Effect of cerebral venous congestion on the pressure-volume index in the evaluation of intracranial pressure dynamics.

Abstract:

:Translocation of cerebrospinal fluid (CSF) between the intracranial and spinal subarachnoid space was blocked by ligating the cervical spinal core in eight cats under pentobarbital and nitrous oxide anesthesia, and the effects of cerebral venous congestion on the pressure-volume index (PVI), a measure relating the change in intracranial volume, and the logarithm of intracranial pressure (ICP) were evaluated. The changes in the volume-pressure response (VPR), a measure of intracranial elastance, were calculated simultaneously. Cerebral venous congestion was induced by lowering the head relative to the level of the heart by tilting the trunk of the animals to 20 degrees below horizontal. The presence of venous congestion was confirmed by an increase in the sagittal sinus pressure (SSP). The body position was shifted from horizontal prone (H1 group) to head-down tilt (D1 group) in four animals (group 1) and from head-down tilt (D2 group) to horizontal prone (H2 group) in the other four animals (group 2), and PVI and VPR were determined in each group. The changes in ICP and SSP with change of body position in group 1 were not significantly different from those in group 2, with both pressures changing by 7-8 mm Hg. PVI showed no significant differences between the H1 group and H2 group or between the D1 group and D2 group. The mean (+/- SEM) PVI for all measurements in the head-down tilt position (D1 and D2 groups) was significantly higher (0.50 +/- 0.02 ml; p < 0.01) than in the horizontal position (H1 and H2 groups; 0.35 +/- 0.02 ml).(ABSTRACT TRUNCATED AT 250 WORDS)

authors

Kotani J,Adachi R,Fujita N,Sugioka S,Ueda Y

doi

10.1097/00008506-199304000-00009

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

121-6

issue

2

eissn

0898-4921

issn

1537-1921

journal_volume

5

pub_type

杂志文章
  • The intermittent sequential compression device on the lower extremities attenuates the decrease in regional cerebral oxygen saturation during sitting position under sevoflurane anesthesia.

    abstract:BACKGROUND:The sitting position has potential for serious complications such as cerebral ischemia and venous air embolism. This study investigated the effects of intermittent sequential compression device (SCD) on the changes in regional cerebral oxygen saturation (rSO2) during the sitting position. METHODS:Sixty-six ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0b013e3181e97a5e

    authors: Kwak HJ,Lee D,Lee YW,Yu GY,Shinn HK,Kim JY

    更新日期:2011-01-01 00:00:00

  • Prostaglandin E1 but not corticosteroid increases nerve root blood flow velocity after lumbar diskectomy in surgical patients.

    abstract::The purpose of this study was to clarify whether prostaglandin E1 (PGE(1)) or corticosteroid could increase blood flow in the nerve root because neurologic symptoms in spinal stenosis may be based on the vascular insufficiency in the nerve root. Fifty-seven patients undergoing lumbar diskectomy were randomly assigned ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00008506-200304000-00002

    authors: Fukusaki M,Miyako M,Miyoshi H,Takada M,Terao Y,Konishi H,Sumikawa K

    更新日期:2003-04-01 00:00:00

  • Anesthetic Management of Brain-dead Adult and Pediatric Organ Donors: The Harborview Medical Center Experience.

    abstract:INTRODUCTION:The exposure of anesthesiologists to organ recovery procedures and the anesthetic technique used during organ recovery has not been systematically studied in the United States. METHODS:A retrospective cohort study was conducted on all adult and pediatric patients who were declared brain dead between Janua...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000683

    authors: Lele AV,Nair BG,Fong C,Walters AM,Souter MJ

    更新日期:2020-03-06 00:00:00

  • Effects of propofol on electrocorticography in patients with intractable partial epilepsy.

    abstract:BACKGROUND:Propofol's potential to trigger generalized tonic-clonic seizures and epileptic discharges is still controversial. The aim of this study was to investigate the incidence of epileptic discharges and epileptic seizures in epilepsy patients anesthetized with propofol. METHODS:Thirty three patients with intract...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3181ff6024

    authors: Schneider F,Herzer W,Schroeder HW,Mueller JU,Kolyschkow P,Sommer M,Piek J,Kessler C,Runge U

    更新日期:2011-04-01 00:00:00

  • A randomized, double-blinded comparison of ondansetron, granisetron, and placebo for prevention of postoperative nausea and vomiting after supratentorial craniotomy.

    abstract::Postoperative nausea and vomiting (PONV) are frequent and distressing complications after neurosurgical procedures. We evaluated the efficacy of ondansetron and granisetron to prevent PONV after supratentorial craniotomy. In a randomized double-blind, placebo controlled trial, 90 adult American Society of Anesthesiolo...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0b013e3181a7beaa

    authors: Jain V,Mitra JK,Rath GP,Prabhakar H,Bithal PK,Dash HH

    更新日期:2009-07-01 00:00:00

  • Brain edema after human cerebral hemorrhage: a magnetic resonance imaging volumetric analysis.

