AJ,Wong CA,Lee HC,Blumenfeld YJ,Guo N

    更新日期:2021-01-01 00:00:00

  • Comparison of standard polyvinyl chloride tracheal tubes and straight reinforced tracheal tubes for tracheal intubation through different sizes of the Airtraq laryngoscope in anesthetized and paralyzed patients: a randomized prospective study.

    abstract:BACKGROUND:The authors compared the intubation success rate of straight reinforced tracheal tubes emerging from the Airtraq laryngoscope (Prodol Meditec S.A., Vizcaya, Spain) with standard preformed polyvinyl chloride tracheal tubes in anesthetized patients. METHODS:The authors randomly allocated 347 adult patients to...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e3181c0ad5b

    authors: Dimitriou VK,Zogogiannis ID,Douma AK,Pentilas ND,Liotiri DG,Wachtel MS,Karakitsos D

    更新日期:2009-12-01 00:00:00

  • Pharmacokinetics, neuromuscular effects, and biodisposition of 3-desacetylvecuronium (Org 7268) in cats.

    abstract::The pharmacokinetics, biodisposition, and neuromuscular blocking properties of 3-desacetylvecuronium were studied in 17 adult cats. Animals were divided into three groups: five cats with kidney failure induced by bilateral ligation of the renal pedicles, six cats with galactosamine-induced fulminant hepatitis, and six...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199106000-00013

    authors: Segredo V,Shin YS,Sharma ML,Gruenke LD,Caldwell JE,Khuenl-Brady KS,Agoston S,Miller RD

    更新日期:1991-06-01 00:00:00

  • Preanesthetic train-of-four fade predicts the atracurium requirement of myasthenia gravis patients.

    abstract:BACKGROUND:The most sensitive diagnostic criterion of myasthenia gravis is a decrement in the muscular response to repetitive stimulation. The authors hypothesized that myasthenia gravis patients who show a train-of-four ratio (T4/T1) < 0.9 in the preanesthetic period will have increased sensitivity to nondepolarizing ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200008000-00011

    authors: Mann R,Blobner M,Jelen-Esselborn S,Busley R,Werner C

    更新日期:2000-08-01 00:00:00

  • Effect of oxygen treatment on heart rate after abdominal surgery.

    abstract:BACKGROUND:Cardiac complications are common during the postoperative period and may be associated with hypoxemia and tachycardia. Preliminary studies in high-risk patients after operation have shown a possible beneficial effect of oxygen therapy on arterial oxygen saturation and heart rate. METHODS:The authors studied...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199902000-00008

    authors: Rosenberg-Adamsen S,Lie C,Bernhard A,Kehlet H,Rosenberg J

    更新日期:1999-02-01 00:00:00

  • Postoperative Delirium Is Associated with Long-term Decline in Activities of Daily Living.

    abstract:BACKGROUND:Postoperative delirium is one of the most common complications in the elderly surgical population. However, its long-term outcomes remain largely to be determined. Therefore a prospective cohort study was conducted to determine the association between postoperative delirium and long-term decline in activitie...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002849

    authors: Shi Z,Mei X,Li C,Chen Y,Zheng H,Wu Y,Zheng H,Liu L,Marcantonio ER,Xie Z,Shen Y

    更新日期:2019-09-01 00:00:00

  • Effects of blood glucose changes and physostigmine on anesthetic requirements of halothane in rats.

    abstract:BACKGROUND:Although hyper- and hypoglycemia induce neurophysiologic changes, there have been no reports on the effects of blood glucose changes on anesthetic requirements. This study examined the effects of hyper- and hypoglycemia on the minimum alveolar concentration (MAC) of halothane in rats. In addition, based on a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199708000-00023

    authors: Ishizawa Y,Ohta S,Shimonaka H,Dohi S

    更新日期:1997-08-01 00:00:00

  • Perioperative β-blockade: atenolol is associated with reduced mortality when compared to metoprolol.

