129 152

Cited 7 times in

Cerebral Oxygenation during Laparoscopic Surgery: Jugular Bulb versus Regional Cerebral Oxygen Saturation

DC FieldValueLanguage
dc.contributor.author최승호-
dc.contributor.author오영준-
dc.contributor.author이성진-
dc.date.accessioned2014-12-18T08:27:50Z-
dc.date.available2014-12-18T08:27:50Z-
dc.date.issued2013-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86354-
dc.description.abstractPURPOSE: We hypothesized that regional cerebral oxygen saturation (rSO2) could replace jugular bulb oxygen saturation (SjvO2) in the steep Trendelenburg position under pneumoperitoneum. Therefore, we evaluated the relationship between SjvO2 and rSO2 during laparoscopic surgery. MATERIALS AND METHODS: After induction of anesthesia, mechanical ventilation was controlled to increase PaCO2 from 35 to 45 mm Hg in the supine position, and the changes in SjvO2 and rSO2 were measured. Then, after establishment of pneumoperitoneum and Trendelenburg position, ventilation was controlled to maintain a PaCO2 at 35 mm Hg and the CO2 step and measurements were repeated. The changes in SjvO2 (rSO2) -CO2 reactivity were compared in the supine position and Trendelenburg-pneumoperitoneum condition, respectively. RESULTS: There was little correlation between SjvO2 and rSO2 in the supine position (concordance correlation coefficient=0.2819). Bland-Altman plots showed a mean bias of 8.4% with a limit of agreement of 21.6% and -4.7%. SjvO2 and rSO2 were not correlated during Trendelenburg-pneumoperitoneum condition (concordance correlation coefficient=0.3657). Bland-Altman plots showed a mean bias of 10.6% with a limit of agreement of 23.6% and -2.4%. The SjvO2-CO2 reactivity was higher than rSO2-CO2 reactivity in the supine position and Trendelenburg- pneumoperitoneum condition, respectively (0.9 ± 1.1 vs. 0.4 ± 1.2% mm Hg(-1), p=0.04; 1.7 ± 1.3 vs. 0.5 ± 1.1% mm Hg(-1), p<0.001). CONCLUSION: There is little correlation between SjvO2 and rSO2 in the supine position and Trendelenburg-pneumoperitoneum condition during laparoscopic surgery.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfYonsei Medical Journal-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleCerebral Oxygenation during Laparoscopic Surgery: Jugular Bulb versus Regional Cerebral Oxygen Saturation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorSeung Ho Choi-
dc.contributor.googleauthorSoo Hwan Kim-
dc.contributor.googleauthorSung Jin Lee-
dc.contributor.googleauthorSa Rah Soh-
dc.contributor.googleauthorYoung Jun Oh-
dc.identifier.doi10.3349/ymj.2013.54.1.225-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02389-
dc.contributor.localIdA02872-
dc.contributor.localIdA04101-
dc.contributor.localIdA01960-
dc.relation.journalcodeJ02813-
dc.contributor.alternativeNameChoi, Seung Ho-
dc.contributor.alternativeNameOh, Young Jun-
dc.contributor.alternativeNameLee, Sung Jin-
dc.contributor.affiliatedAuthorOh, Young Jun-
dc.contributor.affiliatedAuthorLee, Sung Jin-
dc.contributor.affiliatedAuthorChoi, Seung Ho-
dc.rights.accessRightsfree-
dc.citation.volume54-
dc.citation.number1-
dc.citation.startPage225-
dc.citation.endPage230-
dc.identifier.bibliographicCitationYonsei Medical Journal, Vol.54(1) : 225-230, 2013-
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실)

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.