    abstract::Although perihematoma brain edema can significantly modify neurologic outcome after intracerebral hemorrhage (ICH), our knowledge of its natural history is incomplete. We report on the correlation between hematoma (HV) and edema volumes (EV) in 14 patients with ICH during the first week after the ictus using MRI volum...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200307000-00010

    authors: Carhuapoma JR,Hanley DF,Banerjee M,Beauchamp NJ

    更新日期:2003-07-01 00:00:00

  • Pseudoobstruction of the colon: early recognition and therapy.

    abstract::A case of pseudoobstruction of the colon in a patient receiving oral nimodipine therapy is presented. Early recognition of this entity, diagnostic aids, and therapy are discussed. Successful colonoscopic decompression and close observation allowed completion of nimodipine course of therapy. ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199604000-00006

    authors: Fahy BG

    更新日期:1996-04-01 00:00:00

  • Effects of remifentanil on in-hospital mortality and length of stay following clipping of intracranial aneurysm: a propensity score-matched analysis.

    abstract:BACKGROUND:Remifentanil is an ultrashort-acting µ-opioid receptor agonist and is especially suitable for neuroanesthesia. We previously reported that general anesthesia with remifentanil for brain tumor resection was associated with lower postoperative mortality and shorter postoperative length of stay (LOS) when compa...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000039

    authors: Uchida K,Yasunaga H,Sumitani M,Horiguchi H,Fushimi K,Yamada Y

    更新日期:2014-10-01 00:00:00

  • A comparison of auditory evoked potentials derived from a monitor integrated module versus standard technique.

    abstract:PURPOSE:Measurement of brain stem auditory evoked potentials (BAEP) and midlatency auditory evoked potentials (MLAEP) using a new monitor integrated module was compared with an established device. The aim of this study was to evaluate if the new system could replace the more inconvenient established technique. MATERIA...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3181990d00

    authors: Fudickar A,Kluzik A,Weiler N,Scholz J,Tonner PH,Bein B

    更新日期:2009-04-01 00:00:00

  • The Anti-inflammatory Effects of Agmatine on Transient Focal Cerebral Ischemia in Diabetic Rats.

    abstract:BACKGROUND:In the previous study, we observed agmatine (AGM) posttreatment immediately after 30 minutes of suture occlusion of the middle cerebral artery (MCAO) reduced the infarct size and neurological deficit in diabetic rats. The aim of the present study was to investigate the anti-inflammatory effect of AGM to redu...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000195

    authors: Kim JM,Lee JE,Cheon SY,Lee JH,Kim SY,Kam EH,Koo BN

    更新日期:2016-07-01 00:00:00

  • Effect of hemorrhage on cerebral microcirculation during normal and high cerebrospinal fluid pressure in pigs.

    abstract::Studies on cerebral blood flow during hypotension and high intracranial pressure are scarce. Accordingly, this study examines the effects of increased cerebrospinal fluid (CSF) pressure on the cerebral circulatory response to hemorrhage. Measurements of cerebral microcirculation with laser Doppler flowmetry was perfor...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199801000-00011

    authors: Rise IR,Risöe C,Kirkeby OJ

    更新日期:1998-01-01 00:00:00

  • Effectiveness of an intravascular cooling method compared with a conventional cooling technique in neurologic patients.

    abstract::Fever is common among neurologic patients and is usually treated by antipyretic drugs and external cooling. An alternative method for temperature management may be an intravascular approach. The aim of the study was to compare the effectiveness and the therapeutic costs of this new method with conventional treatment i...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0b013e318032a208

    authors: Hinz J,Rosmus M,Popov A,Moerer O,Frerichs I,Quintel M

    更新日期:2007-04-01 00:00:00

  • Effect of Albumin in Combination With Mannitol on Whole-blood Coagulation In Vitro Assessed by Thromboelastometry.

    abstract:BACKGROUND:Albumin and mannitol may interfere with hemostasis, but their coinfluence is unclear. We aimed to determine the effects of albumin alone and in combination with mannitol or Ringer acetate (RAC) on hemostasis in crossover in vitro study. MATERIALS AND METHODS:From citrated fresh whole blood withdrawn from 10...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000438

    authors: Lillemäe K,Laine AT,Schramko A,Niemi TT

    更新日期:2018-07-01 00:00:00

  • Blood loss and transfusion practice in the perioperative management of craniosynostosis repair.