    abstract:BACKGROUND:The Atenolol study of 1996 provided evidence that perioperative β-blockade reduced postsurgical mortality. In 1998, the indications for perioperative β-blockade were codified as the Perioperative Cardiac Risk Reduction protocol and implemented at the San Francisco Veterans Affairs Medical Center. The current...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3182110e83

    authors: Wallace AW,Au S,Cason BA

    更新日期:2011-04-01 00:00:00

  • Pulmonary shunting during alveolar hypoventilation in the dog.

    abstract::Pulmonary shunting (Qs/Qt) was measured in 16 anesthetized and paralyzed healthy beagle puppies during a control period when the end-expired CO2 concentration was 5 per cent and during alveolar hypoventilation, when the PaCO2 increased to 100 plus or minus 13 torr (mean plus or minus SE) and the ;Ha vecame 7.04 plus o...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197504000-00014

    authors: Stone JG,Sullivan SF

    更新日期:1975-04-01 00:00:00

  • Effects of thoracic epidural anesthesia with and without autonomic nervous system blockade on cardiac monophasic action potentials and effective refractoriness in awake dogs.

    abstract:BACKGROUND:The effects of thoracic epidural anesthesia (TEA) on myocardial repolarization and arrhythmogenicity are only incompletely understood. This is primarily because of the lack of appropriate experimental models. In most of the studies performed thus far, TEA was used in anesthetized animals. Baseline anesthesia...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200107000-00023

    authors: Meissner A,Eckardt L,Kirchhof P,Weber T,Rolf N,Breithardt G,Van Aken H,Haverkamp W

    更新日期:2001-07-01 00:00:00

  • Influence of hypertension on MAC of halothane in rats.

    abstract::This study was designed to assess the relationship between MAC and hypertension. To this purpose, MAC of halothane was determined in fully inbred spontaneously hypertensive rats (SHR) and Wistar Kyoto rats (WKY). Because MAC determination was performed in animals whose lungs were mechanically ventilated, the adequacy ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199005000-00013

    authors: Wouters P,Doursout MF,Merin RG,Chelly JE

    更新日期:1990-05-01 00:00:00

  • Anesthetics and mild hypothermia similarly prevent hippocampal neuron death in an in vitro model of cerebral ischemia.

    abstract:BACKGROUND:General anesthetics reduce neuron loss following focal cerebral ischemia in rodents. The relative efficacy of this action among different anesthetics clinically used for neuroprotection is uncertain. In addition, it remains unclear how anesthetics compare to neuroprotection afforded by mild hypothermia. This...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200005000-00024

    authors: Popovic R,Liniger R,Bickler PE

    更新日期:2000-05-01 00:00:00

  • Factors associated with postoperative exacerbation of sleep-disordered breathing.

    abstract:INTRODUCTION:The knowledge on the mechanism of the postoperative exacerbation of sleep-disordered breathing may direct the perioperative management of patients with obstructive sleep apnea. The objective of this study is to investigate the factors associated with postoperative severity of sleep-disordered breathing. M...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000041

    authors: Chung F,Liao P,Elsaid H,Shapiro CM,Kang W

    更新日期:2014-02-01 00:00:00

  • Efficacy of tactile-guided reversal from cisatracurium-induced neuromuscular block.

    abstract:BACKGROUND:Because tactile evaluation is the most common form of clinical neuromuscular monitoring, this study examines the relative efficacy of antagonizing residual block at different levels of recovery of the tactile train-of-four (TOF) response. METHODS:Anesthesia was induced in 64 adults with 2-5 microg/kg fentan...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200201000-00013

    authors: Kirkegaard H,Heier T,Caldwell JE

    更新日期:2002-01-01 00:00:00

  • Learning curves for bag-and-mask ventilation and orotracheal intubation: an application of the cumulative sum method.

    abstract:BACKGROUND:In this study, the authors determined the success and failure rates for interns learning bag-and-mask ventilation and orotracheal intubation. Their goal was to determine the amount of experience needed to perform these procedures correctly. METHODS:The authors recorded 695 bag-and-mask ventilations and 679 ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181d96779

    authors: Komatsu R,Kasuya Y,Yogo H,Sessler DI,Mascha E,Yang D,Ozaki M

    更新日期:2010-06-01 00:00:00

  • Addition of sodium bicarbonate to lidocaine decreases the duration of peripheral nerve block in the rat.

