Abstract:
:The mesenteric traction syndrome (MTS) is associated with prostacyclin (PGI2) facilitated systemic vasodilatation during surgery and is identified by facial flushing. We hypothesized that severe facial flushing would be related to the highest concentrations of plasma PGI2 and accordingly to the highest levels of skin blood flow measured by laser speckle contrast imaging (LSCI). Patients scheduled for major upper abdominal surgery were consecutively included. Within the first hour of the procedure, facial flushing was scored according to a standardized scale, and skin blood flow (LSPU) was continuously measured on the forehead and the cheeks by LSCI. Arterial blood samples for 6-keto-PGF1α (stable metabolite of PGI2) and hemodynamic variables were obtained at defined time points. Overall, 66 patients were included. After 15 min of surgery, patients with severe flushing demonstrated the highest plasma 6-keto-PGF1α concentration and the most significant decrease in systemic vascular resistance. Accordingly, the skin blood flow on the forehead (238 [201-372] to 562 LSPU [433-729]) and the cheeks (341 [239-355] to 624 LSPU [468-917]) increased and were significantly higher than for patients with moderate or no flushing (both, P = 0.04). A cut-off value for skin blood flow could be defined for both the cheeks and the forehead for patients with severe flushing vs. no flushing (425/456 LSPU, sensitivity 75/76% and specificity 80/85%). MTS is linked to an increase in facial skin blood flow during upper gastrointestinal surgery. By applying LSCI, it is possible to quantitatively register facial blood flow, and thereby provide an objective tool for intraoperative verification of MTS.
journal_name
J Clin Monit Computjournal_title
Journal of clinical monitoring and computingauthors
Ring LL,Strandby RB,Henriksen A,Ambrus R,Sørensen H,Gøtze JP,Svendsen LB,Achiam MPdoi
10.1007/s10877-018-0226-0subject
Has Abstractpub_date
2019-10-01 00:00:00pages
903-910issue
5eissn
1387-1307issn
1573-2614pii
10.1007/s10877-018-0226-0journal_volume
33pub_type
杂志文章abstract:OBJECTIVE:Transcranial Motor Evoked Potentials (TcMEPs) are sometimes used during lumbar spine surgery in order to detect and prevent an intraoperative nerve root injury. Typically, a fixed stimulus is applied, and one monitors for changes in response amplitude from several myotomes. Increased stimulating voltage may o...
journal_title:Journal of clinical monitoring and computing
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doi:10.1007/s10877-010-9269-6
更新日期:2010-12-01 00:00:00
abstract::The recently developed technique for measuring cutaneous mitochondrial oxygen tension (mitoPO2) by means of the Protoporphyrin IX-Triplet State Lifetime Technique (PpIX-TSLT) provides new opportunities for assessing mitochondrial function in vivo. The aims of this work were to study whether cutaneous mitochondrial mea...
journal_title:Journal of clinical monitoring and computing
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doi:10.1007/s10877-014-9628-9
更新日期:2015-08-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章,随机对照试验
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更新日期:2018-04-01 00:00:00
abstract::Bioreactance is a novel non-invasive method for cardiac output measurement that involves the analysis of blood flow-dependent changes in the phase shifts of electrical currents applied across the chest. The present study (1) compared resting and exercise cardiac outputs determined by bioreactance and bioimpedance meth...
journal_title:Journal of clinical monitoring and computing
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更新日期:2012-04-01 00:00:00
abstract::Mechanically ventilated patients with ARDS due to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) seem particularly susceptible to AKI. Our hypothesis was that the renal blood flow could be more compromised in SARS-CoV-2 patients than in patients with "classical" ARDS. We compared the renal resistivit...
journal_title:Journal of clinical monitoring and computing
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更新日期:2021-01-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
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doi:10.1007/s10877-016-9902-0
更新日期:2018-08-01 00:00:00
abstract::Although a laparoscopic approach may be preferred over open procedures for abdominal surgery, there are limited data on the effect of laparoscopic procedures on cerebral and renal oxygenation in neonates and young infants. Here, we evaluated the effect in neonates and infants. In this two-center prospective observatio...
journal_title:Journal of clinical monitoring and computing
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更新日期:2020-08-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 临床试验,杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
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更新日期:2006-06-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
doi:10.1007/s10877-005-9005-9
更新日期:2006-04-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
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更新日期:2005-12-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
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更新日期:1999-12-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
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更新日期:2015-02-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
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更新日期:2017-06-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10877-014-9585-3
更新日期:2015-02-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
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doi:10.1007/s10877-013-9499-5
更新日期:2014-02-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
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更新日期:2002-02-01 00:00:00
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更新日期:2000-01-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
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journal_title:Journal of clinical monitoring and computing
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更新日期:2020-10-12 00:00:00
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journal_title:Journal of clinical monitoring and computing
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更新日期:2017-02-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
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更新日期:2010-06-01 00:00:00
abstract::The American Society of Neurophysiological Monitoring (ASNM) is developing position statements aimed at assisting practitioners and others in making decisions regarding neurophysiological monitoring practice. This paper describes the procedures used in drafting these documents. ...
journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
doi:10.1007/s10877-005-9000-1
更新日期:2006-02-01 00:00:00
abstract::It remains to be discovered whether a formula predicting the subglottic transverse diameter measured by ultrasound (SGDformula) for the selection of an appropriate endotracheal tube (ETT) for children without congenital heart disease (CHD) is useful for children with CHD. A formula for predicting SGD was established a...
journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
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更新日期:2019-08-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
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更新日期:2020-06-01 00:00:00
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journal_title:Journal of clinical monitoring and computing
pub_type: 临床试验,杂志文章
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更新日期:2004-08-01 00:00:00
abstract::The American Society of Anesthesiologist recommends peripheral physiological monitoring during general anesthesia, which offers no information regarding the effects of anesthetics on the brain. Since no "gold standard" method exists for this evaluation, such a technique is needed to ensure patient comfort, procedure q...
journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
doi:10.1007/s10877-017-9998-x
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:Describe reproducibility of a measurement method to investigate deficits in eye-head co-ordination. METHODS:Combined recordings of head and eye rotation using wireless motion sensors and electro-oculography (EOG) were used as an initial step towards a method to quantify eye-head co-ordination deficits. Head ...
journal_title:Journal of clinical monitoring and computing
pub_type: 杂志文章
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更新日期:2009-02-01 00:00:00