    abstract::During the past 5 years, the surgical repair for sagittal synostosis has been modified to a more complex and involved procedure. This led to a retrospective evaluation of the current transfusion practice in a large series of craniosynostosis repairs. The charts of 76 patients (81 surgical procedures) undergoing cranio...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199907000-00002

    authors: Faberowski LW,Black S,Mickle JP

    更新日期:1999-07-01 00:00:00

  • Inhibition of cyclooxygenase 2 by nimesulide decreases prostaglandin E2 formation but does not alter brain edema or clinical recovery after closed head injury in rats.

    abstract::Recently, the enzyme cyclooxygenase (COX) has been recognized to exist as constitutive (COX-1) and inducible isoforms (COX-2). In previous studies, drugs that were inhibitors of both COX-1 and COX-2 failed to decrease brain edema formation or improve Neurological Severity Score (NSS) after closed head trauma (CHT), al...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200001000-00009

    authors: Koyfman L,Kaplanski J,Artru AA,Talmor D,Rubin M,Shapira Y

    更新日期:2000-01-01 00:00:00

  • Succinylcholine-induced increases in CSF pressure are not affected by PaCO2 or mean arterial pressure in dogs.

    abstract::The effects of PaCO2 and mean arterial pressure (MAP) on succinylcholine-induced changes in cerebrospinal fluid (CSF) pressure were examined in 31 dogs anesthetized with halothane (0.7% end-expired) and nitrous oxide (66% inspired) in oxygen. Group 1 (n = 9) received succinylcholine (1.5 mg/kg i.v.) without control of...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199003000-00002

    authors: Artru AA

    更新日期:1990-03-01 00:00:00

  • The Effect of Ultra-low-dose Intrathecal Naloxone on Pain Intensity After Lumbar Laminectomy With Spinal Fusion: A Randomized Controlled Trial.

    abstract:BACKGROUND:Despite advances in pain management, several patients continue to experience severe acute pain after lumbar spine surgery. The aim of this study was to assess the safety and effectiveness of single ultra-low-dose intrathecal (IT) naloxone in combination with IT morphine for reducing pain intensity, pruritus,...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0000000000000537

    authors: Firouzian A,Gholipour Baradari A,Ehteshami S,Zamani Kiasari A,Shafizad M,Shafiei S,Younesi Rostami F,Alipour A,Ala S,Darvishi-Khezri H,Haddadi K

    更新日期:2020-01-01 00:00:00

  • Transesophageal echocardiography as a guide for patient positioning before neurosurgical procedures in semi-sitting position.

    abstract::With an incidence of a patent foramen ovale in nearly one fourth of the normal population, neurosurgical procedures in the semi-sitting position are associated with the risk of paradoxical air embolism. The present study was undertaken to evaluate an anesthetic concept to detect a patent foramen ovale with the help of...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00008506-200410000-00003

    authors: Kwapisz MM,Deinsberger W,Müller M,Nopens H,Neuhäuser C,Klasen J,Hempelmann G

    更新日期:2004-10-01 00:00:00

  • Plaque Characteristics on CT Angiography Do Not Improve the Ability to Predict Hemodynamic Instability During and After Carotid Angioplasty and Stenting.

    abstract:BACKGROUND:Hemodynamic instability is commonly seen during carotid angioplasty and stenting. Although prophylactic treatment with anticholinergics is beneficial, selected use in high-risk patients is desirable. This study examines whether plaque characteristics on computed tomography angiography in addition to demograp...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000689

    authors: Jensen SK,Eesa M,Walker A,Archer DP,Davis MJ

    更新日期:2020-05-05 00:00:00

  • Inhalation versus total intravenous anesthesia for lumbar disc herniation: comparison of hemodynamic effects, recovery characteristics, and cost.

    abstract::The clinical effects, recovery characteristics, and costs of total intravenous anesthesia (TIVA), sevoflurane, and isoflurane anesthesia have been measured in various out-patient operations, but have not been evaluated in patients undergoing laminectomy or discectomy. In the current study, the authors assessed the hem...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00008506-200110000-00003

    authors: Ozkose Z,Ercan B,Unal Y,Yardim S,Kaymaz M,Dogulu F,Pasaoglu A

    更新日期:2001-10-01 00:00:00

  • Assessment of the ECG T-Wave in Patients With Subarachnoid Hemorrhage.

    abstract:BACKGROUND:Prolongation of the interval from the peak to the end of the T wave (Tp-Te) on a 12-lead electrocardiogram (ECG) is associated with ventricular arrhythmias. The aim of this study was to clarify associations between Tp-Te, Tp-Te/QT, and Tp-Te/rate-corrected QT (QTc) with clinical severity of subarachnoid hemo...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000624

    authors: Komatsuzaki M,Takasusuki T,Kimura Y,Yamaguchi S

    更新日期:2021-01-01 00:00:00

  • Neuroanesthesiology Update.