    abstract:BACKGROUND:Adding sodium bicarbonate to lidocaine to enhance its efficacy during peripheral nerve block is controversial. The authors studied the effect of adding sodium bicarbonate to lidocaine with and without epinephrine versus equivalent alkalinization by sodium hydroxide (NaOH) on onset, degree, and duration of pe...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200010000-00028

    authors: Sinnott CJ,Garfield JM,Thalhammer JG,Strichartz GR

    更新日期:2000-10-01 00:00:00

  • Alterations in the functional connectivity of frontal lobe networks preceding emergence delirium in children.

    abstract:BACKGROUND:This study aimed to characterize the electroencephalogram in children who emerged with emergence delirium (ED) compared with children without ED using methods that involved the assessment of cortical functional connectivity. METHODS:Children aged 5 to 15 yr had multichannel electroencephalographic recording...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000376

    authors: Martin JC,Liley DT,Harvey AS,Kuhlmann L,Sleigh JW,Davidson AJ

    更新日期:2014-10-01 00:00:00

  • Effect of infusion rate on thiopental dose-response relationships. Assessment of a pharmacokinetic-pharmacodynamic model.

    abstract:BACKGROUND:The rate of administration of an intravenous anesthetic induction agent is an important variable determining the total dose required to reach a given endpoint, such as loss of consciousness (LOC). The influence of infusion rate on the dose-response relationship has not been described rigorously. In this stud...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Gentry WB,Krejcie TC,Henthorn TK,Shanks CA,Howard KA,Gupta DK,Avram MJ

    更新日期:1994-08-01 00:00:00

  • Bayesian modeling of muscle biopsy contracture testing for malignant hyperthermia susceptibility.

    abstract:BACKGROUND:Phenotyping malignant hyperthermia (MH) by contracture testing has a low but quantifiable degree of inaccuracy, measured by its sensitivity and specificity. Quantifying the limitations inherent in diagnostic testing for MH can help resolve issues in clinical practice, such as the interpretation of a negative...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199803000-00007

    authors: Loke JC,MacLennan DH

    更新日期:1998-03-01 00:00:00

  • A comparison of the effects of halothane and tetrodotoxin on the regional repolarization characteristics of canine Purkinje fibers.

    abstract::The effects of halothane, tetrodotoxin (TTX), veratridine (VTD), and alterations of extracellular calcium ion concentration [Ca++]0) on regional differences of canine Purkinje fiber action potential duration (APD50 and APD90) were investigated in vitro at a paced rate of 75 beats per min. Under control conditions (n =...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199012000-00014

    authors: Turner LA,Marijic J,Kampine JP,Bosnjak ZJ

    更新日期:1990-12-01 00:00:00

  • Ketamine Alters Hippocampal Cell Proliferation and Improves Learning in Mice after Traumatic Brain Injury.

    abstract:WHAT WE ALREADY KNOW ABOUT THIS TOPIC:WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Traumatic brain injury induces cellular proliferation in the hippocampus, which generates new neurons and glial cells during recovery. This process is regulated by N-methyl-D-aspartate-type glutamate receptors, which are inhibite...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002197

    authors: Peters AJ,Villasana LE,Schnell E

    更新日期:2018-08-01 00:00:00

  • The incidence of pneumocephalus after supratentorial craniotomy. Observations on the disappearance of intracranial air.

    abstract:BACKGROUND:Pneumocephalus occurs in a variety of clinical settings and has important anesthetic implications, particularly if N2O is used. One common cause of pneumocephalus is a craniotomy or craniectomy, and therefore, patients undergoing these neurosurgical procedures may be at increased risk for the development of ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199405000-00009

    authors: Reasoner DK,Todd MM,Scamman FL,Warner DS

    更新日期:1994-05-01 00:00:00