Cerebral blood flow during single lung ventilation

Erol, Mehmet Muharrem; Kul, Sibel; Cansu, Ayşegül; Tekinbaş, Celal; Ertürk, Engin; Topbaş, Murat

doi:10.3906/sag-1202-90

Cited by 1 publication

(1 citation statement)

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“…The study by Erol et al investigating the effect of lateral decubitus position and OLV on CBF in thoracic surgery with carotid blood flow measurement found that there was no significant difference before or after OLV and between supine and lateral decubitus positions 23 . However, it has been reported that there is no more than 10% decrease in rSO 2 in thoracic surgery, but desaturation is higher when OLV is performed 11 .…”

Section: Discussionmentioning

confidence: 99%

El efecto de diferentes técnicas de anestesia sobre la oxigenación cerebral en cirugía torácica

Akdoğan¹,

Beşir²,

Kutanıs³

et al. 2022

CIRU

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Objective: One-lung ventilation may cause negative changes in the oxygenation of cerebral tissue which results in post-operative cognitive dysfunction. We compared the potential effects of total intravenous anesthesia and inhalation general anesthesia techniques on cerebral tissue oxygenation Materials and methods: In this prospective double-blind trial, patients whose standard anesthesia induction was done were randomly divided into two groups as group total intravenous anesthesia using propofol (Group T, n = 30) and group inhalation general anesthesia using sevoflurane (Group I, n = 30) based on anesthesia maintenance. The intraoperative cerebral oxygen saturation and pre-post-operative mini-mental status test scores of the patients were monitored and recorded. Results: Baseline characteristics were similar between the two groups. The decrease of cerebral oxygen saturation more than 20% in total intravenous anesthesia group was significantly higher than inhalation group (p < 0.05). In both groups, the mini-mental status test values at the post-operative 3 rd h were significantly lower than the preoperative and post-operative 24 th h values (p < 0.05). Conclusions: Inhalation general anesthesia provided better cerebral tissue oxygenation in thoracic surgery with one-lung ventilation compared to total intravenous anesthesia. However, there was no significant correlation between the presence of desaturation and post-operative cognitive dysfunction

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Section: Discussionmentioning

confidence: 99%