    abstract::We provide a synopsis of innovative research, recurring themes, and novel experimental findings pertinent to the care of neurosurgical patients and critically ill patients with neurological diseases. We cover the following broad topics: general neurosurgery, spine surgery, stroke, traumatic brain injury, monitoring, a...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/ANA.0000000000000489

    authors: Pasternak JJ,Lanier WL

    更新日期:2018-04-01 00:00:00

  • Propofol promotes proliferation of cultured adult rat hippocampal neural stem cells.

    abstract:BACKGROUND:The effect of propofol on proliferation of adult neural stem cells (ANSCs) is unclear. We investigated the effect of propofol on cultured rat ANSCs and the underlying molecular mechanisms, especially the role of activated cAMP response element binding protein (CREB). METHODS:Rat ANSCs were treated with prop...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e31828baa93

    authors: Tao T,Zhao Z,Hao L,Gu M,Chen L,Tang J

    更新日期:2013-07-01 00:00:00

  • Intracranial hemorrhage surgery on patients on mechanical circulatory support: a case series.

    abstract:BACKGROUND:Cardiac disease is the leading cause of death in the United States and late-stage heart failure is associated with a high level of morbidity and mortality. The ventricular assist devices and extracorporeal membrane oxygenators are the mainstay of mechanical circulatory support devices for the patients with e...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3181eee55e

    authors: Factora FN,Bustamante S,Spiotta A,Avitsian R

    更新日期:2011-01-01 00:00:00

  • Effect of single-dose dexamethasone on blood glucose concentration in patients undergoing craniotomy.

    abstract::Dexamethasone, a corticosteroid used to treat cerebral edema, is known to produce elevations in the blood glucose concentration, but the effect of a single intraoperative dose of dexamethasone on the blood glucose concentration is unknown. Glucose concentrations in response to either a 10-mg intravenous bolus of dexam...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00008506-200404000-00003

    authors: Pasternak JJ,McGregor DG,Lanier WL

    更新日期:2004-04-01 00:00:00

  • Dual effects of ketamine: neurotoxicity versus neuroprotection in anesthesia for the developing brain.

    abstract::Ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, is widely used in pediatric anesthesia. Recently, a series of animal studies have shown that ketamine may have neurotoxic effects on the developing brain and that these effects can later cause neurofunctional impairment. However, other studies have also sho...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/ANA.0000000000000027

    authors: Yan J,Jiang H

    更新日期:2014-04-01 00:00:00

  • Intra-arterial 133Xe measurements suggest a dose-dependent increase in cerebral blood flow during intracarotid infusion of adenosine in nonhuman primates.

    abstract::Intra-arterial vasodilators, such as papaverine, have been used to treat cerebrovascular insufficiency. The short biologic half-life, and the vasodilating and neuroprotective properties of adenosine could be useful during the treatment of cerebral ischemia. However, in human subjects a proposed intracarotid dose of 1 ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200204000-00004

    authors: Joshi S,Mangla S,Wang M,Sciacca RR,Young WL

    更新日期:2002-04-01 00:00:00

  • Lund concept for the management of traumatic brain injury: a physiological principle awaiting stronger evidence.

    abstract::The "Lund concept" involving a "volume-targeted" strategy for intracranial pressure control originated in the University of Lund, Sweden, more than 20 years ago and has remained controversial ever since. It is based on the premise that the blood-brain barrier is disrupted after traumatic brain injury and cerebral auto...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/01.ana.0000405613.27980.ea

    authors: Sharma D,Vavilala MS

    更新日期:2011-10-01 00:00:00

  • Comparison of the Effects of Propofol and Sevoflurane Combined With Remifentanil on Transcranial Electric Motor-evoked and Somatosensory-evoked Potential Monitoring During Brainstem Surgery.

    abstract:BACKGROUND:We compared the effect of propofol and sevoflurane combined with remifentanil under comparable bispectral index (BIS) levels on transcranial electric motor-evoked potentials (TceMEPs) and somatosensory-evoked potentials (SSEPs) during brainstem surgery. MATERIALS AND METHODS:A total of 40 consecutive patien...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0000000000000157

    authors: Hernández-Palazón J,Izura V,Fuentes-García D,Piqueras-Pérez C,Doménech-Asensi P,Falcón-Araña L

    更新日期:2015-10-01 00:00:00

  • A dose-response study of the influence of propofol on cerebral blood flow, metabolism and the electroencephalogram in the rabbit.

    abstract::This experiment was designed to study the effect of progressively increasing blood propofol concentrations on cerebral blood flow (CBF), cerebral metabolic rate for oxygen (CMRO2), and the electroencephalogram (EEG). Nine New Zealand White rabbits were anesthetized with morphine (10 mg kg bolus and 2 mg/kg/h infusion)...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199204000-00006

    authors: Ramani R,Todd MM,Warner DS

    更新日期:1992-04-01 00:00:00